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BENZER CO 1 LLC

Pharmacy, Community/Retail Pharmacy·BYERS, CO·NPI: 1043317969Share
Active Billing Period:2018-01→2024-12(81 months)

Total Paid

$52.9M

$52,945,717

Total Claims

117K

Beneficiaries

71K

1.6 claims/patient

Avg Cost/Claim

$451

Monthly Spending Trend

Yearly Spending

2018
$939K
+168%
2019
$2.5M
+27%
2020
$3.2M
+106%
2021
$6.6M
+74%
2022
$11.5M
+35%
2023
$15.5M
-19%
2024
$12.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (A9274 (External ambulatory insulin delivery system, disposable)) accounts for 42% of total spending.

A9274Top 5%

External ambulatory insulin delivery system, disposable

$22.3M

13K claims · 42.1%

Your Cost: $1,742.94/claim|Median: $466.16
3.7× median
K0553Top 1%

Supply allowance for therapeutic CGM, per month

$12.2M

19K claims · 23.1%

Your Cost: $629.11/claim|Median: $53.20
11.8× median
A4239Top 25%

Supply allowance for non-insulin pump CGM, per month

$12.0M

64K claims · 22.7%

Your Cost: $186.21/claim|Median: $73.75
2.5× median
A9276Top 5%

Breath test analyzer, FDA approved, disposable

$1.9M

1,943 claims · 3.7%

Your Cost: $1,001.46/claim|Median: $294.58
3.4× median
A4230Top 1%

Infusion supplies, non-chemotherapy, per visit

$1.4M

2,524 claims · 2.6%

Your Cost: $551.37/claim|Median: $136.09
4.1× median
E0784Top 10%

External ambulatory infusion pump, insulin

$1.0M

286 claims · 1.9%

Your Cost: $3,607.58/claim|Median: $1,188.30
3.0× median
K0554Top 25%

$771K

3,748 claims · 1.5%

Your Cost: $205.65/claim|Median: $77.38
2.7× median
A9277Normal range

Breath alcohol test, per administration

$453K

1,855 claims · 0.9%

Your Cost: $244.20/claim|Median: $407.76
0.6× median
A4232Top 1%

$394K

2,519 claims · 0.7%

Your Cost: $156.41/claim|Median: $34.49
4.5× median
E2103Normal range

$276K

1,723 claims · 0.5%

Your Cost: $160.00/claim|Median: $85.49
1.9× median
A9278Normal range

$105K

299 claims · 0.2%

Your Cost: $351.37/claim|Median: $366.50
1.0× median
A5120Top 25%

$20K

1,855 claims · 0.0%

Your Cost: $10.53/claim|Median: $6.35
1.7× median
A4456Top 25%

$19K

1,835 claims · 0.0%

Your Cost: $10.52/claim|Median: $6.74
1.6× median
A4245Top 25%

$13K

1,809 claims · 0.0%

Your Cost: $7.34/claim|Median: $2.33
3.2× median
A6258Top 10%

$8K

72 claims · 0.0%

Your Cost: $114.04/claim|Median: $28.94
3.9× median
A4253Normal range

Blood glucose test strips

$2K

89 claims · 0.0%

Your Cost: $22.15/claim|Median: $6.92
3.2× median

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