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Provider 1821441221

NPI: 1821441221Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.9M

$10,937,376

Total Claims

454K

Beneficiaries

449K

1.0 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+25%
2019
$1.5M
-10%
2020
$1.3M
+5%
2021
$1.4M
+10%
2022
$1.5M
+21%
2023
$1.8M
+20%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (92014 (Ophthalmological exam, comprehensive, established patient)) accounts for 21% of total spending.

92014Normal range

Ophthalmological exam, comprehensive, established patient

$2.3M

62K claims · 20.8%

Your Cost: $36.89/claim|Median: $47.08
0.8× median
V2020Normal range

Frames, purchases

$1.9M

92K claims · 17.5%

Your Cost: $20.74/claim|Median: $19.33
1.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$1.7M

82K claims · 15.8%

Your Cost: $21.11/claim|Median: $19.46
1.1× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$1.3M

34K claims · 12.0%

Your Cost: $38.53/claim|Median: $59.72
0.6× median
92250Top 25%

Fundus photography with interpretation and report

$790K

19K claims · 7.2%

Your Cost: $42.18/claim|Median: $27.95
1.5× median
92015Normal range

Determination of refractive state

$751K

98K claims · 6.9%

Your Cost: $7.70/claim|Median: $10.36
0.7× median
99213Normal range

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

$386K

16K claims · 3.5%

Your Cost: $23.49/claim|Median: $37.81
0.6× median
92273Top 5%

$356K

3,199 claims · 3.3%

Your Cost: $111.20/claim|Median: $53.16
2.1× median
92341Top 25%

$284K

9,386 claims · 2.6%

Your Cost: $30.28/claim|Median: $22.77
1.3× median
95930Normal range

Visual evoked potential testing

$167K

4,906 claims · 1.5%

Your Cost: $34.11/claim|Median: $35.54
1.0× median
68761Top 25%

$155K

1,410 claims · 1.4%

Your Cost: $110.02/claim|Median: $60.32
1.8× median
92025Top 10%

$150K

3,953 claims · 1.4%

Your Cost: $38.06/claim|Median: $17.08
2.2× median
92283Normal range

$128K

7,935 claims · 1.2%

Your Cost: $16.07/claim|Median: $16.75
1.0× median
92133Top 10%

$116K

3,256 claims · 1.1%

Your Cost: $35.77/claim|Median: $19.09
1.9× median
92083Normal range

Visual field exam, extended testing, bilateral

$87K

3,880 claims · 0.8%

Your Cost: $22.43/claim|Median: $29.82
0.8× median
99204Normal range

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

$68K

1,011 claims · 0.6%

Your Cost: $67.46/claim|Median: $84.03
0.8× median
99214Normal range

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

$61K

1,766 claims · 0.6%

Your Cost: $34.41/claim|Median: $53.41
0.6× median
92134Top 25%

$40K

1,305 claims · 0.4%

Your Cost: $30.99/claim|Median: $15.46
2.0× median
V2103Normal range

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

$35K

2,559 claims · 0.3%

Your Cost: $13.78/claim|Median: $18.82
0.7× median
92060Normal range

$31K

932 claims · 0.3%

Your Cost: $33.45/claim|Median: $35.83
0.9× median
92275Normal range

$20K

449 claims · 0.2%

Your Cost: $45.48/claim|Median: $45.77
1.0× median
99203Normal range

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

$17K

289 claims · 0.2%

Your Cost: $57.23/claim|Median: $57.85
1.0× median
92225Top 10%

$16K

322 claims · 0.1%

Your Cost: $49.41/claim|Median: $17.59
2.8× median
V2784Normal range

Lens, polycarbonate or equal

$14K

1,842 claims · 0.1%

Your Cost: $7.79/claim|Median: $9.50
0.8× median
V2104Normal range

$8K

675 claims · 0.1%

Your Cost: $11.83/claim|Median: $16.70
0.7× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$8K

669 claims · 0.1%

Your Cost: $11.33/claim|Median: $20.68
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$6K

491 claims · 0.1%

Your Cost: $11.59/claim|Median: $25.06
0.5× median
V2203Normal range

$6K

268 claims · 0.1%

Your Cost: $20.59/claim|Median: $29.84
0.7× median
92132Top 25%

$3K

126 claims · 0.0%

Your Cost: $24.61/claim|Median: $16.48
1.5× median
V2105Normal range

$2K

172 claims · 0.0%

Your Cost: $11.58/claim|Median: $23.98
0.5× median
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