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BEST OPTION HEALTHCARE PUERTO RICO LLC

Pharmacy, Home Infusion Therapy Pharmacy·SAN JUAN, PR·NPI: 1164421822Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$41.5M

$41,490,794

Total Claims

279K

Beneficiaries

51K

5.5 claims/patient

Avg Cost/Claim

$149

Monthly Spending Trend

Yearly Spending

2018
$6.1M
+131%
2019
$14.0M
-74%
2020
$3.6M
-1%
2021
$3.6M
+1%
2022
$3.6M
+19%
2023
$4.3M
+47%
2024
$6.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (S9097 (Home visit for wound care)) accounts for 21% of total spending.

S9097Normal range

Home visit for wound care

$8.7M

111K claims · 20.9%

Your Cost: $78.19/claim|Median: $65.67
1.2× median
97602Normal range

$6.3M

72K claims · 15.2%

Your Cost: $87.08/claim|Median: $51.00
1.7× median
J9035Top 5%

Injection, bevacizumab, 10 mg

$5.4M

1,317 claims · 13.1%

Your Cost: $4,133.06/claim|Median: $43.71
94.6× median
J9355Top 25%

Injection, trastuzumab, ten milligrams

$3.7M

842 claims · 8.8%

Your Cost: $4,360.58/claim|Median: $1,942.13
2.2× median
T1030Top 25%

Nursing care, in the home, by RN, per diem

$2.5M

23K claims · 6.1%

Your Cost: $110.04/claim|Median: $85.62
1.3× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$2.2M

20K claims · 5.4%

Your Cost: $111.74/claim|Median: $54.77
2.0× median
J9299Normal range

Nivolumab (Opdivo) injection, 1 mg

$2.2M

628 claims · 5.4%

Your Cost: $3,562.10/claim|Median: $3,562.28
1.0× median
J9306Normal range

Injection, pertuzumab, one milligram

$1.8M

417 claims · 4.3%

Your Cost: $4,274.71/claim|Median: $3,571.19
1.2× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$1.1M

