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Provider 1598064008

NPI: 1598064008Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.2M

$12,186,048

Total Claims

364K

Beneficiaries

245K

1.5 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+8%
2019
$1.4M
+34%
2020
$1.9M
-1%
2021
$1.9M
-10%
2022
$1.7M
+16%
2023
$2.0M
+1%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 84% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$10.2M

68K claims · 84.0%

Your Cost: $150.43/claim|Median: $121.16
1.2× median
0521Normal range

$1.3M

151K claims · 10.9%

Your Cost: $8.81/claim|Median: $7.40
1.2× median
0636Top 25%

$243K

14K claims · 2.0%

Your Cost: $16.98/claim|Median: $5.41
3.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$83K

7,743 claims · 0.7%

Your Cost: $10.67/claim|Median: $19.46
0.5× median
V2020Normal range

Frames, purchases

$78K

8,380 claims · 0.6%

Your Cost: $9.29/claim|Median: $19.33
0.5× median
0761Normal range

$50K

3,796 claims · 0.4%

Your Cost: $13.17/claim|Median: $24.10
0.5× median
0770Top 25%

$31K

4,754 claims · 0.3%

Your Cost: $6.62/claim|Median: $4.23
1.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$25K

7,242 claims · 0.2%

Your Cost: $3.41/claim|Median: $47.08
0.1× median
0301Normal range

$15K

5,563 claims · 0.1%

Your Cost: $2.68/claim|Median: $11.15
0.2× median
0771Normal range

$11K

3,001 claims · 0.1%

Your Cost: $3.78/claim|Median: $4.66
0.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$10K

1,212 claims · 0.1%

Your Cost: $8.58/claim|Median: $76.06
0.1× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$8K

657 claims · 0.1%

Your Cost: $12.65/claim|Median: $59.72
0.2× median
0309Top 25%

$7K

861 claims · 0.1%

Your Cost: $8.58/claim|Median: $6.56
1.3× median
92250Normal range

Fundus photography with interpretation and report

$7K

860 claims · 0.1%

Your Cost: $8.10/claim|Median: $27.95
0.3× median
90750Normal range

$7K

449 claims · 0.1%

Your Cost: $15.21/claim|Median: $96.16
0.2× median
92015Normal range

Determination of refractive state

$5K

8,309 claims · 0.0%

Your Cost: $0.57/claim|Median: $10.36
0.1× median
0124ANormal range

$4K

130 claims · 0.0%

Your Cost: $32.47/claim|Median: $34.32
0.9× median
0929Normal range

$4K

258 claims · 0.0%

Your Cost: $14.33/claim|Median: $13.71
1.0× median
99051Normal range

$3K

233 claims · 0.0%

Your Cost: $13.20/claim|Median: $7.89
1.7× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$3K

2,288 claims · 0.0%

Your Cost: $1.31/claim|Median: $5.50
0.2× median
90480Normal range

$3K

179 claims · 0.0%

Your Cost: $15.20/claim|Median: $25.29
0.6× median
0071ANormal range

$2K

82 claims · 0.0%

Your Cost: $29.37/claim|Median: $38.71
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$2K

954 claims · 0.0%

Your Cost: $2.42/claim|Median: $72.71
0.0× median
99308Normal range

Nursing facility care, subsequent, straightforward

$2K

837 claims · 0.0%

Your Cost: $2.65/claim|Median: $9.79
0.3× median
0306Normal range

$2K

174 claims · 0.0%

Your Cost: $12.41/claim|Median: $3.72
3.3× median
99213Normal range

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

$2K

17K claims · 0.0%

Your Cost: $0.12/claim|Median: $37.81
0.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$2K

119 claims · 0.0%

Your Cost: $15.46/claim|Median: $39.70
0.4× median
0300Normal range

$2K

189 claims · 0.0%

Your Cost: $8.79/claim|Median: $8.79
1.0× median
0524Normal range

$809

2,560 claims · 0.0%

Your Cost: $0.32/claim|Median: $0.32
1.0× median
0004ANormal range

$760

46 claims · 0.0%

Your Cost: $16.52/claim|Median: $35.62
0.5× median
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