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Provider 1720203862

NPI: 1720203862Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$9,038,472

Total Claims

86K

Beneficiaries

67K

1.3 claims/patient

Avg Cost/Claim

$105

Monthly Spending Trend

Yearly Spending

2018
$633K
-39%
2019
$387K
+58%
2020
$612K
+69%
2021
$1.0M
+60%
2022
$1.7M
+60%
2023
$2.6M
-22%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 38% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$3.4M

3,910 claims · 37.5%

Your Cost: $867.48/claim|Median: $730.09
1.2× median
J2777Top 25%

$1.6M

1,127 claims · 17.5%

Your Cost: $1,400.09/claim|Median: $858.80
1.6× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$1.5M

19K claims · 17.1%

Your Cost: $80.47/claim|Median: $58.82
1.4× median
J2778Top 10%

$613K

713 claims · 6.8%

Your Cost: $860.02/claim|Median: $403.28
2.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$460K

10K claims · 5.1%

Your Cost: $45.08/claim|Median: $47.08
1.0× median
92134Normal range

$423K

27K claims · 4.7%

Your Cost: $15.41/claim|Median: $15.46
1.0× median
92235Normal range

$276K

6,469 claims · 3.1%

Your Cost: $42.71/claim|Median: $42.71
1.0× median
J9035Normal range

Injection, bevacizumab, 10 mg

$217K

4,391 claims · 2.4%

Your Cost: $49.46/claim|Median: $43.71
1.1× median
92250Normal range

Fundus photography with interpretation and report

$190K

5,708 claims · 2.1%

Your Cost: $33.29/claim|Median: $27.95
1.2× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$145K

4,720 claims · 1.6%

Your Cost: $30.76/claim|Median: $38.23
0.8× median
99204Normal range

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

$91K

1,099 claims · 1.0%

Your Cost: $82.63/claim|Median: $84.03
1.0× median
J0177Top 10%

$74K

26 claims · 0.8%

Your Cost: $2,832.47/claim|Median: $869.28
3.3× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$23K

300 claims · 0.3%

Your Cost: $76.21/claim|Median: $59.72
1.3× median
99214Normal range

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

$8K

196 claims · 0.1%

Your Cost: $40.50/claim|Median: $53.41
0.8× median
92225Normal range

$924

99 claims · 0.0%

Your Cost: $9.34/claim|Median: $17.59
0.5× median
J7999Normal range

$748

58 claims · 0.0%

Your Cost: $12.90/claim|Median: $6.94
1.9× median
99213Normal range

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

$344

24 claims · 0.0%

Your Cost: $14.35/claim|Median: $37.81
0.4× median
92226Normal range

$279

108 claims · 0.0%

Your Cost: $2.58/claim|Median: $12.45
0.2× median
99072Normal range

$53

265 claims · 0.0%

Your Cost: $0.20/claim|Median: $0.54
0.4× median
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