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Provider 1548256647

NPI: 1548256647Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.2M

$11,208,078

Total Claims

344K

Beneficiaries

332K

1.0 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+21%
2019
$2.0M
-35%
2020
$1.3M
+14%
2021
$1.5M
+3%
2022
$1.5M
+5%
2023
$1.6M
-3%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (92015 (Determination of refractive state)) accounts for 18% of total spending.

92015Top 5%

Determination of refractive state

$2.1M

59K claims · 18.4%

Your Cost: $34.93/claim|Median: $10.36
3.4× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1.8M

38K claims · 15.9%

Your Cost: $46.88/claim|Median: $47.08
1.0× median
V2020Normal range

Frames, purchases

$1.7M

59K claims · 15.2%

Your Cost: $28.92/claim|Median: $19.33
1.5× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$1.4M

22K claims · 12.1%

Your Cost: $62.79/claim|Median: $59.72
1.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$1.1M

54K claims · 10.1%

Your Cost: $21.08/claim|Median: $19.46
1.1× median
S0580Top 25%

$875K

31K claims · 7.8%

Your Cost: $28.64/claim|Median: $17.72
1.6× median
V2103Top 25%

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

$841K

29K claims · 7.5%

Your Cost: $28.57/claim|Median: $18.82
1.5× median
92250Normal range

Fundus photography with interpretation and report

$406K

12K claims · 3.6%

Your Cost: $32.92/claim|Median: $27.95
1.2× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$377K

16K claims · 3.4%

Your Cost: $24.21/claim|Median: $20.68
1.2× median
V2203Normal range

$188K

4,654 claims · 1.7%

Your Cost: $40.42/claim|Median: $29.84
1.4× median
92341Normal range

$156K

6,705 claims · 1.4%

Your Cost: $23.29/claim|Median: $22.77
1.0× median
V2104Top 25%

$121K

4,727 claims · 1.1%

Your Cost: $25.54/claim|Median: $16.70
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$75K

3,950 claims · 0.7%

Your Cost: $18.93/claim|Median: $25.06
0.8× median
99213Normal range

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

$54K

1,770 claims · 0.5%

Your Cost: $30.51/claim|Median: $37.81
0.8× median
V2107Top 25%

$49K

1,505 claims · 0.4%

Your Cost: $32.80/claim|Median: $17.55
1.9× median
92083Normal range

Visual field exam, extended testing, bilateral

$14K

416 claims · 0.1%

Your Cost: $33.99/claim|Median: $29.82
1.1× median
V2200Normal range

$12K

392 claims · 0.1%

Your Cost: $31.56/claim|Median: $28.94
1.1× median
92133Normal range

$4K

224 claims · 0.0%

Your Cost: $18.69/claim|Median: $19.09
1.0× median
V2101Top 25%

$302

12 claims · 0.0%

Your Cost: $25.19/claim|Median: $17.09
1.5× median
G8732Normal range

$0

237 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.85
G8785Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.19
G8428Normal range

$0

159 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
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