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Provider 1952301129

NPI: 1952301129Share
Active Billing Period:2018-01→2024-07(46 months)

Total Paid

$8.0M

$7,984,101

Total Claims

227K

Beneficiaries

196K

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$3.4M
-21%
2019
$2.7M
-37%
2020
$1.7M
-90%
2021
$166K
-100%
2022
$0
2023
$273
-10%
2024
$247

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (92004 (Ophthalmological exam, comprehensive, new patient)) accounts for 24% of total spending.

92004Top 25%

Ophthalmological exam, comprehensive, new patient

$1.9M

20K claims · 24.2%

Your Cost: $95.58/claim|Median: $59.72
1.6× median
V2410Normal range

$1.9M

22K claims · 23.8%

Your Cost: $87.98/claim|Median: $86.18
1.0× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$1.8M

23K claims · 22.9%

Your Cost: $77.90/claim|Median: $47.08
1.7× median
V2020Normal range

Frames, purchases

$717K

25K claims · 9.0%

Your Cost: $29.15/claim|Median: $19.33
1.5× median
V2750Normal range

$475K

25K claims · 5.9%

Your Cost: $19.37/claim|Median: $10.42
1.9× median
92340Normal range

Fitting of spectacles, except for aphakia

$348K

25K claims · 4.4%

Your Cost: $13.73/claim|Median: $19.46
0.7× median
V2103Top 25%

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

$289K

9,713 claims · 3.6%

Your Cost: $29.75/claim|Median: $18.82
1.6× median
V2784Normal range

Lens, polycarbonate or equal

$286K

25K claims · 3.6%

Your Cost: $11.48/claim|Median: $9.50
1.2× median
V2100Normal range

Lens, sphere, single vision, plus or minus 4.00

$47K

1,706 claims · 0.6%

Your Cost: $27.64/claim|Median: $20.68
1.3× median
V2744Normal range

$46K

5,625 claims · 0.6%

Your Cost: $8.16/claim|Median: $10.12
0.8× median
V2104Top 25%

$28K

974 claims · 0.3%

Your Cost: $28.31/claim|Median: $16.70
1.7× median
92015Normal range

Determination of refractive state

$20K

43K claims · 0.2%

Your Cost: $0.46/claim|Median: $10.36
0.0× median
92083Normal range

Visual field exam, extended testing, bilateral

$17K

512 claims · 0.2%

Your Cost: $33.22/claim|Median: $29.82
1.1× median
V2781Normal range

$13K

291 claims · 0.2%

Your Cost: $46.22/claim|Median: $29.17
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$13K

389 claims · 0.2%

Your Cost: $34.02/claim|Median: $25.06
1.4× median
99213Top 25%

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

$9K

152 claims · 0.1%

Your Cost: $60.96/claim|Median: $37.81
1.6× median
92250Top 10%

Fundus photography with interpretation and report

$6K

122 claims · 0.1%

Your Cost: $48.64/claim|Median: $27.95
1.7× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$4K

81 claims · 0.1%

Your Cost: $54.75/claim|Median: $38.23
1.4× median
92133Top 25%

$3K

104 claims · 0.0%

Your Cost: $29.45/claim|Median: $19.09
1.5× median
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