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INNOVATIVE SERVICES INC.

Pharmacy, Home Infusion Therapy Pharmacy·SYRACUSE, NY·NPI: 1003862020Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$26.3M

$26,293,090

Total Claims

116K

Beneficiaries

98K

1.2 claims/patient

Avg Cost/Claim

$227

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+39%
2019
$2.6M
+32%
2020
$3.4M
-2%
2021
$3.3M
+11%
2022
$3.7M
+33%
2023
$4.9M
+31%
2024
$6.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 40 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 32% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$8.5M

16K claims · 32.4%

Your Cost: $537.21/claim|Median: $465.86
1.2× median
S9342Top 25%

Home infusion therapy, continuous or intermittent, per diem

$7.9M

20K claims · 30.1%

Your Cost: $396.84/claim|Median: $176.25
2.3× median
B4160Normal range

Enteral formula, per 100 calories

$1.8M

12K claims · 6.8%

Your Cost: $154.04/claim|Median: $157.30
1.0× median
B4153Top 25%

$1.6M

2,327 claims · 6.1%

Your Cost: $694.01/claim|Median: $410.73
1.7× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.4M

9,048 claims · 5.3%

Your Cost: $154.28/claim|Median: $117.24
1.3× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$1.2M

5,044 claims · 4.6%

Your Cost: $239.00/claim|Median: $300.16
0.8× median
B4088Normal range

$820K

7,701 claims · 3.1%

Your Cost: $106.51/claim|Median: $73.20
1.5× median
S9343Top 25%

$626K

1,874 claims · 2.4%

Your Cost: $333.87/claim|Median: $99.47
3.4× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$365K

2,279 claims · 1.4%

Your Cost: $160.32/claim|Median: $89.79
1.8× median
E1390Top 25%

Oxygen concentrator, single delivery port

$352K

4,014 claims · 1.3%

Your Cost: $87.62/claim|Median: $45.11
1.9× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$342K

2,324 claims · 1.3%

Your Cost: $147.20/claim|Median: $92.20
1.6× median
B4155Normal range

$292K

7,009 claims · 1.1%

Your Cost: $41.66/claim|Median: $46.72
0.9× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$148K

3,805 claims · 0.6%

Your Cost: $38.81/claim|Median: $35.30
1.1× median
B4158Normal range

$113K

595 claims · 0.4%

Your Cost: $190.14/claim|Median: $145.71
1.3× median
B4154Top 10%

$113K

287 claims · 0.4%

Your Cost: $393.16/claim|Median: $132.96
3.0× median
B4034Top 25%

$88K

1,064 claims · 0.3%

Your Cost: $82.59/claim|Median: $46.28
1.8× median
A7030Normal range

Full face mask for CPAP device

$86K

1,445 claims · 0.3%

Your Cost: $59.75/claim|Median: $56.36
1.1× median
A4221Top 10%

Supplies for maintenance of drug infusion catheter

$65K

1,292 claims · 0.2%

Your Cost: $50.08/claim|Median: $16.19
3.1× median
S9338Normal range

$63K

962 claims · 0.2%

Your Cost: $65.36/claim|Median: $60.83
1.1× median
99601Normal range

$56K

574 claims · 0.2%

Your Cost: $97.95/claim|Median: $82.41
1.2× median
E0562Top 25%

Humidifier, heated, used with positive airway pressure device

$50K

1,060 claims · 0.2%

Your Cost: $47.05/claim|Median: $18.68
2.5× median
A7031Normal range

$44K

2,102 claims · 0.2%

Your Cost: $21.01/claim|Median: $25.17
0.8× median
E0570Normal range

Nebulizer, with compressor

$43K

1,777 claims · 0.2%

Your Cost: $24.11/claim|Median: $16.16
1.5× median
B9002Top 5%

$31K

60 claims · 0.1%

Your Cost: $516.51/claim|Median: $54.41
9.5× median
S9341Normal range

$29K

121 claims · 0.1%

Your Cost: $239.31/claim|Median: $142.63
1.7× median
E0431Top 25%

Portable gaseous oxygen system, rental

$26K

1,444 claims · 0.1%

Your Cost: $17.75/claim|Median: $10.37
1.7× median
A7035Normal range

$21K

1,692 claims · 0.1%

Your Cost: $12.44/claim|Median: $13.01
1.0× median
A7034Normal range

$15K

506 claims · 0.1%

Your Cost: $30.23/claim|Median: $35.90
0.8× median
A7037Normal range

$11K

1,044 claims · 0.0%

Your Cost: $10.50/claim|Median: $10.56
1.0× median
B4082Normal range

$11K

406 claims · 0.0%

Your Cost: $25.93/claim|Median: $28.33
0.9× median
A4604Normal range

$10K

742 claims · 0.0%

Your Cost: $13.40/claim|Median: $22.01
0.6× median
A7038Normal range

$9K

4,122 claims · 0.0%

Your Cost: $2.30/claim|Median: $3.53
0.7× median
A7032Normal range

$7K

414 claims · 0.0%

Your Cost: $17.40/claim|Median: $25.48
0.7× median
B4100Normal range

$5K

237 claims · 0.0%

Your Cost: $22.95/claim|Median: $67.58
0.3× median
B4087Normal range

$4K

127 claims · 0.0%

Your Cost: $27.97/claim|Median: $25.27
1.1× median
A7046Normal range

Water collection device for humidifier, each

$3K

452 claims · 0.0%

Your Cost: $5.86/claim|Median: $6.86
0.9× median
A7039Normal range

$418

121 claims · 0.0%

Your Cost: $3.46/claim|Median: $4.54
0.8× median
A7003Normal range

Administration set for nebulizer, with small volume

$213

104 claims · 0.0%

Your Cost: $2.05/claim|Median: $1.48
1.4× median
A7033Normal range

$204

12 claims · 0.0%

Your Cost: $17.02/claim|Median: $20.57
0.8× median
A4245Normal range

$22

13 claims · 0.0%

Your Cost: $1.66/claim|Median: $2.33
0.7× median