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VALUE DRUG LTD

Pharmacy·HONOLULU, HI·NPI: 1265418891Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$21.7M

$21,721,642

Total Claims

132K

Beneficiaries

97K

1.4 claims/patient

Avg Cost/Claim

$165

Monthly Spending Trend

Yearly Spending

2018
$3.4M
-32%
2019
$2.3M
-23%
2020
$1.8M
+53%
2021
$2.8M
+33%
2022
$3.7M
+8%
2023
$4.0M
-5%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (J3590 (Unclassified biologic drug injection)) accounts for 18% of total spending.

J3590Top 5%

Unclassified biologic drug injection

$3.9M

1,177 claims · 17.7%

Your Cost: $3,271.31/claim|Median: $24.77
132.1× median
J3490Top 5%

Unclassified drugs

$3.1M

8,292 claims · 14.3%

Your Cost: $374.67/claim|Median: $5.70
65.7× median
S9342Top 25%

Home infusion therapy, continuous or intermittent, per diem

$2.6M

8,373 claims · 12.0%

Your Cost: $312.30/claim|Median: $176.25
1.8× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.7M

2,795 claims · 7.7%

Your Cost: $598.84/claim|Median: $465.86
1.3× median
J0585Top 10%

Injection, onabotulinumtoxinA, 1 unit

$1.6M

1,333 claims · 7.2%

Your Cost: $1,174.31/claim|Median: $470.36
2.5× median
99601Top 25%

$1.2M

9,938 claims · 5.5%

Your Cost: $121.21/claim|Median: $82.41
1.5× median
S9500Top 25%

$750K

2,366 claims · 3.5%

Your Cost: $317.11/claim|Median: $144.40
2.2× median
B4149Top 25%

Enteral formula, manufactured blenderized, per 100 calories

$577K

1,451 claims · 2.7%

Your Cost: $397.78/claim|Median: $300.16
1.3× median
S9341Top 25%

$522K

1,689 claims · 2.4%

Your Cost: $309.29/claim|Median: $142.63
2.2× median
T4527Normal range

Adult-sized disposable incontinence product, large

$517K

5,196 claims · 2.4%

Your Cost: $99.50/claim|Median: $99.53
1.0× median
B9998Top 10%

Enteral/parenteral nutritional supplies, NOS

$512K

3,112 claims · 2.4%

Your Cost: $164.57/claim|Median: $55.51
3.0× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$446K

4,996 claims · 2.1%

Your Cost: $89.33/claim|Median: $88.94
1.0× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$409K

7,192 claims · 1.9%

Your Cost: $56.89/claim|Median: $89.79
0.6× median
B4160Normal range

Enteral formula, per 100 calories

$334K

1,991 claims · 1.5%

Your Cost: $167.58/claim|Median: $157.30
1.1× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$294K

2,398 claims · 1.4%

Your Cost: $122.61/claim|Median: $117.24
1.0× median
S9379Normal range

$261K

3,514 claims · 1.2%

Your Cost: $74.18/claim|Median: $70.89
1.0× median
S9494Top 10%

$240K

502 claims · 1.1%

Your Cost: $478.77/claim|Median: $169.66
2.8× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$226K

14K claims · 1.0%

Your Cost: $15.64/claim|Median: $41.28
0.4× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$226K

2,398 claims · 1.0%

Your Cost: $94.23/claim|Median: $105.14
0.9× median
B4154Normal range

$209K

1,727 claims · 1.0%

Your Cost: $121.16/claim|Median: $132.96
0.9× median
T4522Normal range

Adult-sized disposable incontinence product, brief/diaper, above XL

$180K

2,023 claims · 0.8%

Your Cost: $88.75/claim|Median: $84.50
1.1× median
S9343Normal range

$170K

663 claims · 0.8%

Your Cost: $256.17/claim|Median: $99.47
2.6× median
B4088Top 25%

$161K

1,331 claims · 0.7%

Your Cost: $120.78/claim|Median: $73.20
1.7× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$161K

