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Provider 1679525208

NPI: 1679525208Share
Active Billing Period:2018-01→2024-12(81 months)

Total Paid

$11.7M

$11,672,449

Total Claims

263K

Beneficiaries

185K

1.4 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$4.4M
-14%
2019
$3.8M
-31%
2020
$2.6M
-82%
2021
$481K
-62%
2022
$180K
-71%
2023
$53K
+210%
2024
$164K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (V2410) accounts for 25% of total spending.

V2410Top 25%

$2.9M

20K claims · 24.8%

Your Cost: $141.49/claim|Median: $86.18
1.6× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$2.2M

22K claims · 19.0%

Your Cost: $100.08/claim|Median: $47.08
2.1× median
V2020Top 25%

Frames, purchases

$1.7M

49K claims · 14.7%

Your Cost: $35.09/claim|Median: $19.33
1.8× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$1.2M

10K claims · 10.2%

Your Cost: $118.58/claim|Median: $59.72
2.0× median
V2103Top 25%

Lens, sphere-cylinder, single vision, plus or minus 4.00

$945K

30K claims · 8.1%

Your Cost: $31.66/claim|Median: $18.82
1.7× median
92340Normal range

Fitting of spectacles, except for aphakia

$734K

44K claims · 6.3%

Your Cost: $16.60/claim|Median: $19.46
0.9× median
V2784Normal range

Lens, polycarbonate or equal

$690K

44K claims · 5.9%

Your Cost: $15.53/claim|Median: $9.50
1.6× median
V2104Top 25%

$471K

13K claims · 4.0%

Your Cost: $37.11/claim|Median: $16.70
2.2× median
V2100Top 25%

Lens, sphere, single vision, plus or minus 4.00

$342K

11K claims · 2.9%

Your Cost: $32.37/claim|Median: $20.68
1.6× median
V2105Top 25%

$131K

2,942 claims · 1.1%

Your Cost: $44.57/claim|Median: $23.98
1.9× median
92015Normal range

Determination of refractive state

$131K

13K claims · 1.1%

Your Cost: $10.38/claim|Median: $10.36
1.0× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$87K

1,252 claims · 0.7%

Your Cost: $69.34/claim|Median: $38.23
1.8× median
99204Top 25%

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

$37K

269 claims · 0.3%

Your Cost: $136.12/claim|Median: $84.03
1.6× median
92341Normal range

$32K

1,620 claims · 0.3%

Your Cost: $19.92/claim|Median: $22.77
0.9× median
V2203Normal range

$20K

445 claims · 0.2%

Your Cost: $45.39/claim|Median: $29.84
1.5× median
V2107Top 25%

$10K

275 claims · 0.1%

Your Cost: $36.60/claim|Median: $17.55
2.1× median
V2430Top 25%

$8K

51 claims · 0.1%

Your Cost: $156.93/claim|Median: $90.38
1.7× median
99212Top 25%

Office/outpatient visit, low complexity

$4K

114 claims · 0.0%

Your Cost: $37.21/claim|Median: $25.06
1.5× median
V2200Top 25%

$3K

63 claims · 0.0%

Your Cost: $49.04/claim|Median: $28.94
1.7× median
92250Top 5%

Fundus photography with interpretation and report

$3K

52 claims · 0.0%

Your Cost: $54.08/claim|Median: $27.95
1.9× median
V2108Top 25%

$3K

60 claims · 0.0%

Your Cost: $46.81/claim|Median: $16.84
2.8× median
92370Normal range

$2K

158 claims · 0.0%

Your Cost: $13.39/claim|Median: $7.23
1.9× median
99214Top 25%

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

$2K

21 claims · 0.0%

Your Cost: $89.94/claim|Median: $53.41
1.7× median
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