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Provider 1922293760

NPI: 1922293760Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$8,002,849

Total Claims

149K

Beneficiaries

131K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$706K
+33%
2019
$938K
+1%
2020
$949K
+31%
2021
$1.2M
+6%
2022
$1.3M
+24%
2023
$1.6M
-27%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (V2410) accounts for 30% of total spending.

V2410Top 25%

$2.4M

16K claims · 30.5%

Your Cost: $148.06/claim|Median: $86.18
1.7× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$914K

9,054 claims · 11.4%

Your Cost: $100.98/claim|Median: $47.08
2.1× median
V2025Top 1%

$651K

5,836 claims · 8.1%

Your Cost: $111.48/claim|Median: $34.45
3.2× median
99213Top 25%

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

$463K

7,589 claims · 5.8%

Your Cost: $61.07/claim|Median: $37.81
1.6× median
V2020Top 25%

Frames, purchases

$446K

12K claims · 5.6%

Your Cost: $38.13/claim|Median: $19.33
2.0× median
V2784Top 25%

Lens, polycarbonate or equal

$443K

18K claims · 5.5%

Your Cost: $24.81/claim|Median: $9.50
2.6× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$416K

3,557 claims · 5.2%

Your Cost: $116.98/claim|Median: $59.72
2.0× median
V2750Top 25%

$375K

15K claims · 4.7%

Your Cost: $24.40/claim|Median: $10.42
2.3× median
V2103Top 25%

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

$366K

9,169 claims · 4.6%

Your Cost: $39.93/claim|Median: $18.82
2.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$323K

18K claims · 4.0%

Your Cost: $17.60/claim|Median: $19.46
0.9× median
99204Top 25%

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

$312K

2,355 claims · 3.9%

Your Cost: $132.27/claim|Median: $84.03
1.6× median
99214Top 25%

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

$214K

2,341 claims · 2.7%

Your Cost: $91.21/claim|Median: $53.41
1.7× median
V2744Normal range

$153K

11K claims · 1.9%

Your Cost: $13.55/claim|Median: $10.12
1.3× median
V2104Top 10%

$150K

3,300 claims · 1.9%

Your Cost: $45.34/claim|Median: $16.70
2.7× median
92060Top 25%

$86K

1,641 claims · 1.1%

Your Cost: $52.34/claim|Median: $35.83
1.5× median
92201Top 25%

$69K

3,059 claims · 0.9%

Your Cost: $22.68/claim|Median: $12.88
1.8× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$46K

902 claims · 0.6%

Your Cost: $51.50/claim|Median: $23.99
2.1× median
V2100Top 25%

Lens, sphere, single vision, plus or minus 4.00

$45K

1,287 claims · 0.6%

Your Cost: $35.29/claim|Median: $20.68
1.7× median
92226Top 25%

$25K

1,060 claims · 0.3%

Your Cost: $23.89/claim|Median: $12.45
1.9× median
V2107Top 10%

$19K

400 claims · 0.2%

Your Cost: $47.30/claim|Median: $17.55
2.7× median
92015Normal range

Determination of refractive state

$15K

4,875 claims · 0.2%

Your Cost: $3.17/claim|Median: $10.36
0.3× median
99070Normal range

$14K

707 claims · 0.2%

Your Cost: $20.16/claim|Median: $8.08
2.5× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$7K

67 claims · 0.1%

Your Cost: $97.93/claim|Median: $51.25
1.9× median
92285Normal range

$5K

345 claims · 0.1%

Your Cost: $13.73/claim|Median: $16.47
0.8× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$1K

19 claims · 0.0%

Your Cost: $78.68/claim|Median: $35.30
2.2× median
92225Normal range

$1K

47 claims · 0.0%

Your Cost: $25.48/claim|Median: $17.59
1.4× median
V2101Top 5%

$914

19 claims · 0.0%

Your Cost: $48.13/claim|Median: $17.09
2.8× median
V2105Top 10%

$811

15 claims · 0.0%

Your Cost: $54.05/claim|Median: $23.98
2.3× median
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