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CAREMARK, L.L.C.

Pharmacy, Specialty Pharmacy·MT PROSPECT, IL·NPI: 1134100134Share
Active Billing Period:2018-01→2024-10(80 months)

Total Paid

$34.1M

$34,076,853

Total Claims

23K

Beneficiaries

16K

1.4 claims/patient

Avg Cost/Claim

$2K

Monthly Spending Trend

Yearly Spending

2018
$11.6M
-3%
2019
$11.3M
-69%
2020
$3.5M
-3%
2021
$3.4M
-17%
2022
$2.8M
-61%
2023
$1.1M
-64%
2024
$391K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90378) accounts for 25% of total spending.

90378Top 25%

$8.4M

3,057 claims · 24.6%

Your Cost: $2,745.16/claim|Median: $1,627.19
1.7× median
J2357Top 10%

Injection, omalizumab, 5 mg

$6.8M

2,782 claims · 20.0%

Your Cost: $2,454.83/claim|Median: $920.37
2.7× median
J1726Top 25%

$3.8M

1,674 claims · 11.1%

Your Cost: $2,251.25/claim|Median: $789.74
2.9× median
J3285Normal range

$3.5M

1,906 claims · 10.3%

Your Cost: $1,846.73/claim|Median: $4,178.96
0.4× median
J7298Top 25%

$2.6M

2,617 claims · 7.5%

Your Cost: $982.97/claim|Median: $751.11
1.3× median
J3357Normal range

Ustekinumab (Stelara) injection, 1 mg

$2.1M

154 claims · 6.2%

Your Cost: $13,760.42/claim|Median: $14,026.53
1.0× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$1.6M

2,055 claims · 4.8%

Your Cost: $799.65/claim|Median: $786.43
1.0× median
J2182Top 25%

Injection, mepolizumab, one milligram

$1.3M

446 claims · 3.8%

Your Cost: $2,879.84/claim|Median: $1,614.23
1.8× median
J0585Top 10%

Injection, onabotulinumtoxinA, 1 unit

$1.1M

971 claims · 3.3%

Your Cost: $1,169.11/claim|Median: $470.36
2.5× median
J1559Top 5%

$959K

390 claims · 2.8%

Your Cost: $2,458.82/claim|Median: $811.35
3.0× median
J1950Top 25%

Injection, leuprolide acetate, per three point seven five milligrams

$504K

197 claims · 1.5%

Your Cost: $2,556.62/claim|Median: $1,442.37
1.8× median
J0517Top 25%

Injection, benralizumab, one milligram

$458K

103 claims · 1.3%

Your Cost: $4,442.25/claim|Median: $2,255.19
2.0× median
A4222Top 10%

$400K

1,580 claims · 1.2%

Your Cost: $253.39/claim|Median: $62.70
4.0× median
99601Top 5%

$155K

755 claims · 0.5%

Your Cost: $205.23/claim|Median: $82.41
2.5× median
J3590Top 10%

Unclassified biologic drug injection

$70K

30 claims · 0.2%

Your Cost: $2,346.41/claim|Median: $24.77
94.7× median
J7321Top 5%

Hyaluronan injection for knee joint supplement

$56K

153 claims · 0.2%

Your Cost: $366.54/claim|Median: $24.72
14.8× median
J7296Normal range

Levonorgestrel intrauterine contraceptive system insertion

$51K

59 claims · 0.1%

Your Cost: $860.31/claim|Median: $860.31
1.0× median
J7318Top 25%

$36K

37 claims · 0.1%

Your Cost: $971.10/claim|Median: $505.91
1.9× median
J7326Normal range

$31K

35 claims · 0.1%

Your Cost: $874.62/claim|Median: $997.91
0.9× median
99602Top 5%

$26K

117 claims · 0.1%

Your Cost: $220.00/claim|Median: $84.91
2.6× median
J3490Top 5%

Unclassified drugs

$25K

82 claims · 0.1%

Your Cost: $304.32/claim|Median: $5.70
53.4× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$19K

1,244 claims · 0.1%

Your Cost: $14.95/claim|Median: $16.19
0.9× median
K0455Normal range

$14K

529 claims · 0.0%

Your Cost: $25.60/claim|Median: $27.80
0.9× median
S9379Normal range

$3K

77 claims · 0.0%

Your Cost: $37.44/claim|Median: $70.89
0.5× median
J7507Normal range

Tacrolimus, immediate release, oral, per milligram

$3K

620 claims · 0.0%

Your Cost: $4.48/claim|Median: $7.69
0.6× median
J7518Normal range

$2K

56 claims · 0.0%

Your Cost: $39.53/claim|Median: $34.13
1.2× median
E0781Normal range

$2K

108 claims · 0.0%

Your Cost: $15.63/claim|Median: $54.38
0.3× median
Q0512Normal range

$879

769 claims · 0.0%

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

$145

45 claims · 0.0%

Your Cost: $3.23/claim|Median: $2.11
1.5× median
J0171Normal range

Injection, adrenalin (epinephrine), per milliliter

$10

16 claims · 0.0%

Your Cost: $0.63/claim|Median: $1.91
0.3× median

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