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PCOR LLC

Optometrist·MADISON HTS, MI·NPI: 1720033343Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$25.3M

$25,303,997

Total Claims

1.1M

Beneficiaries

1.0M

1.1 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$3.7M
-4%
2019
$3.5M
-16%
2020
$3.0M
+23%
2021
$3.7M
+6%
2022
$3.9M
+2%
2023
$4.0M
-13%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (V2020 (Frames, purchases)) accounts for 23% of total spending.

V2020Normal range

Frames, purchases

$5.8M

204K claims · 23.0%

Your Cost: $28.55/claim|Median: $19.33
1.5× median
S0620Normal range

$4.9M

103K claims · 19.4%

Your Cost: $47.84/claim|Median: $43.56
1.1× median
S0621Normal range

$4.7M

95K claims · 18.7%

Your Cost: $50.07/claim|Median: $44.45
1.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$3.8M

196K claims · 15.0%

Your Cost: $19.36/claim|Median: $19.46
1.0× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$1.0M

89K claims · 4.1%

Your Cost: $11.65/claim|Median: $20.68
0.6× median
V2103Normal range

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

$844K

115K claims · 3.3%

Your Cost: $7.32/claim|Median: $18.82
0.4× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$561K

9,109 claims · 2.2%

Your Cost: $61.58/claim|Median: $59.72
1.0× median
92341Normal range

$552K

26K claims · 2.2%

Your Cost: $21.18/claim|Median: $22.77
0.9× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$540K

10K claims · 2.1%

Your Cost: $53.80/claim|Median: $47.08
1.1× median
99213Normal range

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

$418K

9,261 claims · 1.7%

Your Cost: $45.16/claim|Median: $37.81
1.2× median
V2200Normal range

$288K

18K claims · 1.1%

Your Cost: $16.22/claim|Median: $28.94
0.6× median
V2203Normal range

$288K

30K claims · 1.1%

Your Cost: $9.71/claim|Median: $29.84
0.3× median
V2784Normal range

Lens, polycarbonate or equal

$223K

58K claims · 0.9%

Your Cost: $3.88/claim|Median: $9.50
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$220K

7,352 claims · 0.9%

Your Cost: $29.98/claim|Median: $25.06
1.2× median
V2104Normal range

$163K

15K claims · 0.6%

Your Cost: $10.86/claim|Median: $16.70
0.7× median
92015Normal range

Determination of refractive state

$161K

19K claims · 0.6%

Your Cost: $8.61/claim|Median: $10.36
0.8× median
V2107Normal range

$137K

13K claims · 0.5%

Your Cost: $10.51/claim|Median: $17.55
0.6× median
99203Normal range

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

$109K

1,764 claims · 0.4%

Your Cost: $61.85/claim|Median: $57.85
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$104K

2,564 claims · 0.4%

Your Cost: $40.64/claim|Median: $40.11
1.0× median
92083Normal range

Visual field exam, extended testing, bilateral

$70K

2,005 claims · 0.3%

Your Cost: $35.09/claim|Median: $29.82
1.2× median
99214Normal range

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

$52K

838 claims · 0.2%

Your Cost: $62.54/claim|Median: $53.41
1.2× median
92133Normal range

$39K

1,957 claims · 0.2%

Your Cost: $20.10/claim|Median: $19.09
1.1× median
V2108Normal range

$30K

2,802 claims · 0.1%

Your Cost: $10.76/claim|Median: $16.84
0.6× median
92134Normal range

$27K

1,429 claims · 0.1%

Your Cost: $18.83/claim|Median: $15.46
1.2× median
V2410Normal range

$26K

1,442 claims · 0.1%

Your Cost: $18.12/claim|Median: $86.18
0.2× median
V2101Normal range

$25K

2,939 claims · 0.1%

Your Cost: $8.49/claim|Median: $17.09
0.5× median
V2204Normal range

$24K

1,999 claims · 0.1%

Your Cost: $12.11/claim|Median: $18.98
0.6× median
V2111Normal range

$22K

2,023 claims · 0.1%

Your Cost: $11.10/claim|Median: $14.17
0.8× median
V2105Normal range

$22K

1,967 claims · 0.1%

Your Cost: $11.04/claim|Median: $23.98
0.5× median
V2207Normal range

$20K

1,538 claims · 0.1%

Your Cost: $12.76/claim|Median: $15.90
0.8× median
92250Normal range

Fundus photography with interpretation and report

$13K

473 claims · 0.1%

Your Cost: $27.63/claim|Median: $27.95
1.0× median
V2744Normal range

$5K

5,240 claims · 0.0%

Your Cost: $0.93/claim|Median: $10.12
0.1× median
92310Normal range

$4K

211 claims · 0.0%

Your Cost: $18.45/claim|Median: $35.49
0.5× median
V2781Normal range

$3K

5,368 claims · 0.0%

Your Cost: $0.59/claim|Median: $29.17
0.0× median
V2300Normal range

$2K

72 claims · 0.0%

Your Cost: $32.27/claim|Median: $26.00
1.2× median
V2112Normal range

$1K

96 claims · 0.0%

Your Cost: $11.10/claim|Median: $11.37
1.0× median
92342Normal range

$970

85 claims · 0.0%

Your Cost: $11.42/claim|Median: $21.33
0.5× median
76514Normal range

$953

125 claims · 0.0%

Your Cost: $7.62/claim|Median: $6.67
1.1× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$617

13 claims · 0.0%

Your Cost: $47.49/claim|Median: $38.23
1.2× median
92071Top 1%

$275

13 claims · 0.0%

Your Cost: $21.18/claim|Median: $8.88
2.4× median
V2208Normal range

$202

15 claims · 0.0%

Your Cost: $13.45/claim|Median: $9.26
1.5× median
V2745Normal range

$186

414 claims · 0.0%

Your Cost: $0.45/claim|Median: $6.56
0.1× median
V2750Normal range

$149

18K claims · 0.0%

Your Cost: $0.01/claim|Median: $10.42
0.0× median
V2109Normal range

$139

13 claims · 0.0%

Your Cost: $10.67/claim|Median: $12.24
0.9× median
V2755Normal range

$49

1,032 claims · 0.0%

Your Cost: $0.05/claim|Median: $12.60
0.0× median
V2499Normal range

$43

39 claims · 0.0%

Your Cost: $1.10/claim|Median: $63.96
0.0× median
G8428Normal range

$0

2,245 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
G9368

$0

261 claims · 0.0%

2022FNormal range

$0

280 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.07
G9366

$0

31 claims · 0.0%

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