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Provider 1467429647

NPI: 1467429647Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,252,506

Total Claims

82K

Beneficiaries

68K

1.2 claims/patient

Avg Cost/Claim

$125

Monthly Spending Trend

Yearly Spending

2018
$133K
-4%
2019
$128K
+998%
2020
$1.4M
+61%
2021
$2.3M
-11%
2022
$2.0M
+12%
2023
$2.3M
-9%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 34% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$3.5M

3,375 claims · 34.2%

Your Cost: $1,037.97/claim|Median: $730.09
1.4× median
J2777Normal range

$2.2M

2,386 claims · 21.8%

Your Cost: $936.81/claim|Median: $858.80
1.1× median
J2778Normal range

$1.5M

3,369 claims · 14.4%

Your Cost: $438.24/claim|Median: $403.28
1.1× median
92134Top 10%

$778K

21K claims · 7.6%

Your Cost: $36.46/claim|Median: $15.46
2.4× median
Q5124Top 25%

$655K

3,148 claims · 6.4%

Your Cost: $207.92/claim|Median: $183.04
1.1× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$612K

16K claims · 6.0%

Your Cost: $38.40/claim|Median: $58.82
0.7× median
92201Top 25%

$183K

9,461 claims · 1.8%

Your Cost: $19.33/claim|Median: $12.88
1.5× median
99214Normal range

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

$176K

4,264 claims · 1.7%

Your Cost: $41.36/claim|Median: $53.41
0.8× median
76512Normal range

$140K

3,993 claims · 1.4%

Your Cost: $35.10/claim|Median: $43.41
0.8× median
92250Normal range

Fundus photography with interpretation and report

$99K

3,233 claims · 1.0%

Your Cost: $30.69/claim|Median: $27.95
1.1× median
92235Normal range

$95K

2,349 claims · 0.9%

Your Cost: $40.51/claim|Median: $42.71
0.9× median
99213Normal range

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

$84K

3,416 claims · 0.8%

Your Cost: $24.72/claim|Median: $37.81
0.7× median
99204Normal range

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

$62K

751 claims · 0.6%

Your Cost: $82.37/claim|Median: $84.03
1.0× median
92020Top 5%

$55K

1,770 claims · 0.5%

Your Cost: $30.96/claim|Median: $12.46
2.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$33K

801 claims · 0.3%

Your Cost: $41.64/claim|Median: $47.08
0.9× median
92060Normal range

$23K

759 claims · 0.2%

Your Cost: $30.30/claim|Median: $35.83
0.8× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$22K

632 claims · 0.2%

Your Cost: $34.04/claim|Median: $38.23
0.9× median
J3490Top 5%

Unclassified drugs

$7K

17 claims · 0.1%

Your Cost: $396.31/claim|Median: $5.70
69.5× median
92226Normal range

$6K

726 claims · 0.1%

Your Cost: $8.58/claim|Median: $12.45
0.7× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$3K

29 claims · 0.0%

Your Cost: $90.63/claim|Median: $43.71
2.1× median
92242Normal range

$2K

48 claims · 0.0%

Your Cost: $50.72/claim|Median: $73.42
0.7× median
J2403Normal range

$2K

278 claims · 0.0%

Your Cost: $7.41/claim|Median: $63.82
0.1× median
92202Normal range

$217

20 claims · 0.0%

Your Cost: $10.85/claim|Median: $7.06
1.5× median
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