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Provider 1487077483

NPI: 1487077483Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.8M

$14,768,495

Total Claims

203K

Beneficiaries

198K

1.0 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$739K
+77%
2019
$1.3M
+40%
2020
$1.8M
+31%
2021
$2.4M
+24%
2022
$3.0M
+9%
2023
$3.2M
-28%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (92014 (Ophthalmological exam, comprehensive, established patient)) accounts for 29% of total spending.

92014Top 10%

Ophthalmological exam, comprehensive, established patient

$4.3M

47K claims · 29.2%

Your Cost: $91.33/claim|Median: $47.08
1.9× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$3.2M

27K claims · 21.3%

Your Cost: $116.21/claim|Median: $59.72
1.9× median
67210Top 25%

$1.7M

4,282 claims · 11.3%

Your Cost: $390.32/claim|Median: $249.34
1.6× median
92012Top 10%

Ophthalmological exam, intermediate, established patient

$1.5M

20K claims · 9.9%

Your Cost: $72.06/claim|Median: $38.23
1.9× median
92015Normal range

Determination of refractive state

$603K

40K claims · 4.1%

Your Cost: $15.18/claim|Median: $10.36
1.5× median
99213Top 25%

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

$600K

8,913 claims · 4.1%

Your Cost: $67.32/claim|Median: $37.81
1.8× median
J0178Top 10%

Injection, aflibercept, 1 mg

$487K

309 claims · 3.3%

Your Cost: $1,576.45/claim|Median: $730.09
2.2× median
92250Normal range

Fundus photography with interpretation and report

$469K

13K claims · 3.2%

Your Cost: $35.97/claim|Median: $27.95
1.3× median
92060Top 25%

$336K

6,279 claims · 2.3%

Your Cost: $53.44/claim|Median: $35.83
1.5× median
92235Top 10%

$322K

3,401 claims · 2.2%

Your Cost: $94.72/claim|Median: $42.71
2.2× median
92134Top 25%

$295K

11K claims · 2.0%

Your Cost: $27.94/claim|Median: $15.46
1.8× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$240K

2,847 claims · 1.6%

Your Cost: $84.47/claim|Median: $58.82
1.4× median
92083Top 10%

Visual field exam, extended testing, bilateral

$211K

3,850 claims · 1.4%

Your Cost: $54.91/claim|Median: $29.82
1.8× median
99214Top 10%

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

$169K

1,697 claims · 1.1%

Your Cost: $99.33/claim|Median: $53.41
1.9× median
92133Top 25%

$113K

3,772 claims · 0.8%

Your Cost: $30.06/claim|Median: $19.09
1.6× median
99204Top 25%

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

$85K

630 claims · 0.6%

Your Cost: $135.14/claim|Median: $84.03
1.6× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$69K

984 claims · 0.5%

Your Cost: $70.48/claim|Median: $43.71
1.6× median
92020Top 25%

$46K

2,131 claims · 0.3%

Your Cost: $21.74/claim|Median: $12.46
1.7× median
83861Normal range

$42K

2,668 claims · 0.3%

Your Cost: $15.91/claim|Median: $10.95
1.5× median
92002Top 25%

Intermediate eye exam, new patient

$37K

568 claims · 0.2%

Your Cost: $64.40/claim|Median: $41.61
1.5× median
92285Normal range

$32K

1,544 claims · 0.2%

Your Cost: $20.61/claim|Median: $16.47
1.3× median
92201Normal range

$4K

251 claims · 0.0%

Your Cost: $16.46/claim|Median: $12.88
1.3× median
99203Top 10%

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

$3K

33 claims · 0.0%

Your Cost: $101.09/claim|Median: $57.85
1.7× median
92025Top 25%

$3K

109 claims · 0.0%

Your Cost: $29.82/claim|Median: $17.08
1.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

174 claims · 0.0%

Your Cost: $17.88/claim|Median: $12.93
1.4× median
92136Top 25%

$3K

98 claims · 0.0%

Your Cost: $29.25/claim|Median: $18.31
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$2K

82 claims · 0.0%

Your Cost: $29.14/claim|Median: $25.06
1.2× median
92225Normal range

$592

28 claims · 0.0%

Your Cost: $21.14/claim|Median: $17.59
1.2× median
92226Top 25%

$565

22 claims · 0.0%

Your Cost: $25.67/claim|Median: $12.45
2.1× median
92202Normal range

$286

28 claims · 0.0%

Your Cost: $10.20/claim|Median: $7.06
1.4× median
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