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Provider 1689979569

NPI: 1689979569Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.4M

$13,361,661

Total Claims

549K

Beneficiaries

508K

1.1 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+19%
2019
$1.3M
+11%
2020
$1.4M
+40%
2021
$2.0M
+25%
2022
$2.5M
+9%
2023
$2.7M
-18%
2024
$2.2M

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 41% of total spending.

99214Normal range

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

$5.5M

81K claims · 40.9%

Your Cost: $67.32/claim|Median: $53.41
1.3× median
99490Top 10%

Chronic care management services, 20 minutes per month

$1.6M

51K claims · 11.7%

Your Cost: $30.86/claim|Median: $6.31
4.9× median
99204Normal range

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

$1.2M

13K claims · 8.7%

Your Cost: $92.98/claim|Median: $84.03
1.1× median
99213Normal range

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

$941K

20K claims · 7.0%

Your Cost: $48.22/claim|Median: $37.81
1.3× median
76536Normal range

$776K

12K claims · 5.8%

Your Cost: $64.76/claim|Median: $44.06
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$560K

6,327 claims · 4.2%

Your Cost: $88.50/claim|Median: $74.09
1.2× median
95250Normal range

$448K

5,436 claims · 3.4%

Your Cost: $82.39/claim|Median: $59.66
1.4× median
99439Top 10%

$306K

10K claims · 2.3%

Your Cost: $30.43/claim|Median: $5.83
5.2× median
92250Normal range

Fundus photography with interpretation and report

$152K

7,575 claims · 1.1%

Your Cost: $20.05/claim|Median: $27.95
0.7× median
95251Normal range

$150K

7,834 claims · 1.1%

Your Cost: $19.15/claim|Median: $18.02
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$131K

1,151 claims · 1.0%

Your Cost: $113.71/claim|Median: $111.09
1.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$122K

1,701 claims · 0.9%

Your Cost: $71.99/claim|Median: $59.72
1.2× median
99203Normal range

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

$121K

1,960 claims · 0.9%

Your Cost: $61.68/claim|Median: $57.85
1.1× median
82947Normal range

Blood glucose level test

$101K

32K claims · 0.8%

Your Cost: $3.13/claim|Median: $2.38
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$89K

3,243 claims · 0.7%

Your Cost: $27.46/claim|Median: $25.06
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$86K

11K claims · 0.6%

Your Cost: $8.15/claim|Median: $9.56
0.9× median
99457Top 25%

$86K

3,132 claims · 0.6%

Your Cost: $27.58/claim|Median: $6.05
4.6× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$80K

11K claims · 0.6%

Your Cost: $7.52/claim|Median: $5.50
1.4× median
V2020Normal range

Frames, purchases

$80K

4,031 claims · 0.6%

Your Cost: $19.75/claim|Median: $19.33
1.0× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$75K

2,318 claims · 0.6%

Your Cost: $32.44/claim|Median: $30.04
1.1× median
10005Normal range

$71K

909 claims · 0.5%

Your Cost: $77.99/claim|Median: $97.92
0.8× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$59K

2,852 claims · 0.4%

Your Cost: $20.81/claim|Median: $12.70
1.6× median
60100Normal range

$49K

712 claims · 0.4%

Your Cost: $68.64/claim|Median: $68.64
1.0× median
92340Normal range

Fitting of spectacles, except for aphakia

$48K

2,869 claims · 0.4%

Your Cost: $16.66/claim|Median: $19.46
0.9× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$47K

888 claims · 0.4%

Your Cost: $53.49/claim|Median: $22.44
2.4× median
92015Normal range

Determination of refractive state

$47K

4,833 claims · 0.4%

Your Cost: $9.75/claim|Median: $10.36
0.9× median
99458Top 25%

$41K

1,361 claims · 0.3%

Your Cost: $30.32/claim|Median: $6.87
4.4× median
99454Top 25%

$40K

1,411 claims · 0.3%

Your Cost: $28.69/claim|Median: $9.15
3.1× median
11721Top 10%

$40K

1,739 claims · 0.3%

Your Cost: $22.87/claim|Median: $8.56
2.7× median
93923Normal range

$37K

611 claims · 0.3%

Your Cost: $60.30/claim|Median: $38.08
1.6× median
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