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SCOTT-WILSON, INC.

Pharmacy, Home Infusion Therapy Pharmacy·LEXINGTON, KY·NPI: 1255336517Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$24.5M

$24,503,019

Total Claims

402K

Beneficiaries

68K

5.9 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$3.8M
+3%
2019
$3.9M
-12%
2020
$3.4M
+1%
2021
$3.5M
+19%
2022
$4.1M
-17%
2023
$3.4M
-28%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (S9342 (Home infusion therapy, continuous or intermittent, per diem)) accounts for 16% of total spending.

S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$3.8M

114K claims · 15.6%

Your Cost: $33.45/claim|Median: $176.25
0.2× median
S9500Normal range

$3.1M

46K claims · 12.7%

Your Cost: $67.18/claim|Median: $144.40
0.5× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$2.3M

6,405 claims · 9.2%

Your Cost: $353.39/claim|Median: $465.86
0.8× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$1.6M

7,823 claims · 6.7%

Your Cost: $210.60/claim|Median: $117.24
1.8× median
S9374Normal range

$1.1M

15K claims · 4.5%

Your Cost: $73.59/claim|Median: $136.10
0.5× median
J0878Normal range

$1.1M

6,457 claims · 4.3%

Your Cost: $164.53/claim|Median: $130.03
1.3× median
S9501Normal range

$1.0M

16K claims · 4.3%

Your Cost: $65.14/claim|Median: $160.52
0.4× median
B4153Normal range

$834K

2,819 claims · 3.4%

Your Cost: $295.80/claim|Median: $410.73
0.7× median
99601Normal range

$831K

11K claims · 3.4%

Your Cost: $78.63/claim|Median: $82.41
1.0× median
S9502Normal range

$808K

11K claims · 3.3%

Your Cost: $75.44/claim|Median: $165.71
0.5× median
B4160Normal range

Enteral formula, per 100 calories

$795K

6,338 claims · 3.2%

Your Cost: $125.41/claim|Median: $157.30
0.8× median
J1557Normal range

$782K

165 claims · 3.2%

Your Cost: $4,736.52/claim|Median: $4,908.01
1.0× median
S9351Normal range

$776K

10K claims · 3.2%

Your Cost: $75.53/claim|Median: $268.01
0.3× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$573K

6,718 claims · 2.3%

Your Cost: $85.23/claim|Median: $92.20
0.9× median
S9341Normal range

$393K

19K claims · 1.6%

Your Cost: $20.82/claim|Median: $142.63
0.1× median
E0781Normal range

$388K

28K claims · 1.6%

Your Cost: $13.98/claim|Median: $54.38
0.3× median
S9343Normal range

$334K

18K claims · 1.4%

Your Cost: $18.75/claim|Median: $99.47
0.2× median
B4034Top 25%

$321K

2,946 claims · 1.3%

Your Cost: $109.08/claim|Median: $46.28
2.4× median
B4185Normal range

$316K

2,300 claims · 1.3%

Your Cost: $137.46/claim|Median: $134.70
1.0× median
S9338Top 25%

$312K

3,486 claims · 1.3%

Your Cost: $89.43/claim|Median: $60.83
1.5× median
B4154Normal range

$302K

1,490 claims · 1.2%

Your Cost: $202.38/claim|Median: $132.96
1.5× median
S9379Normal range

$281K

5,111 claims · 1.1%

Your Cost: $54.98/claim|Median: $70.89
0.8× median
S9348Normal range

$254K

4,046 claims · 1.0%

Your Cost: $62.89/claim|Median: $141.48
0.4× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$241K

1,079 claims · 1.0%

Your Cost: $223.18/claim|Median: $300.16
0.7× median
A4223Normal range

$208K

8,021 claims · 0.9%

Your Cost: $25.97/claim|Median: $60.92
0.4× median
S5501Normal range

$169K

12K claims · 0.7%

Your Cost: $14.55/claim|Median: $43.74
0.3× median
99602Normal range

$158K

1,477 claims · 0.6%

Your Cost: $106.89/claim|Median: $84.91
1.3× median
S9340Normal range

$148K

14K claims · 0.6%

Your Cost: $10.91/claim|Median: $196.46
0.1× median
B4036Normal range

$137K

1,360 claims · 0.6%

Your Cost: $101.09/claim|Median: $74.87
1.4× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$124K

8,160 claims · 0.5%

Your Cost: $15.14/claim|Median: $16.19
0.9× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$123K

1,586 claims · 0.5%

Your Cost: $77.25/claim|Median: $89.79
0.9× median
B9998Top 25%

Enteral/parenteral nutritional supplies, NOS

$122K

1,039 claims · 0.5%

Your Cost: $117.49/claim|Median: $55.51
2.1× median
J0696Top 1%

$122K

778 claims · 0.5%

Your Cost: $156.45/claim|Median: $1.34
116.8× median
A4222Normal range

$110K

2,009 claims · 0.4%

Your Cost: $54.59/claim|Median: $62.70
0.9× median
J2260Normal range

$87K

2,587 claims · 0.4%

Your Cost: $33.48/claim|Median: $35.65
0.9× median
J3370Top 5%

$81K

1,056 claims · 0.3%

Your Cost: $76.84/claim|Median: $2.40
32.0× median
B4088Normal range

$76K

1,366 claims · 0.3%

Your Cost: $55.29/claim|Median: $73.20
0.8× median
S9366Normal range

$55K

259 claims · 0.2%

Your Cost: $214.09/claim|Median: $394.05
0.5× median
J2550Top 1%

$48K

777 claims · 0.2%

Your Cost: $61.78/claim|Median: $1.00
61.8× median
B4155Normal range

$43K

614 claims · 0.2%

Your Cost: $69.25/claim|Median: $46.72
1.5× median
J1559Normal range

$38K

72 claims · 0.2%

Your Cost: $521.32/claim|Median: $811.35
0.6× median
B9002Top 25%

$22K

219 claims · 0.1%

Your Cost: $100.53/claim|Median: $54.41
1.8× median
S9330Normal range

$9K

75 claims · 0.0%

Your Cost: $123.01/claim|Median: $113.82
1.1× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$9K

433 claims · 0.0%

Your Cost: $20.18/claim|Median: $0.58
34.8× median
J1335Normal range

$8K

74 claims · 0.0%

Your Cost: $103.17/claim|Median: $100.54
1.0× median
J0692Top 10%

$5K

64 claims · 0.0%

Your Cost: $81.60/claim|Median: $2.04
40.0× median
B4224Normal range

$4K

53 claims · 0.0%

Your Cost: $82.96/claim|Median: $78.83
1.1× median
B4220Normal range

$3K

106 claims · 0.0%

Your Cost: $31.24/claim|Median: $27.49
1.1× median
E0776Top 25%

$799

28 claims · 0.0%

Your Cost: $28.53/claim|Median: $8.13
3.5× median
S9359Normal range

$653

16 claims · 0.0%

Your Cost: $40.79/claim|Median: $62.59
0.7× median

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