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OPTUM PHARMACY 702, LLC

Pharmacy, Community/Retail Pharmacy·JEFFERSONVILLE, IN·NPI: 1083045140Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$55.1M

$55,063,738

Total Claims

37K

Beneficiaries

31K

1.2 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2018
$4.0M
+62%
2019
$6.5M
+16%
2020
$7.5M
+34%
2021
$10.0M
-3%
2022
$9.7M
+0%
2023
$9.7M
-20%
2024
$7.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (J0585 (Injection, onabotulinumtoxinA, 1 unit)) accounts for 37% of total spending.

J0585Top 10%

Injection, onabotulinumtoxinA, 1 unit

$20.5M

16K claims · 37.2%

Your Cost: $1,248.30/claim|Median: $470.36
2.7× median
Q9992Normal range

$5.9M

4,161 claims · 10.7%

Your Cost: $1,418.08/claim|Median: $1,537.34
0.9× median
J1726Top 25%

$5.3M

2,321 claims · 9.7%

Your Cost: $2,291.28/claim|Median: $789.74
2.9× median
J2357Top 25%

Injection, omalizumab, 5 mg

$5.0M

2,328 claims · 9.0%

Your Cost: $2,127.94/claim|Median: $920.37
2.3× median
Q9991Normal range

$4.9M

3,364 claims · 8.9%

Your Cost: $1,464.17/claim|Median: $1,554.42
0.9× median
J2315Top 25%

$4.4M

3,410 claims · 8.0%

Your Cost: $1,295.36/claim|Median: $1,045.36
1.2× median
J2323Top 25%

Injection, natalizumab, one milligram

$2.0M

361 claims · 3.7%

Your Cost: $5,590.86/claim|Median: $2,797.07
2.0× median
J2182Normal range

Injection, mepolizumab, one milligram

$2.0M

831 claims · 3.6%

Your Cost: $2,389.72/claim|Median: $1,614.23
1.5× median
J0517Top 25%

Injection, benralizumab, one milligram

$1.7M

386 claims · 3.1%

Your Cost: $4,359.49/claim|Median: $2,255.19
1.9× median
J7323Top 5%

$1.0M

912 claims · 1.9%

Your Cost: $1,143.35/claim|Median: $101.00
11.3× median
J7318Top 10%

$785K

658 claims · 1.4%

Your Cost: $1,193.72/claim|Median: $505.91
2.4× median
J0897Top 25%

Injection, denosumab, one milligram

$745K

582 claims · 1.4%

Your Cost: $1,279.81/claim|Median: $493.25
2.6× median
Q5103Top 10%

$411K

141 claims · 0.7%

Your Cost: $2,916.63/claim|Median: $1,075.28
2.7× median
J2356Top 25%

$232K

78 claims · 0.4%

Your Cost: $2,970.82/claim|Median: $1,828.61
1.6× median
J7328Top 1%

$105K

80 claims · 0.2%

Your Cost: $1,306.44/claim|Median: $110.79
11.8× median
J3490Top 1%

Unclassified drugs

$59K

61 claims · 0.1%

Your Cost: $960.64/claim|Median: $5.70
168.5× median
90378Normal range

$8K

101 claims · 0.0%

Your Cost: $83.23/claim|Median: $1,627.19
0.1× median
J7507Normal range

Tacrolimus, immediate release, oral, per milligram

$905

254 claims · 0.0%

Your Cost: $3.56/claim|Median: $7.69
0.5× median
Q0511Normal range

$624

453 claims · 0.0%

Your Cost: $1.38/claim|Median: $2.11
0.7× median
S5000Normal range

Prescription drug, generic

$338

61 claims · 0.0%

Your Cost: $5.54/claim|Median: $7.47
0.7× median
Q0512Normal range

$173

412 claims · 0.0%

Your Cost: $0.42/claim|Median: $1.14
0.4× median

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