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Provider 1700995941

NPI: 1700995941Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.5M

$8,545,588

Total Claims

219K

Beneficiaries

214K

1.0 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-3%
2019
$1.1M
-21%
2020
$874K
+35%
2021
$1.2M
-3%
2022
$1.1M
+23%
2023
$1.4M
+22%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (92014 (Ophthalmological exam, comprehensive, established patient)) accounts for 31% of total spending.

92014Top 25%

Ophthalmological exam, comprehensive, established patient

$2.7M

31K claims · 31.1%

Your Cost: $85.90/claim|Median: $47.08
1.8× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$1.9M

20K claims · 22.8%

Your Cost: $98.44/claim|Median: $59.72
1.6× median
92340Top 10%

Fitting of spectacles, except for aphakia

$764K

21K claims · 8.9%

Your Cost: $36.54/claim|Median: $19.46
1.9× median
V2020Normal range

Frames, purchases

$692K

30K claims · 8.1%

Your Cost: $22.78/claim|Median: $19.33
1.2× median
92250Top 5%

Fundus photography with interpretation and report

$662K

11K claims · 7.7%

Your Cost: $58.78/claim|Median: $27.95
2.1× median
V2784Normal range

Lens, polycarbonate or equal

$348K

23K claims · 4.1%

Your Cost: $15.30/claim|Median: $9.50
1.6× median
V2103Normal range

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

$337K

17K claims · 3.9%

Your Cost: $20.17/claim|Median: $18.82
1.1× median
92133Top 10%

$288K

8,321 claims · 3.4%

Your Cost: $34.58/claim|Median: $19.09
1.8× median
92015Normal range

Determination of refractive state

$165K

34K claims · 1.9%

Your Cost: $4.90/claim|Median: $10.36
0.5× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$162K

7,667 claims · 1.9%

Your Cost: $21.17/claim|Median: $20.68
1.0× median
V2104Normal range

$103K

4,263 claims · 1.2%

Your Cost: $24.10/claim|Median: $16.70
1.4× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$89K

1,412 claims · 1.0%

Your Cost: $63.27/claim|Median: $38.23
1.7× median
92083Top 25%

Visual field exam, extended testing, bilateral

$69K

1,546 claims · 0.8%

Your Cost: $44.73/claim|Median: $29.82
1.5× median
99214Normal range

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

$62K

1,175 claims · 0.7%

Your Cost: $53.17/claim|Median: $53.41
1.0× median
99213Normal range

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

$56K

1,433 claims · 0.7%

Your Cost: $38.92/claim|Median: $37.81
1.0× median
76514Top 10%

$26K

2,463 claims · 0.3%

Your Cost: $10.54/claim|Median: $6.67
1.6× median
92134Top 25%

$24K

1,005 claims · 0.3%

Your Cost: $23.96/claim|Median: $15.46
1.6× median
92341Top 5%

$17K

446 claims · 0.2%

Your Cost: $37.74/claim|Median: $22.77
1.7× median
99203Top 25%

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

$17K

175 claims · 0.2%

Your Cost: $96.04/claim|Median: $57.85
1.7× median
V2200Normal range

$13K

382 claims · 0.2%

Your Cost: $34.00/claim|Median: $28.94
1.2× median
99204Top 25%

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

$8K

65 claims · 0.1%

Your Cost: $130.07/claim|Median: $84.03
1.5× median
V2203Normal range

$8K

453 claims · 0.1%

Your Cost: $18.50/claim|Median: $29.84
0.6× median
V2105Normal range

$8K

301 claims · 0.1%

Your Cost: $26.49/claim|Median: $23.98
1.1× median
92285Normal range

$8K

776 claims · 0.1%

Your Cost: $10.08/claim|Median: $16.47
0.6× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$5K

49 claims · 0.1%

Your Cost: $105.44/claim|Median: $268.70
0.4× median
68761Top 25%

$2K

23 claims · 0.0%

Your Cost: $108.52/claim|Median: $60.32
1.8× median
83861Top 5%

$2K

69 claims · 0.0%

Your Cost: $30.04/claim|Median: $10.95
2.7× median
92283Top 25%

$815

27 claims · 0.0%

Your Cost: $30.19/claim|Median: $16.75
1.8× median
92002Top 25%

Intermediate eye exam, new patient

$691

12 claims · 0.0%

Your Cost: $57.61/claim|Median: $41.61
1.4× median
V2107Normal range

$540

33 claims · 0.0%

Your Cost: $16.36/claim|Median: $17.55
0.9× median