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Provider 1730292541

NPI: 1730292541Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$10.8M

$10,812,768

Total Claims

199K

Beneficiaries

174K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$965K
+98%
2019
$1.9M
-1%
2020
$1.9M
-23%
2021
$1.4M
+8%
2022
$1.6M
+17%
2023
$1.8M
-33%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (92012 (Ophthalmological exam, intermediate, established patient)) accounts for 19% of total spending.

92012Normal range

Ophthalmological exam, intermediate, established patient

$2.1M

53K claims · 19.4%

Your Cost: $39.17/claim|Median: $38.23
1.0× median
67028Top 10%

Intravitreal injection of a pharmacologic agent

$1.2M

4,664 claims · 11.0%

Your Cost: $255.59/claim|Median: $58.82
4.3× median
92235Top 25%

$1.1M

16K claims · 9.9%

Your Cost: $67.70/claim|Median: $42.71
1.6× median
68761Top 25%

$826K

8,557 claims · 7.6%

Your Cost: $96.51/claim|Median: $60.32
1.6× median
92250Normal range

Fundus photography with interpretation and report

$662K

19K claims · 6.1%

Your Cost: $34.53/claim|Median: $27.95
1.2× median
93886Top 25%

$613K

3,376 claims · 5.7%

Your Cost: $181.46/claim|Median: $83.25
2.2× median
93890Top 25%

$492K

2,595 claims · 4.5%

Your Cost: $189.52/claim|Median: $94.81
2.0× median
93892Top 25%

$420K

2,542 claims · 3.9%

Your Cost: $165.22/claim|Median: $87.42
1.9× median
67210Top 25%

$373K

1,089 claims · 3.5%

Your Cost: $342.82/claim|Median: $249.34
1.4× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$350K

5,501 claims · 3.2%

Your Cost: $63.71/claim|Median: $47.08
1.4× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$307K

4,254 claims · 2.8%

Your Cost: $72.11/claim|Median: $43.71
1.6× median
92134Top 25%

$277K

9,120 claims · 2.6%

Your Cost: $30.35/claim|Median: $15.46
2.0× median
83861Top 10%

$271K

11K claims · 2.5%

Your Cost: $24.14/claim|Median: $10.95
2.2× median
92273Top 10%

$218K

2,047 claims · 2.0%

Your Cost: $106.57/claim|Median: $53.16
2.0× median
99204Normal range

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

$216K

3,693 claims · 2.0%

Your Cost: $58.60/claim|Median: $84.03
0.7× median
76510Top 25%

$177K

1,950 claims · 1.6%

Your Cost: $90.58/claim|Median: $58.86
1.5× median
92020Top 25%

$176K

10K claims · 1.6%

Your Cost: $17.29/claim|Median: $12.46
1.4× median
92025Normal range

$175K

8,611 claims · 1.6%

Your Cost: $20.27/claim|Median: $17.08
1.2× median
95004Normal range

Percutaneous allergy skin tests, each

$148K

1,092 claims · 1.4%

Your Cost: $135.52/claim|Median: $134.97
1.0× median
83516Normal range

$110K

9,548 claims · 1.0%

Your Cost: $11.53/claim|Median: $9.72
1.2× median
92133Top 25%

$106K

4,014 claims · 1.0%

Your Cost: $26.48/claim|Median: $19.09
1.4× median
92100Normal range

$102K

2,890 claims · 0.9%

Your Cost: $35.31/claim|Median: $30.29
1.2× median
92083Normal range

Visual field exam, extended testing, bilateral

$102K

3,697 claims · 0.9%

Your Cost: $27.49/claim|Median: $29.82
0.9× median
99214Top 25%

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

$101K

1,061 claims · 0.9%

Your Cost: $95.33/claim|Median: $53.41
1.8× median
66984Top 25%

Extracapsular cataract removal with IOL insertion

$71K

93 claims · 0.7%

Your Cost: $760.37/claim|Median: $268.70
2.8× median
92260Normal range

$42K

1,956 claims · 0.4%

Your Cost: $21.37/claim|Median: $13.39
1.6× median
92136Top 5%

$37K

739 claims · 0.3%

Your Cost: $50.66/claim|Median: $18.31
2.8× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$26K

275 claims · 0.2%

Your Cost: $92.81/claim|Median: $49.03
1.9× median
66982Normal range

$16K

28 claims · 0.1%

Your Cost: $568.39/claim|Median: $375.52
1.5× median
92285Normal range

$9K

4,276 claims · 0.1%

Your Cost: $2.15/claim|Median: $16.47
0.1× median