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Provider 1619949971

NPI: 1619949971Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$13.3M

$13,254,476

Total Claims

105K

Beneficiaries

73K

1.4 claims/patient

Avg Cost/Claim

$126

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-14%
2019
$1.1M
+82%
2020
$2.1M
+22%
2021
$2.5M
-12%
2022
$2.2M
+1%
2023
$2.2M
-19%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 72% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$9.5M

15K claims · 71.8%

Your Cost: $643.34/claim|Median: $730.09
0.9× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$2.3M

32K claims · 17.1%

Your Cost: $70.69/claim|Median: $58.82
1.2× median
92134Normal range

$579K

35K claims · 4.4%

Your Cost: $16.63/claim|Median: $15.46
1.1× median
J2778Normal range

$253K

672 claims · 1.9%

Your Cost: $376.18/claim|Median: $403.28
0.9× median
J9035Normal range

Injection, bevacizumab, 10 mg

$228K

4,704 claims · 1.7%

Your Cost: $48.50/claim|Median: $43.71
1.1× median
99213Normal range

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

$193K

9,735 claims · 1.5%

Your Cost: $19.79/claim|Median: $37.81
0.5× median
99214Normal range

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

$99K

3,377 claims · 0.7%

Your Cost: $29.41/claim|Median: $53.41
0.6× median
92250Normal range

Fundus photography with interpretation and report

$79K

2,827 claims · 0.6%

Your Cost: $28.08/claim|Median: $27.95
1.0× median
J3590Normal range

Unclassified biologic drug injection

$23K

1,670 claims · 0.2%

Your Cost: $13.93/claim|Median: $24.77
0.6× median
99204Normal range

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

$16K

259 claims · 0.1%

Your Cost: $63.18/claim|Median: $84.03
0.8× median
99203Normal range

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

$1K

26 claims · 0.0%

Your Cost: $41.72/claim|Median: $57.85
0.7× median
92235Normal range

$603

14 claims · 0.0%

Your Cost: $43.09/claim|Median: $42.71
1.0× median