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Provider 1548874936

NPI: 1548874936Share
Active Billing Period:2021-02→2024-12(47 months)

Total Paid

$8.2M

$8,213,607

Total Claims

126K

Beneficiaries

101K

1.2 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2021
$995K
+82%
2022
$1.8M
+71%
2023
$3.1M
-25%
2024
$2.3M

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 57% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$4.7M

7,786 claims · 57.5%

Your Cost: $606.22/claim|Median: $730.09
0.8× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$790K

27K claims · 9.6%

Your Cost: $29.31/claim|Median: $47.08
0.6× median
92015Top 5%

Determination of refractive state

$548K

19K claims · 6.7%

Your Cost: $28.54/claim|Median: $10.36
2.8× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$439K

10K claims · 5.3%

Your Cost: $43.22/claim|Median: $58.82
0.7× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$332K

6,106 claims · 4.0%

Your Cost: $54.35/claim|Median: $59.72
0.9× median
92134Normal range

$201K

17K claims · 2.4%

Your Cost: $11.85/claim|Median: $15.46
0.8× median
Q5128Normal range

$180K

259 claims · 2.2%

Your Cost: $694.38/claim|Median: $502.53
1.4× median
J0177Normal range

$144K

290 claims · 1.8%

Your Cost: $496.35/claim|Median: $869.28
0.6× median
99214Normal range

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

$134K

4,676 claims · 1.6%

Your Cost: $28.72/claim|Median: $53.41
0.5× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$126K

870 claims · 1.5%

Your Cost: $145.16/claim|Median: $268.70
0.5× median
99213Normal range

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

$106K

4,220 claims · 1.3%

Your Cost: $25.06/claim|Median: $37.81
0.7× median
92083Normal range

Visual field exam, extended testing, bilateral

$78K

3,445 claims · 0.9%

Your Cost: $22.58/claim|Median: $29.82
0.8× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$67K

3,815 claims · 0.8%

Your Cost: $17.68/claim|Median: $38.23
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$65K

4,334 claims · 0.8%

Your Cost: $15.09/claim|Median: $25.06
0.6× median
92133Normal range

$49K

3,730 claims · 0.6%

Your Cost: $13.05/claim|Median: $19.09
0.7× median
92060Normal range

$43K

1,632 claims · 0.5%

Your Cost: $26.53/claim|Median: $35.83
0.7× median
99243Normal range

Office or other outpatient consultation, low complexity

$34K

495 claims · 0.4%

Your Cost: $67.71/claim|Median: $82.43
0.8× median
92250Normal range

Fundus photography with interpretation and report

$25K

1,007 claims · 0.3%

Your Cost: $24.58/claim|Median: $27.95
0.9× median
92136Normal range

$15K

749 claims · 0.2%

Your Cost: $20.48/claim|Median: $18.31
1.1× median
J9035Normal range

Injection, bevacizumab, 10 mg

$15K

2,217 claims · 0.2%

Your Cost: $6.84/claim|Median: $43.71
0.2× median
V2020Normal range

Frames, purchases

$14K

497 claims · 0.2%

Your Cost: $27.57/claim|Median: $19.33
1.4× median
92285Normal range

$12K

706 claims · 0.1%

Your Cost: $17.15/claim|Median: $16.47
1.0× median
99203Normal range

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

$11K

216 claims · 0.1%

Your Cost: $49.99/claim|Median: $57.85
0.9× median
99204Normal range

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

$11K

165 claims · 0.1%

Your Cost: $63.68/claim|Median: $84.03
0.8× median
92202Normal range

$10K

2,107 claims · 0.1%

Your Cost: $4.69/claim|Median: $7.06
0.7× median
92340Normal range

Fitting of spectacles, except for aphakia

$7K

321 claims · 0.1%

Your Cost: $22.00/claim|Median: $19.46
1.1× median
92025Normal range

$5K

373 claims · 0.1%

Your Cost: $14.14/claim|Median: $17.08
0.8× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$5K

46 claims · 0.1%

Your Cost: $111.57/claim|Median: $121.58
0.9× median
92235Normal range

$5K

147 claims · 0.1%

Your Cost: $31.59/claim|Median: $42.71
0.7× median
S0580Normal range

$4K

144 claims · 0.0%

Your Cost: $26.92/claim|Median: $17.72
1.5× median
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