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VITREO RETINAL SURGERY PLLC

Ophthalmology·EDINA, MN·NPI: 1891783965Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$27.8M

$27,759,458

Total Claims

205K

Beneficiaries

182K

1.1 claims/patient

Avg Cost/Claim

$135

Monthly Spending Trend

Yearly Spending

2018
$552K
+398%
2019
$2.7M
+20%
2020
$3.3M
+22%
2021
$4.0M
+33%
2022
$5.4M
+22%
2023
$6.6M
-21%
2024
$5.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 51% of total spending.

J0178Top 10%

Injection, aflibercept, 1 mg

$14.1M

8,782 claims · 50.8%

Your Cost: $1,606.09/claim|Median: $730.09
2.2× median
J2778Top 5%

$4.9M

4,247 claims · 17.5%

Your Cost: $1,142.21/claim|Median: $403.28
2.8× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$2.8M

46K claims · 10.1%

Your Cost: $61.25/claim|Median: $58.82
1.0× median
92134Normal range

$1.4M

72K claims · 5.2%

Your Cost: $20.08/claim|Median: $15.46
1.3× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$1.2M

27K claims · 4.2%

Your Cost: $42.61/claim|Median: $38.23
1.1× median
Q5128Normal range

$1.1M

1,455 claims · 3.8%

Your Cost: $730.44/claim|Median: $502.53
1.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$929K

15K claims · 3.3%

Your Cost: $60.51/claim|Median: $47.08
1.3× median
J9035Normal range

Injection, bevacizumab, 10 mg

$929K

20K claims · 3.3%

Your Cost: $46.89/claim|Median: $43.71
1.1× median
99204Normal range

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

$173K

2,088 claims · 0.6%

Your Cost: $83.08/claim|Median: $84.03
1.0× median
92250Normal range

Fundus photography with interpretation and report

$107K

5,728 claims · 0.4%

Your Cost: $18.70/claim|Median: $27.95
0.7× median
92235Normal range

$91K

1,570 claims · 0.3%

Your Cost: $58.10/claim|Median: $42.71
1.4× median
J3590Top 25%

Unclassified biologic drug injection

$36K

68 claims · 0.1%

Your Cost: $531.85/claim|Median: $24.77
21.5× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$30K

459 claims · 0.1%

Your Cost: $65.74/claim|Median: $35.30
1.9× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$28K

298 claims · 0.1%

Your Cost: $93.10/claim|Median: $59.72
1.6× median
67228Normal range

$19K

116 claims · 0.1%

Your Cost: $167.41/claim|Median: $256.67
0.7× median
76512Normal range

$2K

69 claims · 0.0%

Your Cost: $34.03/claim|Median: $43.41
0.8× median
92020Top 25%

$2K

118 claims · 0.0%

Your Cost: $18.86/claim|Median: $12.46
1.5× median
G9744Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09
2024FNormal range

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.14
G8427Normal range

$0

45 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
4040FNormal range

$0

52 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15
5010FNormal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
1036FNormal range

$0

41 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
G8482Normal range

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
G9903Normal range

$0

41 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
2026FNormal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.25
2022FNormal range

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.07
G8397Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03

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