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Provider 1619959731

NPI: 1619959731Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.7M

$15,660,232

Total Claims

219K

Beneficiaries

195K

1.1 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+18%
2019
$1.6M
+8%
2020
$1.7M
+22%
2021
$2.1M
+13%
2022
$2.4M
+46%
2023
$3.5M
-18%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 29% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$4.5M

4,225 claims · 28.8%

Your Cost: $1,068.85/claim|Median: $730.09
1.5× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$3.6M

45K claims · 23.3%

Your Cost: $81.75/claim|Median: $47.08
1.7× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$1.8M

16K claims · 11.6%

Your Cost: $116.49/claim|Median: $59.72
2.0× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$1.1M

19K claims · 6.9%

Your Cost: $56.69/claim|Median: $58.82
1.0× median
99213Top 25%

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

$872K

16K claims · 5.6%

Your Cost: $54.04/claim|Median: $37.81
1.4× median
99214Normal range

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

$665K

8,917 claims · 4.2%

Your Cost: $74.58/claim|Median: $53.41
1.4× median
92015Normal range

Determination of refractive state

$598K

43K claims · 3.8%

Your Cost: $13.93/claim|Median: $10.36
1.3× median
92134Normal range

$533K

24K claims · 3.4%

Your Cost: $22.46/claim|Median: $15.46
1.5× median
J7999Top 10%

$482K

8,364 claims · 3.1%

Your Cost: $57.62/claim|Median: $6.94
8.3× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$475K

8,652 claims · 3.0%

Your Cost: $54.88/claim|Median: $38.23
1.4× median
92340Top 5%

Fitting of spectacles, except for aphakia

$281K

5,938 claims · 1.8%

Your Cost: $47.25/claim|Median: $19.46
2.4× median
99204Top 25%

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

$163K

1,255 claims · 1.0%

Your Cost: $129.79/claim|Median: $84.03
1.5× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$123K

484 claims · 0.8%

Your Cost: $254.33/claim|Median: $268.70
0.9× median
92060Top 10%

$121K

2,046 claims · 0.8%

Your Cost: $59.15/claim|Median: $35.83
1.7× median
92083Normal range

Visual field exam, extended testing, bilateral

$111K

3,040 claims · 0.7%

Your Cost: $36.65/claim|Median: $29.82
1.2× median
92133Normal range

$88K

3,888 claims · 0.6%

Your Cost: $22.68/claim|Median: $19.09
1.2× median
92136Normal range

$21K

915 claims · 0.1%

Your Cost: $23.38/claim|Median: $18.31
1.3× median
G2211Top 25%

$20K

2,072 claims · 0.1%

Your Cost: $9.64/claim|Median: $2.40
4.0× median
99203Top 25%

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

$15K

168 claims · 0.1%

Your Cost: $86.86/claim|Median: $57.85
1.5× median
92002Top 10%

Intermediate eye exam, new patient

$6K

94 claims · 0.0%

Your Cost: $67.28/claim|Median: $41.61
1.6× median
J9035Normal range

Injection, bevacizumab, 10 mg

$3K

123 claims · 0.0%

Your Cost: $27.72/claim|Median: $43.71
0.6× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$3K

600 claims · 0.0%

Your Cost: $5.00/claim|Median: $17.67
0.3× median
92285Normal range

$3K

251 claims · 0.0%

Your Cost: $11.34/claim|Median: $16.47
0.7× median
92235Normal range

$2K

39 claims · 0.0%

Your Cost: $52.68/claim|Median: $42.71
1.2× median
92250Normal range

Fundus photography with interpretation and report

$2K

51 claims · 0.0%

Your Cost: $37.43/claim|Median: $27.95
1.3× median
92020Top 25%

$2K

107 claims · 0.0%

Your Cost: $17.66/claim|Median: $12.46
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$893

31 claims · 0.0%

Your Cost: $28.82/claim|Median: $25.06
1.1× median
92225Normal range

$861

67 claims · 0.0%

Your Cost: $12.86/claim|Median: $17.59
0.7× median
92201Normal range

$730

89 claims · 0.0%

Your Cost: $8.20/claim|Median: $12.88
0.6× median
2022FNormal range

$0

3,303 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.07
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