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Provider 1760451470

NPI: 1760451470Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,628,239

Total Claims

275K

Beneficiaries

208K

1.3 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+4%
2019
$1.6M
-4%
2020
$1.6M
+3%
2021
$1.6M
+4%
2022
$1.7M
+9%
2023
$1.8M
-4%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 36% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$4.2M

5,581 claims · 36.1%

Your Cost: $751.74/claim|Median: $730.09
1.0× median
92015Top 10%

Determination of refractive state

$2.2M

82K claims · 18.5%

Your Cost: $26.41/claim|Median: $10.36
2.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1.7M

58K claims · 14.9%

Your Cost: $29.86/claim|Median: $47.08
0.6× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$1.3M

27K claims · 11.2%

Your Cost: $48.91/claim|Median: $59.72
0.8× median
99213Normal range

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

$677K

40K claims · 5.8%

Your Cost: $17.11/claim|Median: $37.81
0.5× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$343K

3,535 claims · 3.0%

Your Cost: $97.08/claim|Median: $268.70
0.4× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$288K

6,807 claims · 2.5%

Your Cost: $42.38/claim|Median: $58.82
0.7× median
99214Normal range

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

$204K

9,470 claims · 1.8%

Your Cost: $21.54/claim|Median: $53.41
0.4× median
92250Normal range

Fundus photography with interpretation and report

$130K

6,612 claims · 1.1%

Your Cost: $19.66/claim|Median: $27.95
0.7× median
J2777Normal range

$107K

195 claims · 0.9%

Your Cost: $549.31/claim|Median: $858.80
0.6× median
92134Normal range

$105K

12K claims · 0.9%

Your Cost: $8.80/claim|Median: $15.46
0.6× median
92133Normal range

$76K

6,697 claims · 0.7%

Your Cost: $11.35/claim|Median: $19.09
0.6× median
92083Normal range

Visual field exam, extended testing, bilateral

$67K

3,896 claims · 0.6%

Your Cost: $17.22/claim|Median: $29.82
0.6× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$57K

2,897 claims · 0.5%

Your Cost: $19.74/claim|Median: $38.23
0.5× median
99203Normal range

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

$47K

1,079 claims · 0.4%

Your Cost: $43.93/claim|Median: $57.85
0.8× median
92285Normal range

$40K

2,512 claims · 0.3%

Your Cost: $15.80/claim|Median: $16.47
1.0× median
92136Normal range

$36K

3,079 claims · 0.3%

Your Cost: $11.79/claim|Median: $18.31
0.6× median
V2020Normal range

Frames, purchases

$16K

598 claims · 0.1%

Your Cost: $26.17/claim|Median: $19.33
1.4× median
83861Normal range

$9K

843 claims · 0.1%

Your Cost: $11.05/claim|Median: $10.95
1.0× median
99204Normal range

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

$8K

190 claims · 0.1%

Your Cost: $43.67/claim|Median: $84.03
0.5× median
92340Normal range

Fitting of spectacles, except for aphakia

$7K

388 claims · 0.1%

Your Cost: $18.22/claim|Median: $19.46
0.9× median
V2103Top 25%

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

$6K

222 claims · 0.1%

Your Cost: $28.22/claim|Median: $18.82
1.5× median
S0580Normal range

$5K

172 claims · 0.0%

Your Cost: $26.22/claim|Median: $17.72
1.5× median
92025Normal range

$3K

384 claims · 0.0%

Your Cost: $8.92/claim|Median: $17.08
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$3K

123 claims · 0.0%

Your Cost: $21.54/claim|Median: $25.06
0.9× median
76514Normal range

$2K

626 claims · 0.0%

Your Cost: $3.78/claim|Median: $6.67
0.6× median
92341Normal range

$1K

54 claims · 0.0%

Your Cost: $23.75/claim|Median: $22.77
1.0× median
92020Normal range

$1K

119 claims · 0.0%

Your Cost: $8.85/claim|Median: $12.46
0.7× median
83516Normal range

$908

234 claims · 0.0%

Your Cost: $3.88/claim|Median: $9.72
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$701

40 claims · 0.0%

Your Cost: $17.52/claim|Median: $74.09
0.2× median
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