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Provider 1962762765

NPI: 1962762765Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.5M

$16,481,332

Total Claims

339K

Beneficiaries

313K

1.1 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+7%
2019
$2.4M
-25%
2020
$1.8M
+32%
2021
$2.4M
-11%
2022
$2.2M
+15%
2023
$2.5M
+14%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (V2410) accounts for 29% of total spending.

V2410Top 25%

$4.7M

33K claims · 28.7%

Your Cost: $141.84/claim|Median: $86.18
1.6× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$3.5M

35K claims · 21.4%

Your Cost: $101.07/claim|Median: $47.08
2.1× median
V2020Top 25%

Frames, purchases

$2.0M

51K claims · 12.4%

Your Cost: $39.89/claim|Median: $19.33
2.1× median
92004Top 10%

Ophthalmological exam, comprehensive, new patient

$1.3M

11K claims · 8.1%

Your Cost: $120.60/claim|Median: $59.72
2.0× median
V2784Top 25%

Lens, polycarbonate or equal

$1.2M

46K claims · 7.1%

Your Cost: $25.49/claim|Median: $9.50
2.7× median
V2103Top 10%

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

$1.1M

26K claims · 6.8%

Your Cost: $43.15/claim|Median: $18.82
2.3× median
92340Normal range

Fitting of spectacles, except for aphakia

$900K

50K claims · 5.5%

Your Cost: $17.83/claim|Median: $19.46
0.9× median
V2104Top 10%

$545K

11K claims · 3.3%

Your Cost: $47.55/claim|Median: $16.70
2.8× median
V2750Top 25%

$365K

13K claims · 2.2%

Your Cost: $28.97/claim|Median: $10.42
2.8× median
V2100Top 25%

Lens, sphere, single vision, plus or minus 4.00

$316K

7,709 claims · 1.9%

Your Cost: $40.96/claim|Median: $20.68
2.0× median
V2105Top 25%

$106K

2,063 claims · 0.6%

Your Cost: $51.42/claim|Median: $23.98
2.1× median
99213Top 25%

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

$90K

1,368 claims · 0.5%

Your Cost: $65.47/claim|Median: $37.81
1.7× median
92015Normal range

Determination of refractive state

$70K

47K claims · 0.4%

Your Cost: $1.50/claim|Median: $10.36
0.1× median
99212Top 25%

Office/outpatient visit, low complexity

$60K

1,543 claims · 0.4%

Your Cost: $38.74/claim|Median: $25.06
1.5× median
V2118Normal range

$41K

677 claims · 0.2%

Your Cost: $59.97/claim|Median: $60.58
1.0× median
V2107Top 10%

$28K

626 claims · 0.2%

Your Cost: $45.04/claim|Median: $17.55
2.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$23K

1,295 claims · 0.1%

Your Cost: $17.44/claim|Median: $12.93
1.3× median
92012Top 10%

Ophthalmological exam, intermediate, established patient

$13K

184 claims · 0.1%

Your Cost: $71.27/claim|Median: $38.23
1.9× median
V2108Top 5%

$6K

106 claims · 0.0%

Your Cost: $57.05/claim|Median: $16.84
3.4× median
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