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CAREMARK, L.L.C.

Pharmacy, Specialty Pharmacy·REDLANDS, CA·NPI: 1013998921Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$19.9M

$19,874,171

Total Claims

15K

Beneficiaries

12K

1.3 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+30%
2019
$2.6M
+22%
2020
$3.1M
+63%
2021
$5.1M
-41%
2022
$3.0M
-20%
2023
$2.4M
-31%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (J3285) accounts for 45% of total spending.

J3285Normal range

$8.9M

2,816 claims · 44.9%

Your Cost: $3,169.29/claim|Median: $4,178.96
0.8× median
J7298Top 25%

$2.8M

2,905 claims · 14.0%

Your Cost: $956.15/claim|Median: $751.11
1.3× median
J7307Top 25%

Etonogestrel implant system, including implant and supplies

$1.7M

1,701 claims · 8.7%

Your Cost: $1,020.53/claim|Median: $786.43
1.3× median
J2357Top 25%

Injection, omalizumab, 5 mg

$1.5M

814 claims · 7.7%

Your Cost: $1,868.22/claim|Median: $920.37
2.0× median
Z5999Top 1%

$1.5M

51 claims · 7.4%

Your Cost: $28,938.41/claim|Median: $373.86
77.4× median
90378Top 25%

$1.4M

536 claims · 7.3%

Your Cost: $2,689.97/claim|Median: $1,627.19
1.7× median
S9347Top 1%

$674K

665 claims · 3.4%

Your Cost: $1,012.87/claim|Median: $265.52
3.8× median
J1726Top 25%

$384K

182 claims · 1.9%

Your Cost: $2,108.67/claim|Median: $789.74
2.7× median
J0135Normal range

Injection, adalimumab, twenty milligrams

$334K

368 claims · 1.7%

Your Cost: $906.91/claim|Median: $2,044.06
0.4× median
J3590Top 25%

Unclassified biologic drug injection

$202K

307 claims · 1.0%

Your Cost: $659.33/claim|Median: $24.77
26.6× median
A4222Normal range

$125K

1,131 claims · 0.6%

Your Cost: $110.85/claim|Median: $62.70
1.8× median
J1438Normal range

$76K

122 claims · 0.4%

Your Cost: $625.77/claim|Median: $1,184.84
0.5× median
A4221Top 5%

Supplies for maintenance of drug infusion catheter

$67K

1,087 claims · 0.3%

Your Cost: $61.97/claim|Median: $16.19
3.8× median
J7192Normal range

Factor VIII (recombinant antihemophilic factor), per IU

$65K

25 claims · 0.3%

Your Cost: $2,596.28/claim|Median: $8,137.49
0.3× median
J0585Top 5%

Injection, onabotulinumtoxinA, 1 unit

$35K

27 claims · 0.2%

Your Cost: $1,281.08/claim|Median: $470.36
2.7× median
K0455Normal range

$16K

703 claims · 0.1%

Your Cost: $22.17/claim|Median: $27.80
0.8× median
J7296Normal range

Levonorgestrel intrauterine contraceptive system insertion

$11K

12 claims · 0.1%

Your Cost: $902.47/claim|Median: $860.31
1.0× median
J3490Normal range

Unclassified drugs

$5K

458 claims · 0.0%

Your Cost: $11.26/claim|Median: $5.70
2.0× median
S5000Normal range

Prescription drug, generic

$3K

120 claims · 0.0%

Your Cost: $22.63/claim|Median: $7.47
3.0× median
Q0512Normal range

$453

400 claims · 0.0%

Your Cost: $1.13/claim|Median: $1.14
1.0× median
Q0511Normal range

$378

130 claims · 0.0%

Your Cost: $2.91/claim|Median: $2.11
1.4× median
J7507Normal range

Tacrolimus, immediate release, oral, per milligram

$327

51 claims · 0.0%

Your Cost: $6.41/claim|Median: $7.69
0.8× median

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$1.73B

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$1.13B

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