Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1801820469

NPI: 1801820469Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,329,870

Total Claims

251K

Beneficiaries

211K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$3.7M
-30%
2019
$2.6M
-45%
2020
$1.4M
-40%
2021
$852K
-67%
2022
$285K
+21%
2023
$343K
-43%
2024
$195K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (V2410) accounts for 23% of total spending.

V2410Normal range

$2.2M

18K claims · 23.1%

Your Cost: $121.47/claim|Median: $86.18
1.4× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$1.4M

19K claims · 15.1%

Your Cost: $75.65/claim|Median: $47.08
1.6× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$1.2M

13K claims · 12.9%

Your Cost: $91.77/claim|Median: $59.72
1.5× median
V2020Top 25%

Frames, purchases

$798K

26K claims · 8.6%

Your Cost: $31.00/claim|Median: $19.33
1.6× median
92134Top 25%

$625K

23K claims · 6.7%

Your Cost: $27.58/claim|Median: $15.46
1.8× median
V2750Normal range

$552K

28K claims · 5.9%

Your Cost: $20.00/claim|Median: $10.42
1.9× median
V2103Top 25%

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

$543K

17K claims · 5.8%

Your Cost: $32.75/claim|Median: $18.82
1.7× median
92340Normal range

Fitting of spectacles, except for aphakia

$377K

26K claims · 4.0%

Your Cost: $14.32/claim|Median: $19.46
0.7× median
V2784Normal range

Lens, polycarbonate or equal

$325K

25K claims · 3.5%

Your Cost: $13.13/claim|Median: $9.50
1.4× median
92250Normal range

Fundus photography with interpretation and report

$262K

8,065 claims · 2.8%

Your Cost: $32.48/claim|Median: $27.95
1.2× median
92310Top 5%

$251K

2,437 claims · 2.7%

Your Cost: $102.86/claim|Median: $35.49
2.9× median
V2521Top 25%

$214K

1,964 claims · 2.3%

Your Cost: $108.80/claim|Median: $80.77
1.3× median
V2104Top 25%

$163K

4,458 claims · 1.7%

Your Cost: $36.52/claim|Median: $16.70
2.2× median
V2100Top 25%

Lens, sphere, single vision, plus or minus 4.00

$157K

5,257 claims · 1.7%

Your Cost: $29.93/claim|Median: $20.68
1.4× median
V2520Normal range

$118K

1,736 claims · 1.3%

Your Cost: $67.77/claim|Median: $68.48
1.0× median
V2025Top 1%

$115K

1,034 claims · 1.2%

Your Cost: $110.76/claim|Median: $34.45
3.2× median
92015Normal range

Determination of refractive state

$30K

33K claims · 0.3%

Your Cost: $0.92/claim|Median: $10.36
0.1× median
V2107Top 10%

$19K

425 claims · 0.2%

Your Cost: $43.80/claim|Median: $17.55
2.5× median
V2105Top 10%

$7K

142 claims · 0.1%

Your Cost: $52.40/claim|Median: $23.98
2.2× median
V2523Top 5%

$4K

30 claims · 0.0%

Your Cost: $144.53/claim|Median: $85.42
1.7× median
V2108Top 10%

$911

18 claims · 0.0%

Your Cost: $50.60/claim|Median: $16.84
3.0× median
92135

$0

13 claims · 0.0%

← All providersHow we detect fraud →