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Provider 1912991225

NPI: 1912991225Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.2M

$11,191,971

Total Claims

113K

Beneficiaries

94K

1.2 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2018
$184K
+102%
2019
$374K
+260%
2020
$1.3M
+68%
2021
$2.3M
+17%
2022
$2.6M
+5%
2023
$2.8M
-41%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 77% of total spending.

J0178Normal range

Injection, aflibercept, 1 mg

$8.6M

7,970 claims · 77.1%

Your Cost: $1,082.93/claim|Median: $730.09
1.5× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$1.4M

28K claims · 12.5%

Your Cost: $49.86/claim|Median: $58.82
0.8× median
92134Normal range

$374K

44K claims · 3.3%

Your Cost: $8.40/claim|Median: $15.46
0.5× median
99214Normal range

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

$210K

5,889 claims · 1.9%

Your Cost: $35.59/claim|Median: $53.41
0.7× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$152K

9,150 claims · 1.4%

Your Cost: $16.64/claim|Median: $38.23
0.4× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$108K

4,544 claims · 1.0%

Your Cost: $23.81/claim|Median: $47.08
0.5× median
99213Normal range

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

$95K

3,836 claims · 0.8%

Your Cost: $24.67/claim|Median: $37.81
0.7× median
J3590Normal range

Unclassified biologic drug injection

$53K

1,372 claims · 0.5%

Your Cost: $38.86/claim|Median: $24.77
1.6× median
99204Normal range

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

$49K

876 claims · 0.4%

Your Cost: $55.40/claim|Median: $84.03
0.7× median
92250Normal range

Fundus photography with interpretation and report

$44K

2,327 claims · 0.4%

Your Cost: $19.00/claim|Median: $27.95
0.7× median
J9035Normal range

Injection, bevacizumab, 10 mg

$20K

380 claims · 0.2%

Your Cost: $53.70/claim|Median: $43.71
1.2× median
67210Normal range

$18K

69 claims · 0.2%

Your Cost: $256.39/claim|Median: $249.34
1.0× median
92226Normal range

$16K

2,403 claims · 0.1%

Your Cost: $6.77/claim|Median: $12.45
0.5× median
92202Normal range

$10K

1,387 claims · 0.1%

Your Cost: $7.41/claim|Median: $7.06
1.0× median
92225Normal range

$4K

346 claims · 0.0%

Your Cost: $11.78/claim|Median: $17.59
0.7× median
92235Normal range

$2K

96 claims · 0.0%

Your Cost: $23.04/claim|Median: $42.71
0.5× median
92201Normal range

$2K

162 claims · 0.0%

Your Cost: $12.20/claim|Median: $12.88
0.9× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$2K

55 claims · 0.0%

Your Cost: $31.89/claim|Median: $59.72
0.5× median
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