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GEORGE'S FAMILY PHARMACY INC

Pharmacy·BROOKVILLE, IN·NPI: 1053314021Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$24.3M

$24,338,058

Total Claims

337K

Beneficiaries

220K

1.5 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+15%
2019
$2.3M
+50%
2020
$3.4M
+24%
2021
$4.3M
+2%
2022
$4.3M
+2%
2023
$4.5M
-19%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T2029 (Specialized transportation, waiver, per mile, extra)) accounts for 14% of total spending.

T2029Normal range

Specialized transportation, waiver, per mile, extra

$3.4M

69K claims · 14.1%

Your Cost: $50.08/claim|Median: $141.34
0.4× median
S5165Normal range

Home modifications, per service

$3.2M

35K claims · 13.0%

Your Cost: $89.18/claim|Median: $2,196.32
0.0× median
J2426Top 5%

$2.2M

712 claims · 9.2%

Your Cost: $3,148.69/claim|Median: $625.59
5.0× median
E0260Top 1%

Hospital bed, semi-electric

$1.8M

5,280 claims · 7.4%

Your Cost: $342.01/claim|Median: $23.07
14.8× median
E1090Top 25%

$1.5M

3,380 claims · 6.3%

Your Cost: $454.82/claim|Median: $21.38
21.3× median
E1390Normal range

Oxygen concentrator, single delivery port

$1.1M

26K claims · 4.7%

Your Cost: $44.39/claim|Median: $45.11
1.0× median
E0627Top 25%

$1.1M

6,779 claims · 4.4%

Your Cost: $159.71/claim|Median: $69.41
2.3× median
E0635Top 5%

$972K

2,486 claims · 4.0%

Your Cost: $391.14/claim|Median: $67.94
5.8× median
J0401Top 1%

$970K

437 claims · 4.0%

Your Cost: $2,219.78/claim|Median: $714.38
3.1× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$648K

7,583 claims · 2.7%

Your Cost: $85.48/claim|Median: $89.79
1.0× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$492K

12K claims · 2.0%

Your Cost: $40.18/claim|Median: $35.30
1.1× median
E0303Top 1%

$394K

454 claims · 1.6%

Your Cost: $868.18/claim|Median: $81.29
10.7× median
E0247Normal range

$321K

4,696 claims · 1.3%

Your Cost: $68.29/claim|Median: $75.27
0.9× median
E0973Normal range

$317K

4,226 claims · 1.3%

Your Cost: $75.09/claim|Median: $42.75
1.8× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$309K

2,926 claims · 1.3%

Your Cost: $105.74/claim|Median: $92.20
1.1× median
E1290Top 1%

$291K

842 claims · 1.2%

Your Cost: $345.56/claim|Median: $33.64
10.3× median
E1260Normal range

$275K

2,671 claims · 1.1%

Your Cost: $102.94/claim|Median: $114.27
0.9× median
B4154Top 10%

$255K

800 claims · 1.0%

Your Cost: $318.73/claim|Median: $132.96
2.4× median
E0240Top 25%

$250K

609 claims · 1.0%

Your Cost: $411.01/claim|Median: $62.75
6.5× median
A4239Top 10%

Supply allowance for non-insulin pump CGM, per month

$245K

1,065 claims · 1.0%

Your Cost: $230.10/claim|Median: $73.75
3.1× median
L7364Top 1%

$240K

554 claims · 1.0%

Your Cost: $433.64/claim|Median: $433.64
1.0× median
E0470Normal range

$231K

3,054 claims · 1.0%

Your Cost: $75.78/claim|Median: $81.45
0.9× median
E2611Top 25%

General wheelchair seat cushion, width less than twenty-two inches

$220K

2,014 claims · 0.9%

Your Cost: $109.43/claim|Median: $61.71
1.8× median
E0185Top 25%

$218K

2,765 claims · 0.9%

Your Cost: $78.79/claim|Median: $38.42
2.1× median
E2603Normal range

$168K

1,878 claims · 0.7%

Your Cost: $89.55/claim|Median: $73.24
1.2× median
E1240Top 10%

$156K

1,050 claims · 0.6%

Your Cost: $148.78/claim|Median: $44.60
3.3× median
E2201Top 25%

$156K

853 claims · 0.6%

Your Cost: $182.52/claim|Median: $19.07
9.6× median
E0570Normal range

Nebulizer, with compressor

$148K

9,426 claims · 0.6%

Your Cost: $15.73/claim|Median: $16.16
1.0× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$130K

5,849 claims · 0.5%

Your Cost: $22.19/claim|Median: $18.68
1.2× median
E0971Normal range

$123K

3,538 claims · 0.5%

Your Cost: $34.73/claim|Median: $13.46
2.6× median
E0294Normal range

$114K

4,823 claims · 0.5%

Your Cost: $23.54/claim|Median: $30.10
0.8× median
L7366Normal range

$113K

387 claims · 0.5%

Your Cost: $291.82/claim|Median: $414.53
0.7× median
E1250Normal range

$110K

1,212 claims · 0.5%

Your Cost: $90.51/claim|Median: $90.51
1.0× median
E0431Normal range

Portable gaseous oxygen system, rental

$108K

13K claims · 0.4%

Your Cost: $8.24/claim|Median: $10.37
0.8× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$103K

695 claims · 0.4%

Your Cost: $147.55/claim|Median: $117.24
1.3× median
E0135Normal range

$101K

4,522 claims · 0.4%

Your Cost: $22.41/claim|Median: $30.33
0.7× median
A7030Normal range

Full face mask for CPAP device

$100K

1,791 claims · 0.4%

Your Cost: $55.75/claim|Median: $56.36
1.0× median
E0244Top 25%

$96K

1,889 claims · 0.4%

Your Cost: $50.63/claim|Median: $32.11
1.6× median
E0149Top 25%

$90K

2,804 claims · 0.4%

Your Cost: $32.24/claim|Median: $17.18
1.9× median
A4604Normal range

$89K

3,721 claims · 0.4%

Your Cost: $23.80/claim|Median: $22.01
1.1× median
E1399Top 25%

Durable medical equipment, miscellaneous

$78K

70 claims · 0.3%

Your Cost: $1,112.81/claim|Median: $104.06
10.7× median
E2366Normal range

$73K

603 claims · 0.3%

Your Cost: $120.99/claim|Median: $86.49
1.4× median
E0443Normal range

$67K

2,614 claims · 0.3%

Your Cost: $25.76/claim|Median: $12.89
2.0× median
E0159Top 25%

$60K

5,043 claims · 0.2%

Your Cost: $11.89/claim|Median: $6.69
1.8× median
E0165Top 25%

$60K

1,752 claims · 0.2%

Your Cost: $33.97/claim|Median: $12.56
2.7× median
E0305Normal range

$50K

5,203 claims · 0.2%

Your Cost: $9.68/claim|Median: $8.35
1.2× median
A7031Normal range

$50K

2,437 claims · 0.2%

Your Cost: $20.41/claim|Median: $25.17
0.8× median
E0155Normal range

$50K

4,072 claims · 0.2%

Your Cost: $12.16/claim|Median: $12.82
0.9× median
E0156Normal range

$43K

5,339 claims · 0.2%

Your Cost: $8.10/claim|Median: $7.15
1.1× median
E1392Normal range

$42K

2,571 claims · 0.2%

Your Cost: $16.44/claim|Median: $10.81
1.5× median