1,885 claims · 0.7%

Your Cost: $85.27/claim|Median: $96.13
0.9× median
B4081Top 25%

$159K

2,871 claims · 0.7%

Your Cost: $55.23/claim|Median: $36.64
1.5× median
A4927Normal range

Gloves, non-sterile, per 100

$146K

13K claims · 0.7%

Your Cost: $11.70/claim|Median: $12.90
0.9× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$128K

1,506 claims · 0.6%

Your Cost: $84.82/claim|Median: $92.20
0.9× median
B4036Normal range

$127K

5,566 claims · 0.6%

Your Cost: $22.74/claim|Median: $74.87
0.3× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$121K

1,413 claims · 0.6%

Your Cost: $85.43/claim|Median: $110.54
0.8× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$118K

2,480 claims · 0.5%

Your Cost: $47.49/claim|Median: $42.03
1.1× median
J7300Normal range

$96K

116 claims · 0.4%

Your Cost: $829.81/claim|Median: $692.75
1.2× median
T4525Normal range

$95K

1,027 claims · 0.4%

Your Cost: $92.94/claim|Median: $79.46
1.2× median
J7307Top 10%

Etonogestrel implant system, including implant and supplies

$89K

81 claims · 0.4%

Your Cost: $1,094.94/claim|Median: $786.43
1.4× median
T4524Normal range

Adult-sized disposable incontinence product, brief/diaper, medium

$85K

939 claims · 0.4%

Your Cost: $91.02/claim|Median: $108.31
0.8× median
99602Normal range

$66K

780 claims · 0.3%

Your Cost: $84.91/claim|Median: $84.91
1.0× median
A9270Top 5%

$59K

3,919 claims · 0.3%

Your Cost: $15.00/claim|Median: $0.20
75.0× median
B4155Normal range

$49K

1,111 claims · 0.2%

Your Cost: $43.86/claim|Median: $46.72
0.9× median
J1729Top 1%

$37K

15 claims · 0.2%

Your Cost: $2,485.17/claim|Median: $462.84
5.4× median
T4521Normal range

$35K

395 claims · 0.2%

Your Cost: $88.78/claim|Median: $81.60
1.1× median
A9901Top 10%

$34K

413 claims · 0.2%

Your Cost: $81.95/claim|Median: $5.31
15.4× median
T4530Normal range

$17K

178 claims · 0.1%

Your Cost: $96.92/claim|Median: $83.90
1.2× median
A9276Top 25%

Breath test analyzer, FDA approved, disposable

$11K

27 claims · 0.1%

Your Cost: $416.75/claim|Median: $294.58
1.4× median
A9274Top 25%

External ambulatory insulin delivery system, disposable

$11K

14 claims · 0.0%

Your Cost: $750.00/claim|Median: $466.16
1.6× median
B4034Normal range

$7K

165 claims · 0.0%

Your Cost: $41.83/claim|Median: $46.28
0.9× median
B9002Normal range

$7K

103 claims · 0.0%

Your Cost: $65.78/claim|Median: $54.41
1.2× median
A4335Normal range

Incontinence supply, miscellaneous

$4K

3,322 claims · 0.0%

Your Cost: $1.25/claim|Median: $5.54
0.2× median
A4649Normal range

Surgical supply, miscellaneous, not otherwise classified

$2K

301 claims · 0.0%

Your Cost: $6.28/claim|Median: $5.04
1.2× median
T4532Normal range

$1K

12 claims · 0.0%

Your Cost: $100.76/claim|Median: $116.50
0.9× median
J1642Top 10%

$1K

34 claims · 0.0%

Your Cost: $35.07/claim|Median: $1.11
31.6× median
E1399Normal range

Durable medical equipment, miscellaneous

$1K

38 claims · 0.0%

Your Cost: $26.58/claim|Median: $104.06
0.3× median

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