Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

ICARE HEALTH SOLUTIONS LLC

Exclusive Provider Organization·MIAMI, FL·NPI: 1942644661Share
Active Billing Period:2018-10→2024-12(74 months)

Total Paid

$80.2M

$80,242,428

Total Claims

2.2M

Beneficiaries

1.8M

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$145K
+2400%
2019
$3.6M
+6%
2020
$3.9M
+254%
2021
$13.6M
+69%
2022
$23.0M
-9%
2023
$20.9M
-28%
2024
$15.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (92004 (Ophthalmological exam, comprehensive, new patient)) accounts for 24% of total spending.

92004Normal range

Ophthalmological exam, comprehensive, new patient

$19.3M

276K claims · 24.0%

Your Cost: $69.85/claim|Median: $59.72
1.2× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$16.6M

317K claims · 20.7%

Your Cost: $52.46/claim|Median: $47.08
1.1× median
V2100Top 10%

Lens, sphere, single vision, plus or minus 4.00

$14.9M

296K claims · 18.5%

Your Cost: $50.12/claim|Median: $20.68
2.4× median
V2025Normal range

$10.1M

217K claims · 12.6%

Your Cost: $46.55/claim|Median: $34.45
1.4× median
V2020Top 25%

Frames, purchases

$8.6M

272K claims · 10.7%

Your Cost: $31.55/claim|Median: $19.33
1.6× median
V2200Top 10%

$1.9M

26K claims · 2.4%

Your Cost: $74.42/claim|Median: $28.94
2.6× median
V2799Top 25%

$1.7M

87K claims · 2.2%

Your Cost: $19.98/claim|Median: $8.94
2.2× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$1.5M

24K claims · 1.9%

Your Cost: $61.72/claim|Median: $38.23
1.6× median
V2103Normal range

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

$936K

55K claims · 1.2%

Your Cost: $16.90/claim|Median: $18.82
0.9× median
99204Top 25%

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

$929K

7,306 claims · 1.2%

Your Cost: $127.17/claim|Median: $84.03
1.5× median
V2203Top 25%

$384K

7,822 claims · 0.5%

Your Cost: $49.08/claim|Median: $29.84
1.6× median
V2784Normal range

Lens, polycarbonate or equal

$371K

66K claims · 0.5%

Your Cost: $5.63/claim|Median: $9.50
0.6× median
92015Normal range

Determination of refractive state

$307K

265K claims · 0.4%

Your Cost: $1.16/claim|Median: $10.36
0.1× median
92060Normal range

$277K

15K claims · 0.3%

Your Cost: $18.80/claim|Median: $35.83
0.5× median
99213Normal range

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

$264K

5,822 claims · 0.3%

Your Cost: $45.39/claim|Median: $37.81
1.2× median
99214Normal range

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

$252K

3,814 claims · 0.3%

Your Cost: $65.98/claim|Median: $53.41
1.2× median
92340Normal range

Fitting of spectacles, except for aphakia

$168K

69K claims · 0.2%

Your Cost: $2.43/claim|Median: $19.46
0.1× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$155K

