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Provider 1750358826

NPI: 1750358826Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,198,747

Total Claims

178K

Beneficiaries

177K

1.0 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$929K
+11%
2019
$1.0M
-5%
2020
$973K
+5%
2021
$1.0M
+13%
2022
$1.2M
+7%
2023
$1.2M
+48%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (V2100 (Lens, sphere, single vision, plus or minus 4.00)) accounts for 35% of total spending.

V2100Top 10%

Lens, sphere, single vision, plus or minus 4.00

$2.8M

54K claims · 34.5%

Your Cost: $52.52/claim|Median: $20.68
2.5× median
V2020Top 25%

Frames, purchases

$2.8M

71K claims · 34.4%

Your Cost: $39.97/claim|Median: $19.33
2.1× median
V2200Top 10%

$858K

11K claims · 10.5%

Your Cost: $78.66/claim|Median: $28.94
2.7× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$685K

15K claims · 8.4%

Your Cost: $44.54/claim|Median: $47.08
0.9× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$543K

12K claims · 6.6%

Your Cost: $46.21/claim|Median: $59.72
0.8× median
S0620Normal range

$229K

4,704 claims · 2.8%

Your Cost: $48.63/claim|Median: $43.56
1.1× median
S0621Normal range

$168K

3,388 claims · 2.1%

Your Cost: $49.69/claim|Median: $44.45
1.1× median
V2784Normal range

Lens, polycarbonate or equal

$38K

4,727 claims · 0.5%

Your Cost: $8.14/claim|Median: $9.50
0.9× median
92250Normal range

Fundus photography with interpretation and report

$16K

806 claims · 0.2%

Your Cost: $19.80/claim|Median: $27.95
0.7× median
S0580Normal range

$11K

565 claims · 0.1%

Your Cost: $19.96/claim|Median: $17.72
1.1× median
92310Top 25%

$2K

36 claims · 0.0%

Your Cost: $54.17/claim|Median: $35.49
1.5× median
92340Normal range

Fitting of spectacles, except for aphakia

$570

25 claims · 0.0%

Your Cost: $22.80/claim|Median: $19.46
1.2× median
V2797Normal range

$280

478 claims · 0.0%

Your Cost: $0.59/claim|Median: $2.96
0.2× median
92015Normal range

Determination of refractive state

$40

220 claims · 0.0%

Your Cost: $0.18/claim|Median: $10.36
0.0× median
92225Normal range

$2

226 claims · 0.0%

Your Cost: $0.01/claim|Median: $17.59
0.0× median
92201Normal range

$2

206 claims · 0.0%

Your Cost: $0.01/claim|Median: $12.88
0.0× median
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