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NORTH COAST MEDICAL SUPPLY, LLC

Pharmacy, Mail Order Pharmacy·CARLSBAD, CA·NPI: 1245259282Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$67.3M

$67,254,588

Total Claims

711K

Beneficiaries

648K

1.1 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+143%
2019
$4.7M
+40%
2020
$6.6M
+59%
2021
$10.5M
-7%
2022
$9.7M
+49%
2023
$14.4M
+35%
2024
$19.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (A4239 (Supply allowance for non-insulin pump CGM, per month)) accounts for 37% of total spending.

A4239Normal range

Supply allowance for non-insulin pump CGM, per month

$24.9M

288K claims · 37.0%

Your Cost: $86.53/claim|Median: $73.75
1.2× median
K0553Normal range

Supply allowance for therapeutic CGM, per month

$10.9M

220K claims · 16.2%

Your Cost: $49.63/claim|Median: $53.20
0.9× median
A9276Top 25%

Breath test analyzer, FDA approved, disposable

$8.2M

21K claims · 12.3%

Your Cost: $386.91/claim|Median: $294.58
1.3× median
Z5999Normal range

$6.8M

20K claims · 10.1%

Your Cost: $344.71/claim|Median: $373.86
0.9× median
E0784Normal range

External ambulatory infusion pump, insulin

$3.5M

9,250 claims · 5.3%

Your Cost: $381.98/claim|Median: $1,188.30
0.3× median
E0483Normal range

High-frequency chest wall oscillation air-pulse generator system

$2.2M

5,806 claims · 3.3%

Your Cost: $383.91/claim|Median: $321.50
1.2× median
A4230Top 25%

Infusion supplies, non-chemotherapy, per visit

$2.1M

7,992 claims · 3.1%

Your Cost: $261.10/claim|Median: $136.09
1.9× median
A9277Top 25%

Breath alcohol test, per administration

$1.9M

3,207 claims · 2.8%

Your Cost: $579.17/claim|Median: $407.76
1.4× median
A9274Top 25%

External ambulatory insulin delivery system, disposable

$1.7M

2,155 claims · 2.6%

Your Cost: $806.18/claim|Median: $466.16
1.7× median
E2103Normal range

$1.6M

23K claims · 2.4%

Your Cost: $71.42/claim|Median: $85.49
0.8× median
K0554Normal range

$1.4M

20K claims · 2.0%

Your Cost: $68.44/claim|Median: $77.38
0.9× median
A9278Normal range

$937K

2,981 claims · 1.4%

Your Cost: $314.32/claim|Median: $366.50
0.9× median
A4232Top 25%

$503K

8,037 claims · 0.7%

Your Cost: $62.62/claim|Median: $34.49
1.8× median
A4253Normal range

Blood glucose test strips

$197K

23K claims · 0.3%

Your Cost: $8.47/claim|Median: $6.92
1.2× median
A4224Normal range

$114K

2,371 claims · 0.2%

Your Cost: $48.18/claim|Median: $33.51
1.4× median
A4225Normal range

$61K

2,357 claims · 0.1%

Your Cost: $25.99/claim|Median: $22.71
1.1× median
A4238Normal range

$61K

753 claims · 0.1%

Your Cost: $80.81/claim|Median: $143.28
0.6× median
A4259Normal range

Lancets for blood glucose testing

$60K

20K claims · 0.1%

Your Cost: $3.03/claim|Median: $2.27
1.3× median
E0607Normal range

$29K

3,923 claims · 0.0%

Your Cost: $7.45/claim|Median: $23.10
0.3× median
A4256Normal range

$17K

17K claims · 0.0%

Your Cost: $0.99/claim|Median: $2.85
0.3× median
A4258Normal range

$15K

8,162 claims · 0.0%

Your Cost: $1.89/claim|Median: $1.39
1.4× median
A4245Top 25%

$15K

2,276 claims · 0.0%

Your Cost: $6.58/claim|Median: $2.33
2.8× median
J1817Top 25%

$2K

229 claims · 0.0%

Your Cost: $10.16/claim|Median: $0.98
10.4× median
S5102Top 25%

Day care services, adult; per 15 min

$1K

13 claims · 0.0%

Your Cost: $112.67/claim|Median: $81.10
1.4× median
A4215Normal range

Sterile needle, each

$1K

342 claims · 0.0%

Your Cost: $3.90/claim|Median: $20.71
0.2× median
A4233Normal range

Replacement battery for blood glucose monitor, each

$26

101 claims · 0.0%

Your Cost: $0.26/claim|Median: $0.26
1.0× median
A4206Normal range

$25

14 claims · 0.0%

Your Cost: $1.79/claim|Median: $1.96
0.9× median

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