266 claims · 2.7%

Your Cost: $4,241.73/claim|Median: $5,391.55
0.8× median
J9312Normal range

$1.1M

276 claims · 2.7%

Your Cost: $3,988.96/claim|Median: $2,705.30
1.5× median
E2402Normal range

Wheelchair, negative pressure wound therapy, electrical pump

$1.1M

1,804 claims · 2.5%

Your Cost: $585.39/claim|Median: $362.35
1.6× median
S9494Normal range

$1.0M

11K claims · 2.5%

Your Cost: $96.65/claim|Median: $169.66
0.6× median
J1335Top 25%

$820K

1,648 claims · 2.0%

Your Cost: $497.35/claim|Median: $100.54
4.9× median
S9131Top 25%

Physical therapy, in the home, per diem

$723K

6,438 claims · 1.7%

Your Cost: $112.35/claim|Median: $90.35
1.2× median
J9395Top 5%

Injection, fulvestrant, twenty-five milligrams

$482K

311 claims · 1.2%

Your Cost: $1,549.43/claim|Median: $367.29
4.2× median
T1001Normal range

Nursing assessment/evaluation, per visit

$426K

6,153 claims · 1.0%

Your Cost: $69.30/claim|Median: $49.05
1.4× median
J9310Top 5%

$380K

77 claims · 0.9%

Your Cost: $4,930.59/claim|Median: $2,163.51
2.3× median
J0878Top 10%

$302K

564 claims · 0.7%

Your Cost: $535.92/claim|Median: $130.03
4.1× median
J0897Top 5%

Injection, denosumab, one milligram

$203K

114 claims · 0.5%

Your Cost: $1,783.87/claim|Median: $493.25
3.6× median
J9070Top 25%

$197K

478 claims · 0.5%

Your Cost: $411.32/claim|Median: $163.22
2.5× median
J0640Top 25%

$78K

1,298 claims · 0.2%

Your Cost: $59.91/claim|Median: $24.08
2.5× median
J9263Normal range

$70K

738 claims · 0.2%

Your Cost: $94.97/claim|Median: $28.73
3.3× median
S9129Top 25%

OT, in the home, per diem

$69K

602 claims · 0.2%

Your Cost: $115.44/claim|Median: $76.61
1.5× median
J3370Top 5%

$67K

652 claims · 0.2%

Your Cost: $102.73/claim|Median: $2.40
42.8× median
J3489Top 10%

Injection, zoledronic acid, one milligram

$59K

686 claims · 0.1%

Your Cost: $85.95/claim|Median: $24.58
3.5× median
M0223Normal range

$57K

463 claims · 0.1%

Your Cost: $122.19/claim|Median: $231.46
0.5× median
J0696Top 5%

$48K

1,058 claims · 0.1%

Your Cost: $45.49/claim|Median: $1.34
33.9× median
J9171Normal range

$47K

454 claims · 0.1%

Your Cost: $103.83/claim|Median: $97.17
1.1× median
G0157Normal range

Services of PT assistant in home health, per 15 min

$33K

444 claims · 0.1%

Your Cost: $74.83/claim|Median: $43.94
1.7× median
99600Normal range

Unlisted home visit service or procedure

$31K

480 claims · 0.1%

Your Cost: $63.55/claim|Median: $111.99
0.6× median
M0243Normal range

$28K

242 claims · 0.1%

Your Cost: $116.05/claim|Median: $215.21
0.5× median
J9267Top 25%

$26K

932 claims · 0.1%

Your Cost: $28.43/claim|Median: $13.72
2.1× median
J9045Normal range

$23K

778 claims · 0.1%

Your Cost: $29.62/claim|Median: $14.63
2.0× median
J9190Normal range

$21K

1,841 claims · 0.1%

Your Cost: $11.65/claim|Median: $9.86
1.2× median
J0692Top 5%

$18K

197 claims · 0.0%

Your Cost: $90.43/claim|Median: $2.04
44.3× median
J2185Top 25%

Injection, meropenem, one hundred milligrams

$13K

64 claims · 0.0%

Your Cost: $207.46/claim|Median: $105.00
2.0× median
S9379Normal range

$11K

289 claims · 0.0%

Your Cost: $37.65/claim|Median: $70.89
0.5× median
J9000Top 25%

$10K

423 claims · 0.0%

Your Cost: $24.59/claim|Median: $16.21
1.5× median
J2543Top 5%

$9K

64 claims · 0.0%

Your Cost: $137.28/claim|Median: $2.87
47.8× median
M0239Normal range

$8K

68 claims · 0.0%

Your Cost: $119.57/claim|Median: $98.17
1.2× median
J2405Normal range

Injection, ondansetron HCl, per one milligram

$6K

3,143 claims · 0.0%

Your Cost: $2.05/claim|Median: $0.58
3.5× median
M0245Normal range

$5K

39 claims · 0.0%

Your Cost: $115.38/claim|Median: $246.46
0.5× median
J9201Normal range

$4K

91 claims · 0.0%

Your Cost: $45.62/claim|Median: $24.45
1.9× median
M0247Normal range

$4K

53 claims · 0.0%

Your Cost: $72.64/claim|Median: $235.71
0.3× median
J9206Top 25%

$3K

78 claims · 0.0%

Your Cost: $40.87/claim|Median: $23.69
1.7× median
J9217Normal range

$1K

17 claims · 0.0%

Your Cost: $86.81/claim|Median: $211.50
0.4× median
97597Normal range

$1K

4,508 claims · 0.0%

Your Cost: $0.29/claim|Median: $21.22
0.0× median
J9060Normal range

$452

22 claims · 0.0%

Your Cost: $20.56/claim|Median: $13.42
1.5× median
J1100Top 25%

$450

320 claims · 0.0%

Your Cost: $1.41/claim|Median: $0.52
2.7× median
J1200Normal range

$323

299 claims · 0.0%

Your Cost: $1.08/claim|Median: $0.60
1.8× median

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