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Provider 1942272364

NPI: 1942272364Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.1M

$12,102,263

Total Claims

133K

Beneficiaries

126K

1.1 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+2%
2019
$1.4M
-9%
2020
$1.3M
+45%
2021
$1.9M
+15%
2022
$2.2M
-6%
2023
$2.1M
-15%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 46% of total spending.

J0178Top 10%

Injection, aflibercept, 1 mg

$5.5M

3,279 claims · 45.6%

Your Cost: $1,684.52/claim|Median: $730.09
2.3× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1.1M

16K claims · 8.9%

Your Cost: $65.71/claim|Median: $47.08
1.4× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$676K

12K claims · 5.6%

Your Cost: $54.63/claim|Median: $58.82
0.9× median
J9035Top 25%

Injection, bevacizumab, 10 mg

$654K

8,144 claims · 5.4%

Your Cost: $80.25/claim|Median: $43.71
1.8× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$653K

2,215 claims · 5.4%

Your Cost: $294.78/claim|Median: $268.70
1.1× median
99214Normal range

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

$492K

7,231 claims · 4.1%

Your Cost: $68.05/claim|Median: $53.41
1.3× median
99213Normal range

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

$480K

11K claims · 4.0%

Your Cost: $42.34/claim|Median: $37.81
1.1× median
99204Normal range

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

$404K

4,396 claims · 3.3%

Your Cost: $91.80/claim|Median: $84.03
1.1× median
92235Normal range

$400K

6,418 claims · 3.3%

Your Cost: $62.32/claim|Median: $42.71
1.5× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$340K

4,113 claims · 2.8%

Your Cost: $82.62/claim|Median: $59.72
1.4× median
92134Normal range

$334K

17K claims · 2.8%

Your Cost: $19.87/claim|Median: $15.46
1.3× median
92083Normal range

Visual field exam, extended testing, bilateral

$268K

7,793 claims · 2.2%

Your Cost: $34.38/claim|Median: $29.82
1.2× median
92250Normal range

Fundus photography with interpretation and report

$246K

11K claims · 2.0%

Your Cost: $22.24/claim|Median: $27.95
0.8× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$185K

4,232 claims · 1.5%

Your Cost: $43.69/claim|Median: $38.23
1.1× median
92133Normal range

$131K

6,605 claims · 1.1%

Your Cost: $19.76/claim|Median: $19.09
1.0× median
92136Normal range

$71K

2,925 claims · 0.6%

Your Cost: $24.44/claim|Median: $18.31
1.3× median
67228Normal range

$31K

170 claims · 0.3%

Your Cost: $185.18/claim|Median: $256.67
0.7× median
J3590Normal range

Unclassified biologic drug injection

$26K

548 claims · 0.2%

Your Cost: $47.39/claim|Median: $24.77
1.9× median
76514Normal range

$22K

3,429 claims · 0.2%

Your Cost: $6.56/claim|Median: $6.67
1.0× median
99203Normal range

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

$22K

364 claims · 0.2%

Your Cost: $61.56/claim|Median: $57.85
1.1× median
92020Normal range

$20K

1,355 claims · 0.2%

Your Cost: $14.94/claim|Median: $12.46
1.2× median
92025Normal range

$17K

823 claims · 0.1%

Your Cost: $20.89/claim|Median: $17.08
1.2× median
92015Normal range

Determination of refractive state

$6K

581 claims · 0.1%

Your Cost: $10.92/claim|Median: $10.36
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$6K

179 claims · 0.0%

Your Cost: $32.38/claim|Median: $25.06
1.3× median
66821Top 25%

$4K

28 claims · 0.0%

Your Cost: $160.35/claim|Median: $83.06
1.9× median
67145Normal range

$4K

28 claims · 0.0%

Your Cost: $134.55/claim|Median: $230.81
0.6× median
65855Normal range

$2K

15 claims · 0.0%

Your Cost: $130.91/claim|Median: $104.20
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$942

15 claims · 0.0%

Your Cost: $62.80/claim|Median: $74.09
0.8× median
83861Normal range

$874

67 claims · 0.0%

Your Cost: $13.05/claim|Median: $10.95
1.2× median
92285Normal range

$625

52 claims · 0.0%

Your Cost: $12.01/claim|Median: $16.47
0.7× median
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