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GEISINGER PHARMACY LLC

Pharmacy·DANVILLE, PA·NPI: 1134175581Share
Active Billing Period:2018-01→2024-12(76 months)

Total Paid

$26.7M

$26,675,018

Total Claims

77K

Beneficiaries

55K

1.4 claims/patient

Avg Cost/Claim

$345

Monthly Spending Trend

Yearly Spending

2018
$28K
+581%
2019
$189K
+458%
2020
$1.1M
+396%
2021
$5.2M
+12%
2022
$5.9M
+22%
2023
$7.1M
-0%
2024
$7.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 33 distinct procedure codes. The top code (S9342 (Home infusion therapy, continuous or intermittent, per diem)) accounts for 44% of total spending.

S9342Top 5%

Home infusion therapy, continuous or intermittent, per diem

$11.7M

15K claims · 43.9%

Your Cost: $775.92/claim|Median: $176.25
4.4× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$2.3M

5,343 claims · 8.6%

Your Cost: $429.94/claim|Median: $465.86
0.9× median
S9343Top 5%

$2.2M

3,629 claims · 8.1%

Your Cost: $598.62/claim|Median: $99.47
6.0× median
B4160Normal range

Enteral formula, per 100 calories

$1.6M

12K claims · 6.2%

Your Cost: $140.76/claim|Median: $157.30
0.9× median
S9502Top 5%

$1.4M

2,248 claims · 5.4%

Your Cost: $637.50/claim|Median: $165.71
3.8× median
S9500Top 25%

$1.0M

3,251 claims · 3.8%

Your Cost: $312.68/claim|Median: $144.40
2.2× median
B4153Normal range

$833K

1,938 claims · 3.1%

Your Cost: $430.00/claim|Median: $410.73
1.0× median
S9330Top 10%

$671K

2,498 claims · 2.5%

Your Cost: $268.46/claim|Median: $113.82
2.4× median
S9338Top 1%

$517K

1,611 claims · 1.9%

Your Cost: $320.77/claim|Median: $60.83
5.3× median
S9341Top 1%

$506K

768 claims · 1.9%

Your Cost: $658.74/claim|Median: $142.63
4.6× median
B4155Top 10%

$506K

1,975 claims · 1.9%

Your Cost: $255.99/claim|Median: $46.72
5.5× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$447K

4,195 claims · 1.7%

Your Cost: $106.45/claim|Median: $92.20
1.2× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$426K

1,366 claims · 1.6%

Your Cost: $312.21/claim|Median: $300.16
1.0× median
99601Top 25%

$416K

3,728 claims · 1.6%

Your Cost: $111.64/claim|Median: $82.41
1.4× median
B4088Normal range

$318K

3,027 claims · 1.2%

Your Cost: $105.10/claim|Median: $73.20
1.4× median
99602Top 25%

$291K

2,165 claims · 1.1%

Your Cost: $134.33/claim|Median: $84.91
1.6× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$290K

2,421 claims · 1.1%

Your Cost: $119.96/claim|Median: $89.79
1.3× median
S9379Top 25%

$270K

1,829 claims · 1.0%

Your Cost: $147.64/claim|Median: $70.89
2.1× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$246K

1,971 claims · 0.9%

Your Cost: $125.02/claim|Median: $117.24
1.1× median
B4154Normal range

$178K

910 claims · 0.7%

Your Cost: $195.54/claim|Median: $132.96
1.5× median
S9359Top 10%

$112K

844 claims · 0.4%

Your Cost: $133.05/claim|Median: $62.59
2.1× median
S9374Normal range

$102K

737 claims · 0.4%

Your Cost: $138.34/claim|Median: $136.10
1.0× median
S9501Top 5%

$72K

113 claims · 0.3%

Your Cost: $636.47/claim|Median: $160.52
4.0× median
B4102Normal range

$57K

896 claims · 0.2%

Your Cost: $63.41/claim|Median: $65.22
1.0× median
B4103Normal range

$48K

526 claims · 0.2%

Your Cost: $90.96/claim|Median: $82.54
1.1× median
B4034Normal range

$41K

593 claims · 0.2%

Your Cost: $69.12/claim|Median: $46.28
1.5× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$15K

1,360 claims · 0.1%

Your Cost: $10.80/claim|Median: $16.19
0.7× median
A4222Normal range

$14K

263 claims · 0.1%

Your Cost: $54.23/claim|Median: $62.70
0.9× median
S9542Top 10%

$6K

35 claims · 0.0%

Your Cost: $182.21/claim|Median: $43.71
4.2× median
B4104Normal range

$6K

246 claims · 0.0%

Your Cost: $25.04/claim|Median: $72.05
0.3× median
B4158Normal range

$3K

17 claims · 0.0%

Your Cost: $184.92/claim|Median: $145.71
1.3× median
A4223Normal range

$2K

34 claims · 0.0%

Your Cost: $71.95/claim|Median: $60.92
1.2× median
B9002Normal range

$2K

36 claims · 0.0%

Your Cost: $51.47/claim|Median: $54.41
0.9× median

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