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EYE CENTERS OF AMERICA, LLC

Ophthalmology·BLOOMFIELD, NJ·NPI: 1649563636Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$26.3M

$26,336,888

Total Claims

520K

Beneficiaries

458K

1.1 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+28%
2019
$1.8M
+35%
2020
$2.4M
+78%
2021
$4.3M
+11%
2022
$4.7M
+31%
2023
$6.2M
-11%
2024
$5.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (92014 (Ophthalmological exam, comprehensive, established patient)) accounts for 18% of total spending.

92014Normal range

Ophthalmological exam, comprehensive, established patient

$4.7M

72K claims · 17.8%

Your Cost: $65.11/claim|Median: $47.08
1.4× median
J0178Normal range

Injection, aflibercept, 1 mg

$3.2M

4,620 claims · 12.2%

Your Cost: $696.58/claim|Median: $730.09
1.0× median
J2778Normal range

$3.1M

6,615 claims · 11.9%

Your Cost: $471.80/claim|Median: $403.28
1.2× median
J9035Top 10%

Injection, bevacizumab, 10 mg

$2.5M

13K claims · 9.7%

Your Cost: $203.12/claim|Median: $43.71
4.6× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$1.6M

33K claims · 6.1%

Your Cost: $49.58/claim|Median: $58.82
0.8× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$1.4M

13K claims · 5.4%

Your Cost: $112.25/claim|Median: $59.72
1.9× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$1.4M

30K claims · 5.3%

Your Cost: $46.54/claim|Median: $38.23
1.2× median
92134Normal range

$1.3M

62K claims · 5.0%

Your Cost: $21.16/claim|Median: $15.46
1.4× median
92250Normal range

Fundus photography with interpretation and report

$854K

35K claims · 3.2%

Your Cost: $24.74/claim|Median: $27.95
0.9× median
92015Top 25%

Determination of refractive state

$843K

46K claims · 3.2%

Your Cost: $18.21/claim|Median: $10.36
1.8× median
99213Normal range

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

$824K

19K claims · 3.1%

Your Cost: $43.00/claim|Median: $37.81
1.1× median
92235Normal range

$596K

9,770 claims · 2.3%

Your Cost: $60.98/claim|Median: $42.71
1.4× median
99204Normal range

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

$537K

5,171 claims · 2.0%

Your Cost: $103.91/claim|Median: $84.03
1.2× median
99203Normal range

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

$496K

6,833 claims · 1.9%

Your Cost: $72.63/claim|Median: $57.85
1.3× median
92287Top 25%

$449K

5,579 claims · 1.7%

Your Cost: $80.56/claim|Median: $34.62
2.3× median
92201Normal range

$431K

29K claims · 1.6%

Your Cost: $14.70/claim|Median: $12.88
1.1× median
99214Normal range

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

$365K

6,184 claims · 1.4%

Your Cost: $59.03/claim|Median: $53.41
1.1× median
J2777Normal range

$331K

668 claims · 1.3%

Your Cost: $495.21/claim|Median: $858.80
0.6× median
92083Normal range

Visual field exam, extended testing, bilateral

$257K

9,477 claims · 1.0%

Your Cost: $27.10/claim|Median: $29.82
0.9× median
92226Normal range

$255K

20K claims · 1.0%

Your Cost: $12.93/claim|Median: $12.45
1.0× median
92133Normal range

$171K

10K claims · 0.6%

Your Cost: $17.04/claim|Median: $19.09
0.9× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$103K

511 claims · 0.4%

Your Cost: $202.12/claim|Median: $268.70
0.8× median
92202Normal range

$91K

12K claims · 0.3%

Your Cost: $7.40/claim|Median: $7.06
1.0× median
92020Normal range

$83K

7,159 claims · 0.3%

Your Cost: $11.54/claim|Median: $12.46
0.9× median
92225Normal range

$60K

3,519 claims · 0.2%

Your Cost: $17.10/claim|Median: $17.59
1.0× median
68761Normal range

$48K

1,190 claims · 0.2%

Your Cost: $40.20/claim|Median: $60.32
0.7× median
92136Normal range

$35K

1,730 claims · 0.1%

Your Cost: $20.12/claim|Median: $18.31
1.1× median
C9257Top 10%

$34K

133 claims · 0.1%

Your Cost: $256.38/claim|Median: $22.28
11.5× median
92499Top 25%

$23K

616 claims · 0.1%

Your Cost: $37.76/claim|Median: $2.08
18.2× median
76519Normal range

$20K

861 claims · 0.1%

Your Cost: $23.58/claim|Median: $22.90
1.0× median
92002Top 25%

Intermediate eye exam, new patient

$19K

284 claims · 0.1%

Your Cost: $66.07/claim|Median: $41.61
1.6× median
76512Normal range

$17K

913 claims · 0.1%

Your Cost: $18.96/claim|Median: $43.41
0.4× median
99244Top 5%

Office or other outpatient consultation, moderate complexity

$15K

73 claims · 0.1%

Your Cost: $203.18/claim|Median: $121.58
1.7× median
76514Normal range

$12K

1,607 claims · 0.0%

Your Cost: $7.74/claim|Median: $6.67
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$10K

366 claims · 0.0%

Your Cost: $27.55/claim|Median: $25.06
1.1× median
92060Top 10%

$7K

105 claims · 0.0%

Your Cost: $62.71/claim|Median: $35.83
1.8× median
67210Top 25%

$6K

17 claims · 0.0%

Your Cost: $369.58/claim|Median: $249.34
1.5× median
65855Normal range

$6K

103 claims · 0.0%

Your Cost: $57.02/claim|Median: $104.20
0.5× median
92273Top 25%

$2K

31 claims · 0.0%

Your Cost: $79.74/claim|Median: $53.16
1.5× median
92286Normal range

$2K

288 claims · 0.0%

Your Cost: $6.03/claim|Median: $29.05
0.2× median
66821Normal range

$2K

26 claims · 0.0%

Your Cost: $58.75/claim|Median: $83.06
0.7× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$1K

834 claims · 0.0%

Your Cost: $1.55/claim|Median: $5.50
0.3× median
92132Normal range

$1K

58 claims · 0.0%

Your Cost: $21.11/claim|Median: $16.48
1.3× median
92285Normal range

$1K

359 claims · 0.0%

Your Cost: $3.07/claim|Median: $16.47
0.2× median
92025Top 25%

$909

34 claims · 0.0%

Your Cost: $26.74/claim|Median: $17.08
1.6× median
83037Normal range

$831

1,027 claims · 0.0%

Your Cost: $0.81/claim|Median: $4.07
0.2× median
76513Normal range

$718

16 claims · 0.0%

Your Cost: $44.87/claim|Median: $45.02
1.0× median
J7999Normal range

$148

126 claims · 0.0%

Your Cost: $1.17/claim|Median: $6.94
0.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$123

12 claims · 0.0%

Your Cost: $10.23/claim|Median: $12.93
0.8× median
99024Normal range

$20

3,968 claims · 0.0%

Your Cost: $0.01/claim|Median: $0.15
0.0× median

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