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Provider 1588703995

NPI: 1588703995Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.2M

$10,201,281

Total Claims

230K

Beneficiaries

219K

1.0 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+9%
2019
$1.6M
-24%
2020
$1.2M
+29%
2021
$1.6M
+5%
2022
$1.6M
-3%
2023
$1.6M
-26%
2024
$1.2M

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 34% of total spending.

92014Top 25%

Ophthalmological exam, comprehensive, established patient

$3.4M

40K claims · 33.8%

Your Cost: $86.12/claim|Median: $47.08
1.8× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$2.1M

17K claims · 20.3%

Your Cost: $124.11/claim|Median: $59.72
2.1× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$1.6M

27K claims · 15.5%

Your Cost: $57.88/claim|Median: $38.23
1.5× median
92083Normal range

Visual field exam, extended testing, bilateral

$409K

11K claims · 4.0%

Your Cost: $36.44/claim|Median: $29.82
1.2× median
92015Top 25%

Determination of refractive state

$389K

24K claims · 3.8%

Your Cost: $16.42/claim|Median: $10.36
1.6× median
92250Normal range

Fundus photography with interpretation and report

$388K

16K claims · 3.8%

Your Cost: $24.57/claim|Median: $27.95
0.9× median
66761Normal range

$354K

2,572 claims · 3.5%

Your Cost: $137.57/claim|Median: $159.16
0.9× median
92133Normal range

$292K

14K claims · 2.9%

Your Cost: $20.21/claim|Median: $19.09
1.1× median
92134Normal range

$162K

9,363 claims · 1.6%

Your Cost: $17.29/claim|Median: $15.46
1.1× median
92226Normal range

$159K

7,983 claims · 1.6%

Your Cost: $19.97/claim|Median: $12.45
1.6× median
92202Normal range

$150K

16K claims · 1.5%

Your Cost: $9.20/claim|Median: $7.06
1.3× median
92225Normal range

$139K

4,906 claims · 1.4%

Your Cost: $28.32/claim|Median: $17.59
1.6× median
92201Normal range

$128K

8,392 claims · 1.3%

Your Cost: $15.31/claim|Median: $12.88
1.2× median
68761Top 25%

$127K

1,254 claims · 1.2%

Your Cost: $101.64/claim|Median: $60.32
1.7× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$87K

495 claims · 0.9%

Your Cost: $175.31/claim|Median: $268.70
0.7× median
92020Normal range

$60K

4,645 claims · 0.6%

Your Cost: $12.98/claim|Median: $12.46
1.0× median
92002Top 5%

Intermediate eye exam, new patient

$58K

686 claims · 0.6%

Your Cost: $85.06/claim|Median: $41.61
2.0× median
95060Top 25%

$35K

1,524 claims · 0.3%

Your Cost: $22.81/claim|Median: $12.14
1.9× median
76519Normal range

$34K

1,819 claims · 0.3%

Your Cost: $18.57/claim|Median: $22.90
0.8× median
67820Normal range

$28K

2,471 claims · 0.3%

Your Cost: $11.31/claim|Median: $11.69
1.0× median
76514Normal range

$27K

3,420 claims · 0.3%

Your Cost: $7.77/claim|Median: $6.67
1.2× median
66982Normal range

$18K

79 claims · 0.2%

Your Cost: $232.48/claim|Median: $375.52
0.6× median
66821Normal range

$17K

211 claims · 0.2%

Your Cost: $81.71/claim|Median: $83.06
1.0× median
92132Normal range

$12K

822 claims · 0.1%

Your Cost: $14.75/claim|Median: $16.48
0.9× median
92285Normal range

$10K

917 claims · 0.1%

Your Cost: $11.44/claim|Median: $16.47
0.7× median
83861Normal range

$9K

570 claims · 0.1%

Your Cost: $15.78/claim|Median: $10.95
1.4× median
66762Normal range

$5K

38 claims · 0.1%

Your Cost: $137.71/claim|Median: $137.97
1.0× median
99213Top 25%

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

$3K

48 claims · 0.0%

Your Cost: $57.21/claim|Median: $37.81
1.5× median
V2020Normal range

Frames, purchases

$2K

83 claims · 0.0%

Your Cost: $18.61/claim|Median: $19.33
1.0× median
2022FNormal range

$0

3,438 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.07
0.0× median
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