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DIABETES MANAGEMENT AND SUPPLIES

Pharmacy·NEW ORLEANS, LA·NPI: 1164537452Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$55.0M

$54,984,943

Total Claims

178K

Beneficiaries

146K

1.2 claims/patient

Avg Cost/Claim

$309

Monthly Spending Trend

Yearly Spending

2018
$5.8M
+24%
2019
$7.2M
+19%
2020
$8.5M
+7%
2021
$9.1M
+28%
2022
$11.6M
-0%
2023
$11.6M
-88%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (A9276 (Breath test analyzer, FDA approved, disposable)) accounts for 37% of total spending.

A9276Top 25%

Breath test analyzer, FDA approved, disposable

$20.2M

43K claims · 36.7%

Your Cost: $470.79/claim|Median: $294.58
1.6× median
A9274Top 10%

External ambulatory insulin delivery system, disposable

$13.3M

13K claims · 24.2%

Your Cost: $997.07/claim|Median: $466.16
2.1× median
A4230Top 10%

Infusion supplies, non-chemotherapy, per visit

$5.4M

18K claims · 9.9%

Your Cost: $306.49/claim|Median: $136.09
2.3× median
E0784Normal range

External ambulatory infusion pump, insulin

$5.2M

10K claims · 9.4%

Your Cost: $494.69/claim|Median: $1,188.30
0.4× median
A9277Normal range

Breath alcohol test, per administration

$4.8M

12K claims · 8.8%

Your Cost: $400.31/claim|Median: $407.76
1.0× median
A9278Normal range

$2.2M

5,978 claims · 4.0%

Your Cost: $366.42/claim|Median: $366.50
1.0× median
A4239Normal range

Supply allowance for non-insulin pump CGM, per month

$737K

10K claims · 1.3%

Your Cost: $72.90/claim|Median: $73.75
1.0× median
K0553Normal range

Supply allowance for therapeutic CGM, per month

$657K

15K claims · 1.2%

Your Cost: $45.17/claim|Median: $53.20
0.8× median
A4225Normal range

$643K

25K claims · 1.2%

Your Cost: $26.16/claim|Median: $22.71
1.2× median
A4222Top 5%

$592K

1,362 claims · 1.1%

Your Cost: $434.80/claim|Median: $62.70
6.9× median
A6257Top 5%

$241K

3,606 claims · 0.4%

Your Cost: $66.92/claim|Median: $10.48
6.4× median
A4231Top 5%

$231K

974 claims · 0.4%

Your Cost: $237.60/claim|Median: $93.81
2.5× median
A4224Normal range

$231K

8,332 claims · 0.4%

Your Cost: $27.69/claim|Median: $33.51
0.8× median
A9999Top 5%

$225K

289 claims · 0.4%

Your Cost: $778.45/claim|Median: $39.73
19.6× median
E0787Top 1%

$134K

125 claims · 0.2%

Your Cost: $1,075.52/claim|Median: $547.44
2.0× median
A4232Normal range

$47K

4,090 claims · 0.1%

Your Cost: $11.44/claim|Median: $34.49
0.3× median
A5120Normal range

$33K

4,720 claims · 0.1%

Your Cost: $7.00/claim|Median: $6.35
1.1× median
K0554Normal range

$32K

970 claims · 0.1%

Your Cost: $33.31/claim|Median: $77.38
0.4× median
A4253Top 25%

Blood glucose test strips

$24K

591 claims · 0.0%

Your Cost: $41.08/claim|Median: $6.92
5.9× median
E2103Normal range

$14K

364 claims · 0.0%

Your Cost: $39.31/claim|Median: $85.49
0.5× median
A4238Normal range

$12K

431 claims · 0.0%

Your Cost: $27.92/claim|Median: $143.28
0.2× median
A5500Top 25%

Diabetic therapeutic shoe, depth, each

$11K

164 claims · 0.0%

Your Cost: $64.51/claim|Median: $33.21
1.9× median
K0552Top 25%

$10K

327 claims · 0.0%

Your Cost: $31.19/claim|Median: $19.78
1.6× median
A5512Normal range

Diabetic shoe insert, custom molded, each

$3K

111 claims · 0.0%

Your Cost: $27.26/claim|Median: $24.01
1.1× median
A4259Normal range

Lancets for blood glucose testing

$97

16 claims · 0.0%

Your Cost: $6.03/claim|Median: $2.27
2.7× median

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$208.1M

Our Lady of the Lake Hospital Inc.

General Acute Care Hospital

$205.7M

Ochsner Clinic Foundation

General Acute Care Hospital

$167.0M

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