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Provider 1477623700

NPI: 1477623700Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.5M

$9,516,782

Total Claims

78K

Beneficiaries

75K

1.0 claims/patient

Avg Cost/Claim

$122

Monthly Spending Trend

Yearly Spending

2018
$968K
+20%
2019
$1.2M
+15%
2020
$1.3M
+16%
2021
$1.6M
+26%
2022
$2.0M
-9%
2023
$1.8M
-59%
2024
$743K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 17% of total spending.

99214Top 1%

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

$1.7M

8,659 claims · 17.4%

Your Cost: $191.30/claim|Median: $53.41
3.6× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$1.4M

7,563 claims · 14.3%

Your Cost: $180.45/claim|Median: $47.08
3.8× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$1.3M

10K claims · 13.2%

Your Cost: $124.61/claim|Median: $38.23
3.3× median
92060Top 1%

$934K

9,367 claims · 9.8%

Your Cost: $99.72/claim|Median: $35.83
2.8× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$898K

4,055 claims · 9.4%

Your Cost: $221.49/claim|Median: $59.72
3.7× median
99204Top 1%

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

$601K

2,278 claims · 6.3%

Your Cost: $263.83/claim|Median: $84.03
3.1× median
99213Top 5%

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

$541K

4,048 claims · 5.7%

Your Cost: $133.67/claim|Median: $37.81
3.5× median
67028Top 25%

Intravitreal injection of a pharmacologic agent

$366K

2,598 claims · 3.8%

Your Cost: $140.70/claim|Median: $58.82
2.4× median
92083Top 1%

Visual field exam, extended testing, bilateral

$360K

4,013 claims · 3.8%

Your Cost: $89.61/claim|Median: $29.82
3.0× median
92015Top 5%

Determination of refractive state

$315K

10K claims · 3.3%

Your Cost: $31.17/claim|Median: $10.36
3.0× median
67228Top 25%

$267K

554 claims · 2.8%

Your Cost: $482.66/claim|Median: $256.67
1.9× median
92134Top 1%

$253K

4,021 claims · 2.7%

Your Cost: $62.95/claim|Median: $15.46
4.1× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$124K

1,909 claims · 1.3%

Your Cost: $64.85/claim|Median: $16.77
3.9× median
92285Top 25%

$115K

3,824 claims · 1.2%

Your Cost: $30.09/claim|Median: $16.47
1.8× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$101K

1,391 claims · 1.1%

Your Cost: $72.28/claim|Median: $43.71
1.7× median
99203Top 5%

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

$96K

530 claims · 1.0%

Your Cost: $180.28/claim|Median: $57.85
3.1× median
99221Top 5%

Initial hospital care, straightforward/low

$63K

392 claims · 0.7%

Your Cost: $161.50/claim|Median: $39.96
4.0× median
99215Top 5%

Office/outpatient visit, high complexity

$49K

187 claims · 0.5%

Your Cost: $263.50/claim|Median: $74.09
3.6× median
92201Top 5%

$35K

913 claims · 0.4%

Your Cost: $38.17/claim|Median: $12.88
3.0× median
92235Top 1%

$32K

174 claims · 0.3%

Your Cost: $184.13/claim|Median: $42.71
4.3× median
76512Top 5%

$22K

209 claims · 0.2%

Your Cost: $103.43/claim|Median: $43.41
2.4× median
J0178Top 25%

Injection, aflibercept, 1 mg

$14K

12 claims · 0.2%

Your Cost: $1,191.88/claim|Median: $730.09
1.6× median
66984Top 25%

Extracapsular cataract removal with IOL insertion

$14K

26 claims · 0.1%

Your Cost: $526.43/claim|Median: $268.70
2.0× median
92250Normal range

Fundus photography with interpretation and report

$13K

428 claims · 0.1%

Your Cost: $29.24/claim|Median: $27.95
1.0× median
92136Top 5%

$10K

174 claims · 0.1%

Your Cost: $54.86/claim|Median: $18.31
3.0× median
92340Top 5%

Fitting of spectacles, except for aphakia

$9K

163 claims · 0.1%

Your Cost: $54.00/claim|Median: $19.46
2.8× median
92226Top 25%

$5K

147 claims · 0.0%

Your Cost: $31.40/claim|Median: $12.45
2.5× median
92133Top 1%

$3K

55 claims · 0.0%

Your Cost: $59.50/claim|Median: $19.09
3.1× median
92202Top 5%

$2K

80 claims · 0.0%

Your Cost: $26.27/claim|Median: $7.06
3.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$1K

37 claims · 0.0%

Your Cost: $35.01/claim|Median: $12.93
2.7× median
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