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Provider 1649306218

NPI: 1649306218Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.4M

$13,389,075

Total Claims

334K

Beneficiaries

312K

1.1 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+20%
2019
$2.5M
-36%
2020
$1.6M
+37%
2021
$2.2M
-6%
2022
$2.1M
-14%
2023
$1.8M
-41%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 13% of total spending.

99214Top 25%

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

$1.8M

23K claims · 13.5%

Your Cost: $77.32/claim|Median: $53.41
1.4× median
99213Top 25%

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

$1.5M

26K claims · 11.1%

Your Cost: $56.94/claim|Median: $37.81
1.5× median
99204Top 25%

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

$1.2M

10K claims · 9.0%

Your Cost: $117.28/claim|Median: $84.03
1.4× median
92083Top 25%

Visual field exam, extended testing, bilateral

$1.2M

26K claims · 8.6%

Your Cost: $44.12/claim|Median: $29.82
1.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$951K

15K claims · 7.1%

Your Cost: $63.09/claim|Median: $47.08
1.3× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$685K

12K claims · 5.1%

Your Cost: $58.28/claim|Median: $38.23
1.5× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$504K

7,512 claims · 3.8%

Your Cost: $67.06/claim|Median: $59.72
1.1× median
92226Top 25%

$441K

17K claims · 3.3%

Your Cost: $25.81/claim|Median: $12.45
2.1× median
92134Top 25%

$431K

17K claims · 3.2%

Your Cost: $25.55/claim|Median: $15.46
1.7× median
92202Normal range

$416K

42K claims · 3.1%

Your Cost: $9.95/claim|Median: $7.06
1.4× median
99203Top 25%

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

$411K

4,735 claims · 3.1%

Your Cost: $86.73/claim|Median: $57.85
1.5× median
92133Normal range

$393K

15K claims · 2.9%

Your Cost: $25.83/claim|Median: $19.09
1.4× median
93886Normal range

$355K

2,571 claims · 2.7%

Your Cost: $138.09/claim|Median: $83.25
1.7× median
93890Normal range

$326K

2,558 claims · 2.4%

Your Cost: $127.44/claim|Median: $94.81
1.3× median
92225Normal range

$323K

12K claims · 2.4%

Your Cost: $27.98/claim|Median: $17.59
1.6× median
99212Top 25%

Office/outpatient visit, low complexity

$301K

8,087 claims · 2.2%

Your Cost: $37.18/claim|Median: $25.06
1.5× median
93892Normal range

$246K

2,563 claims · 1.8%

Your Cost: $96.05/claim|Median: $87.42
1.1× median
92020Top 25%

$237K

14K claims · 1.8%

Your Cost: $16.98/claim|Median: $12.46
1.4× median
V2500Top 5%

$220K

345 claims · 1.6%

Your Cost: $637.08/claim|Median: $64.94
9.8× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$169K

2,055 claims · 1.3%

Your Cost: $82.00/claim|Median: $58.82
1.4× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$147K

9,267 claims · 1.1%

Your Cost: $15.88/claim|Median: $20.68
0.8× median
92250Top 25%

Fundus photography with interpretation and report

$127K

3,084 claims · 1.0%

Your Cost: $41.31/claim|Median: $27.95
1.5× median
V2020Normal range

Frames, purchases

$118K

8,326 claims · 0.9%

Your Cost: $14.15/claim|Median: $19.33
0.7× median
68761Normal range

$109K

1,873 claims · 0.8%

Your Cost: $58.32/claim|Median: $60.32
1.0× median
92060Normal range

$104K

2,345 claims · 0.8%

Your Cost: $44.30/claim|Median: $35.83
1.2× median
92015Normal range

Determination of refractive state

$103K

18K claims · 0.8%

Your Cost: $5.90/claim|Median: $10.36
0.6× median
J9035Normal range

Injection, bevacizumab, 10 mg

$93K

1,562 claims · 0.7%

Your Cost: $59.69/claim|Median: $43.71
1.4× median
92002Top 25%

Intermediate eye exam, new patient

$78K

1,410 claims · 0.6%

Your Cost: $55.62/claim|Median: $41.61
1.3× median
92285Normal range

$74K

3,689 claims · 0.6%

Your Cost: $20.16/claim|Median: $16.47
1.2× median
66761Top 25%

$67K

262 claims · 0.5%

Your Cost: $257.03/claim|Median: $159.16
1.6× median
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