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Provider 1457948564

NPI: 1457948564Share
Active Billing Period:2021-03→2024-10(44 months)

Total Paid

$8.3M

$8,262,300

Total Claims

15K

Beneficiaries

12K

1.2 claims/patient

Avg Cost/Claim

$539

Monthly Spending Trend

Yearly Spending

2021
$1.5M
+46%
2022
$2.2M
+9%
2023
$2.4M
-13%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 78% of total spending.

J0178Top 25%

Injection, aflibercept, 1 mg

$6.4M

4,814 claims · 77.7%

Your Cost: $1,333.68/claim|Median: $730.09
1.8× median
67028Top 5%

Intravitreal injection of a pharmacologic agent

$1.7M

5,465 claims · 20.2%

Your Cost: $305.96/claim|Median: $58.82
5.2× median
92134Top 25%

$132K

4,414 claims · 1.6%

Your Cost: $29.92/claim|Median: $15.46
1.9× median
92235Top 25%

$14K

153 claims · 0.2%

Your Cost: $89.26/claim|Median: $42.71
2.1× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$10K

210 claims · 0.1%

Your Cost: $46.46/claim|Median: $38.23
1.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$8K

141 claims · 0.1%

Your Cost: $54.80/claim|Median: $47.08
1.2× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$3K

91 claims · 0.0%

Your Cost: $36.14/claim|Median: $37.81
1.0× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$2K

37 claims · 0.0%

Your Cost: $52.17/claim|Median: $53.41
1.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$1K

15 claims · 0.0%

Your Cost: $98.50/claim|Median: $84.03
1.2× median
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