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Provider 1477532174

NPI: 1477532174Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.2M

$18,233,372

Total Claims

144K

Beneficiaries

120K

1.2 claims/patient

Avg Cost/Claim

$126

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+63%
2019
$2.9M
+3%
2020
$2.9M
-1%
2021
$2.9M
-8%
2022
$2.7M
+10%
2023
$2.9M
-27%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 44% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$8.0M

11K claims · 44.0%

Your Cost: $710.61/claim|Median: $730.09
1.0× median
67028Top 25%

Intravitreal injection of a pharmacologic agent

$3.8M

29K claims · 20.6%

Your Cost: $130.07/claim|Median: $58.82
2.2× median
J2778Normal range

$1.7M

2,732 claims · 9.1%

Your Cost: $609.37/claim|Median: $403.28
1.5× median
J2777Normal range

$988K

1,288 claims · 5.4%

Your Cost: $766.73/claim|Median: $858.80
0.9× median
92134Normal range

$663K

34K claims · 3.6%

Your Cost: $19.44/claim|Median: $15.46
1.3× median
99213Normal range

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

$594K

17K claims · 3.3%

Your Cost: $34.22/claim|Median: $37.81
0.9× median
99214Normal range

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

$474K

11K claims · 2.6%

Your Cost: $42.35/claim|Median: $53.41
0.8× median
J3590Normal range

Unclassified biologic drug injection

$412K

5,857 claims · 2.3%

Your Cost: $70.30/claim|Median: $24.77
2.8× median
99204Normal range

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

$397K

4,307 claims · 2.2%

Your Cost: $92.19/claim|Median: $84.03
1.1× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$293K

1,307 claims · 1.6%

Your Cost: $224.50/claim|Median: $268.70
0.8× median
99203Normal range

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

$192K

2,736 claims · 1.1%

Your Cost: $70.14/claim|Median: $57.85
1.2× median
92060Normal range

$153K

3,498 claims · 0.8%

Your Cost: $43.79/claim|Median: $35.83
1.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$96K

2,799 claims · 0.5%

Your Cost: $34.17/claim|Median: $47.08
0.7× median
92201Top 10%

$69K

2,262 claims · 0.4%

Your Cost: $30.48/claim|Median: $12.88
2.4× median
J9035Normal range

Injection, bevacizumab, 10 mg

$64K

1,912 claims · 0.4%

Your Cost: $33.61/claim|Median: $43.71
0.8× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$61K

670 claims · 0.3%

Your Cost: $91.56/claim|Median: $51.25
1.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$56K

1,274 claims · 0.3%

Your Cost: $43.83/claim|Median: $23.99
1.8× median
92015Normal range

Determination of refractive state

$53K

4,121 claims · 0.3%

Your Cost: $12.81/claim|Median: $10.36
1.2× median
92250Normal range

Fundus photography with interpretation and report

$41K

1,529 claims · 0.2%

Your Cost: $26.54/claim|Median: $27.95
0.9× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$30K

392 claims · 0.2%

Your Cost: $75.35/claim|Median: $59.72
1.3× median
92136Normal range

$28K

1,074 claims · 0.2%

Your Cost: $25.94/claim|Median: $18.31
1.4× median
92083Normal range

Visual field exam, extended testing, bilateral

$28K

992 claims · 0.2%

Your Cost: $27.82/claim|Median: $29.82
0.9× median
92133Normal range

$24K

1,039 claims · 0.1%

Your Cost: $23.56/claim|Median: $19.09
1.2× median
92226Top 25%

$20K

668 claims · 0.1%

Your Cost: $30.21/claim|Median: $12.45
2.4× median
67311Normal range

$19K

45 claims · 0.1%

Your Cost: $414.96/claim|Median: $610.94
0.7× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$14K

344 claims · 0.1%

Your Cost: $41.07/claim|Median: $38.23
1.1× median
92225Top 25%

$13K

392 claims · 0.1%

Your Cost: $33.98/claim|Median: $17.59
1.9× median
92020Top 25%

$2K

104 claims · 0.0%

Your Cost: $19.57/claim|Median: $12.46
1.6× median
92285Top 25%

$1K

45 claims · 0.0%

Your Cost: $25.37/claim|Median: $16.47
1.5× median
92002Top 25%

Intermediate eye exam, new patient

$691

12 claims · 0.0%

Your Cost: $57.58/claim|Median: $41.61
1.4× median
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