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Provider 1841523164

NPI: 1841523164Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.0M

$9,023,893

Total Claims

304K

Beneficiaries

300K

1.0 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$108K
+32%
2019
$143K
+233%
2020
$476K
+235%
2021
$1.6M
+19%
2022
$1.9M
+25%
2023
$2.4M
+4%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (V2020 (Frames, purchases)) accounts for 13% of total spending.

V2020Normal range

Frames, purchases

$1.2M

49K claims · 13.2%

Your Cost: $24.19/claim|Median: $19.33
1.3× median
99213Top 25%

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

$1.2M

18K claims · 13.1%

Your Cost: $64.32/claim|Median: $37.81
1.7× median
92060Top 10%

$1.0M

17K claims · 11.3%

Your Cost: $59.98/claim|Median: $35.83
1.7× median
99203Top 25%

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

$798K

8,493 claims · 8.8%

Your Cost: $94.00/claim|Median: $57.85
1.6× median
92340Normal range

Fitting of spectacles, except for aphakia

$741K

41K claims · 8.2%

Your Cost: $18.05/claim|Median: $19.46
0.9× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$706K

16K claims · 7.8%

Your Cost: $45.08/claim|Median: $47.08
1.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$701K

16K claims · 7.8%

Your Cost: $45.03/claim|Median: $59.72
0.8× median
92250Top 5%

Fundus photography with interpretation and report

$651K

9,700 claims · 7.2%

Your Cost: $67.12/claim|Median: $27.95
2.4× median
92015Top 25%

Determination of refractive state

$537K

31K claims · 6.0%

Your Cost: $17.47/claim|Median: $10.36
1.7× median
V2025Normal range

$464K

11K claims · 5.1%

Your Cost: $41.22/claim|Median: $34.45
1.2× median
V2103Normal range

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

$454K

31K claims · 5.0%

Your Cost: $14.47/claim|Median: $18.82
0.8× median
V2784Normal range

Lens, polycarbonate or equal

$115K

28K claims · 1.3%

Your Cost: $4.05/claim|Median: $9.50
0.4× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$92K

7,623 claims · 1.0%

Your Cost: $12.03/claim|Median: $20.68
0.6× median
V2104Normal range

$70K

5,753 claims · 0.8%

Your Cost: $12.23/claim|Median: $16.70
0.7× median
V2203Normal range

$68K

2,596 claims · 0.8%

Your Cost: $26.27/claim|Median: $29.84
0.9× median
V2107Normal range

$63K

4,649 claims · 0.7%

Your Cost: $13.45/claim|Median: $17.55
0.8× median
92081Top 25%

$38K

1,276 claims · 0.4%

Your Cost: $29.88/claim|Median: $11.63
2.6× median
99214Top 25%

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

$32K

355 claims · 0.4%

Your Cost: $90.15/claim|Median: $53.41
1.7× median
92083Top 10%

Visual field exam, extended testing, bilateral

$28K

487 claims · 0.3%

Your Cost: $57.64/claim|Median: $29.82
1.9× median
V2108Normal range

$15K

1,196 claims · 0.2%

Your Cost: $12.46/claim|Median: $16.84
0.7× median
V2105Normal range

$15K

1,239 claims · 0.2%

Your Cost: $11.97/claim|Median: $23.98
0.5× median
V2200Normal range

$14K

606 claims · 0.2%

Your Cost: $22.83/claim|Median: $28.94
0.8× median
V2207Top 25%

$12K

475 claims · 0.1%

Your Cost: $26.20/claim|Median: $15.90
1.6× median
V2101Normal range

$7K

554 claims · 0.1%

Your Cost: $13.01/claim|Median: $17.09
0.8× median
92133Top 5%

$5K

136 claims · 0.1%

Your Cost: $39.99/claim|Median: $19.09
2.1× median
92341Normal range

$2K

107 claims · 0.0%

Your Cost: $19.59/claim|Median: $22.77
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$2K

47 claims · 0.0%

Your Cost: $39.07/claim|Median: $25.06
1.6× median
V2750Normal range

$863

87 claims · 0.0%

Your Cost: $9.91/claim|Median: $10.42
1.0× median
V2783Normal range

$690

12 claims · 0.0%

Your Cost: $57.50/claim|Median: $63.17
0.9× median
V2204Normal range

$294

12 claims · 0.0%

Your Cost: $24.50/claim|Median: $18.98
1.3× median
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