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Provider 1902800758

NPI: 1902800758Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.6M

$13,634,434

Total Claims

123K

Beneficiaries

82K

1.5 claims/patient

Avg Cost/Claim

$111

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-13%
2019
$1.4M
+30%
2020
$1.9M
-3%
2021
$1.8M
+45%
2022
$2.6M
-2%
2023
$2.6M
-34%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 68% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$9.3M

14K claims · 68.5%

Your Cost: $649.27/claim|Median: $730.09
0.9× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$1.4M

30K claims · 10.3%

Your Cost: $47.31/claim|Median: $58.82
0.8× median
92134Top 25%

$1.0M

43K claims · 7.6%

Your Cost: $24.09/claim|Median: $15.46
1.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$335K

9,361 claims · 2.5%

Your Cost: $35.76/claim|Median: $47.08
0.8× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$267K

4,036 claims · 2.0%

Your Cost: $66.24/claim|Median: $43.71
1.5× median
99213Normal range

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

$167K

5,431 claims · 1.2%

Your Cost: $30.83/claim|Median: $37.81
0.8× median
92250Top 25%

Fundus photography with interpretation and report

$167K

3,690 claims · 1.2%

Your Cost: $45.26/claim|Median: $27.95
1.6× median
92235Normal range

$162K

2,583 claims · 1.2%

Your Cost: $62.67/claim|Median: $42.71
1.5× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$161K

3,254 claims · 1.2%

Your Cost: $49.60/claim|Median: $38.23
1.3× median
99214Normal range

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

$155K

3,788 claims · 1.1%

Your Cost: $40.96/claim|Median: $53.41
0.8× median
67228Normal range

$135K

767 claims · 1.0%

Your Cost: $176.32/claim|Median: $256.67
0.7× median
99204Normal range

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

$82K

1,047 claims · 0.6%

Your Cost: $78.14/claim|Median: $84.03
0.9× median
J2777Normal range

$72K

102 claims · 0.5%

Your Cost: $703.45/claim|Median: $858.80
0.8× median
67210Normal range

$53K

173 claims · 0.4%

Your Cost: $303.54/claim|Median: $249.34
1.2× median
J0177Top 1%

$51K

15 claims · 0.4%

Your Cost: $3,401.81/claim|Median: $869.28
3.9× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$32K

362 claims · 0.2%

Your Cost: $88.23/claim|Median: $59.72
1.5× median
99203Normal range

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

$12K

247 claims · 0.1%

Your Cost: $48.61/claim|Median: $57.85
0.8× median
J3590Normal range

Unclassified biologic drug injection

$2K

181 claims · 0.0%

Your Cost: $9.27/claim|Median: $24.77
0.4× median
99024Normal range

$0

722 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15
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