1,950 claims · 0.2%

Your Cost: $79.49/claim|Median: $58.82
1.4× median
99244Top 10%

Office or other outpatient consultation, moderate complexity

$113K

594 claims · 0.1%

Your Cost: $190.38/claim|Median: $121.58
1.6× median
92250Normal range

Fundus photography with interpretation and report

$110K

18K claims · 0.1%

Your Cost: $6.00/claim|Median: $27.95
0.2× median
92083Normal range

Visual field exam, extended testing, bilateral

$108K

5,971 claims · 0.1%

Your Cost: $18.14/claim|Median: $29.82
0.6× median
V2101Top 5%

$86K

1,512 claims · 0.1%

Your Cost: $57.18/claim|Median: $17.09
3.3× median
99243Top 10%

Office or other outpatient consultation, low complexity

$81K

619 claims · 0.1%

Your Cost: $130.77/claim|Median: $82.43
1.6× median
92134Normal range

$81K

7,678 claims · 0.1%

Your Cost: $10.50/claim|Median: $15.46
0.7× median
92283Normal range

$79K

7,474 claims · 0.1%

Your Cost: $10.53/claim|Median: $16.75
0.6× median
92273Top 10%

$77K

729 claims · 0.1%

Your Cost: $105.17/claim|Median: $53.16
2.0× median
76512Normal range

$74K

5,801 claims · 0.1%

Your Cost: $12.76/claim|Median: $43.41
0.3× median
99203Top 10%

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

$59K

558 claims · 0.1%

Your Cost: $106.19/claim|Median: $57.85
1.8× median
V2599Normal range

$54K

594 claims · 0.1%

Your Cost: $91.14/claim|Median: $95.04
1.0× median
92341Normal range

$49K

9,906 claims · 0.1%

Your Cost: $4.98/claim|Median: $22.77
0.2× median
92235Top 25%

$49K

720 claims · 0.1%

Your Cost: $68.24/claim|Median: $42.71
1.6× median
V2201Top 25%

$47K

620 claims · 0.1%

Your Cost: $75.62/claim|Median: $23.18
3.3× median
S0516Top 1%

$47K

280 claims · 0.1%

Your Cost: $166.18/claim|Median: $15.98
10.4× median
V2750Normal range

$44K

24K claims · 0.1%

Your Cost: $1.81/claim|Median: $10.42
0.2× median
99233Top 1%

Subsequent hospital care, per day, high complexity

$44K

290 claims · 0.1%

Your Cost: $150.27/claim|Median: $35.30
4.3× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$41K

150 claims · 0.1%

Your Cost: $275.27/claim|Median: $268.70
1.0× median
V2781Top 1%

$39K

234 claims · 0.0%

Your Cost: $166.77/claim|Median: $29.17
5.7× median
92100Top 5%

$36K

412 claims · 0.0%

Your Cost: $87.79/claim|Median: $30.29
2.9× median
92133Normal range

$27K

3,722 claims · 0.0%

Your Cost: $7.21/claim|Median: $19.09
0.4× median
92285Normal range

$27K

8,033 claims · 0.0%

Your Cost: $3.34/claim|Median: $16.47
0.2× median
V2744Top 25%

$26K

998 claims · 0.0%

Your Cost: $26.33/claim|Median: $10.12
2.6× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$18K

336 claims · 0.0%

Your Cost: $52.49/claim|Median: $23.99
2.2× median
92025Normal range

$16K

2,567 claims · 0.0%

Your Cost: $6.19/claim|Median: $17.08
0.4× median
92286Normal range

$15K

3,092 claims · 0.0%

Your Cost: $4.94/claim|Median: $29.05
0.2× median
V2520Normal range

$14K

233 claims · 0.0%

Your Cost: $61.73/claim|Median: $68.48
0.9× median
V2104Normal range

$12K

2,234 claims · 0.0%

Your Cost: $5.42/claim|Median: $16.70
0.3× median
V2745Top 10%

$10K

314 claims · 0.0%

Your Cost: $30.97/claim|Median: $6.56
4.7× median
V2303Top 1%

$9K

54 claims · 0.0%

Your Cost: $175.02/claim|Median: $41.58
4.2× median
92201Normal range

$8K

3,350 claims · 0.0%

Your Cost: $2.42/claim|Median: $12.88
0.2× median
92310Normal range

$8K

3,094 claims · 0.0%

Your Cost: $2.59/claim|Median: $35.49
0.1× median

Other Top Providers in Florida

View all →

Degc Enterprises (u.s.), Inc.

Durable Medical Equipment & Medical Supplies

$262.6M

Saltzman Tanis Pittell Levin and Jacobson

Pediatrics

$201.3M

Quest Diagnostics Clinical Laboratories INC

Clinical Medical Laboratory

$197.6M

Integrated Home Care Services Inc.

Case Management

$175.7M

Variety Children's Hospital

General Acute Care Hospital Children

$175.3M

Similar Providers

Other top providers in Exclusive Provider Organization

New York Network Ipa INC

Brooklyn, NY

$530.0M

← All providersAll providers in Florida →How we detect fraud →