Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1578574828

NPI: 1578574828Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.3M

$13,318,533

Total Claims

190K

Beneficiaries

170K

1.1 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+3%
2019
$1.8M
-17%
2020
$1.5M
+9%
2021
$1.6M
+1%
2022
$1.6M
+33%
2023
$2.2M
+33%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (92340 (Fitting of spectacles, except for aphakia)) accounts for 23% of total spending.

92340Top 1%

Fitting of spectacles, except for aphakia

$3.1M

21K claims · 22.9%

Your Cost: $143.39/claim|Median: $19.46
7.4× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$2.6M

25K claims · 19.4%

Your Cost: $104.93/claim|Median: $47.08
2.2× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$2.2M

16K claims · 16.5%

Your Cost: $136.11/claim|Median: $59.72
2.3× median
92060Top 10%

$1.5M

25K claims · 11.5%

Your Cost: $60.96/claim|Median: $35.83
1.7× median
V2784Top 10%

Lens, polycarbonate or equal

$1.0M

25K claims · 7.7%

Your Cost: $40.73/claim|Median: $9.50
4.3× median
V2020Top 5%

Frames, purchases

$737K

12K claims · 5.5%

Your Cost: $64.09/claim|Median: $19.33
3.3× median
V2103Top 1%

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

$528K

7,454 claims · 4.0%

Your Cost: $70.83/claim|Median: $18.82
3.8× median
92015Normal range

Determination of refractive state

$427K

43K claims · 3.2%

Your Cost: $10.03/claim|Median: $10.36
1.0× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$420K

6,359 claims · 3.2%

Your Cost: $66.03/claim|Median: $38.23
1.7× median
V2104Top 5%

$375K

5,600 claims · 2.8%

Your Cost: $67.05/claim|Median: $16.70
4.0× median
99213Top 5%

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

$201K

2,307 claims · 1.5%

Your Cost: $87.07/claim|Median: $37.81
2.3× median
99214Top 5%

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

$105K

877 claims · 0.8%

Your Cost: $119.84/claim|Median: $53.41
2.2× median
V2107Top 1%

$53K

578 claims · 0.4%

Your Cost: $91.44/claim|Median: $17.55
5.2× median
99204Top 5%

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

$48K

293 claims · 0.4%

Your Cost: $164.03/claim|Median: $84.03
2.0× median
V2105Top 10%

$11K

204 claims · 0.1%

Your Cost: $56.00/claim|Median: $23.98
2.3× median
V2100Top 10%

Lens, sphere, single vision, plus or minus 4.00

$6K

110 claims · 0.0%

Your Cost: $51.76/claim|Median: $20.68
2.5× median
99203Top 25%

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

$4K

41 claims · 0.0%

Your Cost: $98.29/claim|Median: $57.85
1.7× median
92133Top 5%

$3K

72 claims · 0.0%

Your Cost: $41.30/claim|Median: $19.09
2.2× median
V2108Top 10%

$2K

38 claims · 0.0%

Your Cost: $53.84/claim|Median: $16.84
3.2× median
76516Top 1%

$2K

27 claims · 0.0%

Your Cost: $72.24/claim|Median: $26.35
2.7× median
99212Top 25%

Office/outpatient visit, low complexity

$2K

42 claims · 0.0%

Your Cost: $42.39/claim|Median: $25.06
1.7× median
92002Top 5%

Intermediate eye exam, new patient

$1K

13 claims · 0.0%

Your Cost: $103.07/claim|Median: $41.61
2.5× median
92285Normal range

$893

79 claims · 0.0%

Your Cost: $11.30/claim|Median: $16.47
0.7× median
← All providersHow we detect fraud →