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Provider 1467463562

NPI: 1467463562Share
Active Billing Period:2018-06→2024-12(62 months)

Total Paid

$8.7M

$8,706,919

Total Claims

211K

Beneficiaries

203K

1.0 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$927
+346%
2019
$4K
+5726%
2020
$241K
+640%
2021
$1.8M
+23%
2022
$2.2M
+10%
2023
$2.4M
-13%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (92014 (Ophthalmological exam, comprehensive, established patient)) accounts for 23% of total spending.

92014Top 10%

Ophthalmological exam, comprehensive, established patient

$2.0M

19K claims · 22.7%

Your Cost: $101.38/claim|Median: $47.08
2.2× median
92060Top 25%

$1.6M

31K claims · 18.8%

Your Cost: $51.99/claim|Median: $35.83
1.5× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$1.2M

9,713 claims · 13.6%

Your Cost: $122.32/claim|Median: $59.72
2.0× median
V2784Top 25%

Lens, polycarbonate or equal

$710K

27K claims · 8.2%

Your Cost: $25.96/claim|Median: $9.50
2.7× median
92250Top 5%

Fundus photography with interpretation and report

$558K

9,146 claims · 6.4%

Your Cost: $61.04/claim|Median: $27.95
2.2× median
92012Top 10%

Ophthalmological exam, intermediate, established patient

$530K

7,577 claims · 6.1%

Your Cost: $69.95/claim|Median: $38.23
1.8× median
92015Normal range

Determination of refractive state

$464K

30K claims · 5.3%

Your Cost: $15.66/claim|Median: $10.36
1.5× median
V2103Normal range

Lens, sphere-cylinder, single vision, plus or minus 4.00

$327K

16K claims · 3.8%

Your Cost: $19.99/claim|Median: $18.82
1.1× median
V2025Normal range

$276K

7,067 claims · 3.2%

Your Cost: $39.11/claim|Median: $34.45
1.1× median
92285Normal range

$264K

17K claims · 3.0%

Your Cost: $15.26/claim|Median: $16.47
0.9× median
V2020Normal range

Frames, purchases

$263K

19K claims · 3.0%

Your Cost: $13.75/claim|Median: $19.33
0.7× median
V2104Normal range

$147K

7,413 claims · 1.7%

Your Cost: $19.88/claim|Median: $16.70
1.2× median
67311Normal range

$141K

302 claims · 1.6%

Your Cost: $466.85/claim|Median: $610.94
0.8× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$66K

3,213 claims · 0.8%

Your Cost: $20.42/claim|Median: $20.68
1.0× median
V2105Normal range

$37K

1,378 claims · 0.4%

Your Cost: $26.98/claim|Median: $23.98
1.1× median
99204Normal range

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

$35K

404 claims · 0.4%

Your Cost: $85.54/claim|Median: $84.03
1.0× median
V2107Normal range

$30K

1,383 claims · 0.3%

Your Cost: $21.88/claim|Median: $17.55
1.2× median
V2108Normal range

$22K

1,064 claims · 0.3%

Your Cost: $20.60/claim|Median: $16.84
1.2× median
92002Top 10%

Intermediate eye exam, new patient

$18K

259 claims · 0.2%

Your Cost: $69.68/claim|Median: $41.61
1.7× median
V2109Normal range

$10K

314 claims · 0.1%

Your Cost: $31.25/claim|Median: $12.24
2.6× median
92133Top 10%

$8K

243 claims · 0.1%

Your Cost: $33.52/claim|Median: $19.09
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$2K

86 claims · 0.0%

Your Cost: $24.79/claim|Median: $25.06
1.0× median
99203Normal range

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

$2K

35 claims · 0.0%

Your Cost: $58.62/claim|Median: $57.85
1.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$17

38 claims · 0.0%

Your Cost: $0.44/claim|Median: $12.93
0.0× median
99024Normal range

$0

627 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15
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