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Provider 1598274243

NPI: 1598274243Share
Active Billing Period:2018-07→2024-11(77 months)

Total Paid

$10.9M

$10,896,442

Total Claims

212K

Beneficiaries

181K

1.2 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$45K
+825%
2019
$420K
+257%
2020
$1.5M
+27%
2021
$1.9M
-7%
2022
$1.8M
+55%
2023
$2.7M
-5%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 15% of total spending.

99213Top 25%

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

$1.6M

23K claims · 15.1%

Your Cost: $70.10/claim|Median: $37.81
1.9× median
68761Top 25%

$1.4M

16K claims · 13.1%

Your Cost: $88.50/claim|Median: $60.32
1.5× median
68040Normal range

$1.2M

28K claims · 10.6%

Your Cost: $41.53/claim|Median: $30.05
1.4× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$1.1M

13K claims · 9.6%

Your Cost: $81.43/claim|Median: $47.08
1.7× median
76512Normal range

$1.0M

19K claims · 9.4%

Your Cost: $53.48/claim|Median: $43.41
1.2× median
92083Top 25%

Visual field exam, extended testing, bilateral

$799K

16K claims · 7.3%

Your Cost: $49.34/claim|Median: $29.82
1.7× median
99214Normal range

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

$685K

9,900 claims · 6.3%

Your Cost: $69.21/claim|Median: $53.41
1.3× median
92250Normal range

Fundus photography with interpretation and report

$531K

16K claims · 4.9%

Your Cost: $32.88/claim|Median: $27.95
1.2× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$463K

7,265 claims · 4.2%

Your Cost: $63.70/claim|Median: $38.23
1.7× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$433K

4,164 claims · 4.0%

Your Cost: $103.93/claim|Median: $59.72
1.7× median
92100Top 10%

$341K

5,265 claims · 3.1%

Your Cost: $64.73/claim|Median: $30.29
2.1× median
92286Normal range

$246K

8,233 claims · 2.3%

Your Cost: $29.92/claim|Median: $29.05
1.0× median
92273Top 25%

$190K

2,136 claims · 1.7%

Your Cost: $88.98/claim|Median: $53.16
1.7× median
92020Top 25%

$155K

7,626 claims · 1.4%

Your Cost: $20.33/claim|Median: $12.46
1.6× median
92133Top 25%

$106K

3,843 claims · 1.0%

Your Cost: $27.51/claim|Median: $19.09
1.4× median
92202Top 25%

$83K

6,714 claims · 0.8%

Your Cost: $12.33/claim|Median: $7.06
1.7× median
92285Normal range

$82K

4,400 claims · 0.8%

Your Cost: $18.58/claim|Median: $16.47
1.1× median
92025Top 25%

$82K

3,316 claims · 0.8%

Your Cost: $24.65/claim|Median: $17.08
1.4× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$63K

3,022 claims · 0.6%

Your Cost: $20.78/claim|Median: $20.68
1.0× median
65778Top 10%

$55K

54 claims · 0.5%

Your Cost: $1,009.92/claim|Median: $282.76
3.6× median
V2020Normal range

Frames, purchases

$51K

2,537 claims · 0.5%

Your Cost: $20.01/claim|Median: $19.33
1.0× median
95004Normal range

Percutaneous allergy skin tests, each

$41K

232 claims · 0.4%

Your Cost: $177.54/claim|Median: $134.97
1.3× median
92060Top 25%

$37K

757 claims · 0.3%

Your Cost: $48.65/claim|Median: $35.83
1.4× median
68801Normal range

$29K

617 claims · 0.3%

Your Cost: $46.55/claim|Median: $49.95
0.9× median
92015Normal range

Determination of refractive state

$29K

2,246 claims · 0.3%

Your Cost: $12.73/claim|Median: $10.36
1.2× median
92226Normal range

$28K

1,459 claims · 0.3%

Your Cost: $19.17/claim|Median: $12.45
1.5× median
92134Top 25%

$23K

836 claims · 0.2%

Your Cost: $27.62/claim|Median: $15.46
1.8× median
76514Top 25%

$18K

2,076 claims · 0.2%

Your Cost: $8.54/claim|Median: $6.67
1.3× median
92225Normal range

$10K

612 claims · 0.1%

Your Cost: $16.22/claim|Median: $17.59
0.9× median
92340Top 10%

Fitting of spectacles, except for aphakia

$9K

274 claims · 0.1%

Your Cost: $31.96/claim|Median: $19.46
1.6× median
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