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Provider 1831257161

NPI: 1831257161Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,600,637

Total Claims

275K

Beneficiaries

260K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-4%
2019
$1.5M
-28%
2020
$1.1M
+19%
2021
$1.3M
+11%
2022
$1.4M
+4%
2023
$1.4M
+2%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 25% of total spending.

99214Normal range

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

$2.4M

39K claims · 24.7%

Your Cost: $61.07/claim|Median: $53.41
1.1× median
99204Normal range

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

$2.0M

23K claims · 20.4%

Your Cost: $83.88/claim|Median: $84.03
1.0× median
92060Normal range

$1.6M

83K claims · 16.8%

Your Cost: $19.39/claim|Median: $35.83
0.5× median
92015Top 25%

Determination of refractive state

$1.5M

76K claims · 15.5%

Your Cost: $19.50/claim|Median: $10.36
1.9× median
99213Normal range

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

$1.1M

27K claims · 11.9%

Your Cost: $41.94/claim|Median: $37.81
1.1× median
99203Normal range

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

$537K

9,574 claims · 5.6%

Your Cost: $56.13/claim|Median: $57.85
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$242K

6,085 claims · 2.5%

Your Cost: $39.77/claim|Median: $35.30
1.1× median
92201Normal range

$84K

4,832 claims · 0.9%

Your Cost: $17.29/claim|Median: $12.88
1.3× median
67311Normal range

$51K

97 claims · 0.5%

Your Cost: $526.51/claim|Median: $610.94
0.9× median
92340Normal range

Fitting of spectacles, except for aphakia

$32K

1,822 claims · 0.3%

Your Cost: $17.82/claim|Median: $19.46
0.9× median
99254Normal range

$31K

461 claims · 0.3%

Your Cost: $66.55/claim|Median: $81.43
0.8× median
92226Normal range

$29K

2,465 claims · 0.3%

Your Cost: $11.84/claim|Median: $12.45
1.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$7K

136 claims · 0.1%

Your Cost: $54.10/claim|Median: $51.25
1.1× median
V2100Top 25%

Lens, sphere, single vision, plus or minus 4.00

$5K

154 claims · 0.1%

Your Cost: $31.58/claim|Median: $20.68
1.5× median
V2020Normal range

Frames, purchases

$4K

188 claims · 0.0%

Your Cost: $19.57/claim|Median: $19.33
1.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$3K

64 claims · 0.0%

Your Cost: $46.81/claim|Median: $59.72
0.8× median
V2784Normal range

Lens, polycarbonate or equal

$2K

187 claims · 0.0%

Your Cost: $11.71/claim|Median: $9.50
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$2K

27 claims · 0.0%

Your Cost: $71.29/claim|Median: $67.32
1.1× median
V2523Normal range

$1K

26 claims · 0.0%

Your Cost: $52.42/claim|Median: $85.42
0.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1K

27 claims · 0.0%

Your Cost: $44.31/claim|Median: $47.08
0.9× median
V2103Top 25%

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

$416

13 claims · 0.0%

Your Cost: $32.00/claim|Median: $18.82
1.7× median
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