Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

VALLEY CHILDREN'S HOSPITAL

Pharmacy, Home Infusion Therapy Pharmacy·FRESNO, CA·NPI: 1275612673Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$20.8M

$20,846,993

Total Claims

370K

Beneficiaries

316K

1.2 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-2%
2019
$2.9M
+5%
2020
$3.0M
+6%
2021
$3.2M
-19%
2022
$2.6M
+34%
2023
$3.5M
-26%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (E0465 (Home ventilator, any type, used with invasive interface)) accounts for 23% of total spending.

E0465Top 5%

Home ventilator, any type, used with invasive interface

$4.9M

3,810 claims · 23.4%

Your Cost: $1,278.81/claim|Median: $583.21
2.2× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$2.5M

25K claims · 12.0%

Your Cost: $99.51/claim|Median: $117.24
0.8× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$1.7M

33K claims · 8.2%

Your Cost: $51.57/claim|Median: $55.51
0.9× median
E1390Top 5%

Oxygen concentrator, single delivery port

$1.5M

13K claims · 7.4%

Your Cost: $117.49/claim|Median: $45.11
2.6× median
A4351Top 5%

Intermittent urinary catheter, straight tip, each

$1.2M

3,385 claims · 5.7%

Your Cost: $350.90/claim|Median: $116.15
3.0× median
A7521Top 5%

$784K

1,629 claims · 3.8%

Your Cost: $481.30/claim|Median: $39.24
12.3× median
B4088Top 25%

$760K

6,658 claims · 3.6%

Your Cost: $114.12/claim|Median: $73.20
1.6× median
A7520Top 10%

$583K

3,415 claims · 2.8%

Your Cost: $170.63/claim|Median: $49.59
3.4× median
S8189Normal range

$484K

13K claims · 2.3%

Your Cost: $38.73/claim|Median: $81.07
0.5× median
A7526Top 10%

$471K

6,195 claims · 2.3%

Your Cost: $76.04/claim|Median: $33.61
2.3× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$457K

4,551 claims · 2.2%

Your Cost: $100.34/claim|Median: $465.86
0.2× median
T5999Top 25%

Transportation service, not otherwise classified

$419K

7,586 claims · 2.0%

Your Cost: $55.26/claim|Median: $8.13
6.8× median
A4483Normal range

$408K

4,356 claims · 2.0%

Your Cost: $93.55/claim|Median: $91.41
1.0× median
E0445Normal range

$400K

2,410 claims · 1.9%

Your Cost: $166.16/claim|Median: $118.11
1.4× median
B9002Top 25%

$394K

3,783 claims · 1.9%

Your Cost: $104.27/claim|Median: $54.41
1.9× median
B4160Normal range

Enteral formula, per 100 calories

$379K

9,522 claims · 1.8%

Your Cost: $39.76/claim|Median: $157.30
0.3× median
A4606Normal range

$340K

15K claims · 1.6%

Your Cost: $23.21/claim|Median: $50.63
0.5× median
A4223Normal range

$313K

12K claims · 1.5%

Your Cost: $26.96/claim|Median: $60.92
0.4× median
E0431Top 25%

Portable gaseous oxygen system, rental

$303K

15K claims · 1.5%

Your Cost: $20.21/claim|Median: $10.37
1.9× median
A7509Top 10%

$214K

1,666 claims · 1.0%

Your Cost: $128.22/claim|Median: $33.05
3.9× median
A6402Normal range

$200K

29K claims · 1.0%

Your Cost: $6.87/claim|Median: $7.69
0.9× median
A4322Normal range

$199K

29K claims · 1.0%

Your Cost: $6.92/claim|Median: $14.10
0.5× median
E0443Top 25%

$182K

4,382 claims · 0.9%

Your Cost: $41.57/claim|Median: $12.89
3.2× median
E0471Top 5%

Respiratory assist device, bi-level with backup rate

$177K

406 claims · 0.8%

Your Cost: $435.95/claim|Median: $210.29
2.1× median
L8501Normal range

$149K

1,904 claims · 0.7%

Your Cost: $78.08/claim|Median: $64.66
1.2× median
A4624Normal range

$146K

7,247 claims · 0.7%

Your Cost: $20.15/claim|Median: $107.53
0.2× median
A7000Normal range

$142K

13K claims · 0.7%

Your Cost: $10.88/claim|Median: $11.83
0.9× median
A4628Top 25%

$139K

9,325 claims · 0.7%

Your Cost: $14.96/claim|Median: $7.48
2.0× median
A9900Normal range

$119K

7,537 claims · 0.6%

Your Cost: $15.75/claim|Median: $58.14
0.3× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$110K

2,073 claims · 0.5%

Your Cost: $53.01/claim|Median: $35.30
1.5× median
B9999Normal range

$103K

3,594 claims · 0.5%

Your Cost: $28.55/claim|Median: $29.84
1.0× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$102K

1,466 claims · 0.5%

Your Cost: $69.40/claim|Median: $92.20
0.8× median
A4927Normal range

Gloves, non-sterile, per 100

$57K

5,149 claims · 0.3%

Your Cost: $11.01/claim|Median: $12.90
0.9× median
A4930Normal range

$52K

3,937 claims · 0.3%

Your Cost: $13.27/claim|Median: $3.61
3.7× median
A4629Normal range

$47K

3,403 claims · 0.2%

Your Cost: $13.87/claim|Median: $54.42
0.3× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$46K

1,300 claims · 0.2%

Your Cost: $35.24/claim|Median: $89.79
0.4× median
A4215Normal range

Sterile needle, each

$42K

2,148 claims · 0.2%

Your Cost: $19.42/claim|Median: $20.71
0.9× median
A7005Top 25%

$38K

2,027 claims · 0.2%

Your Cost: $18.80/claim|Median: $12.44
1.5× median
A4657Normal range

Syringe with needle, each

$36K

15K claims · 0.2%

Your Cost: $2.46/claim|Median: $2.19
1.1× median
A7002Normal range

$31K

9,005 claims · 0.1%

Your Cost: $3.43/claim|Median: $4.97
0.7× median
E0482Top 25%

$27K

78 claims · 0.1%

Your Cost: $348.29/claim|Median: $246.17
1.4× median
B4155Normal range

$19K

1,542 claims · 0.1%

Your Cost: $12.22/claim|Median: $46.72
0.3× median
E0570Normal range

Nebulizer, with compressor

$17K

513 claims · 0.1%

Your Cost: $33.22/claim|Median: $16.16
2.1× median
A7003Normal range

Administration set for nebulizer, with small volume

$16K

10K claims · 0.1%

Your Cost: $1.56/claim|Median: $1.48
1.1× median
A6257Normal range

$16K

3,447 claims · 0.1%

Your Cost: $4.53/claim|Median: $10.48
0.4× median
A6258Normal range

$15K

760 claims · 0.1%

Your Cost: $19.59/claim|Median: $28.94
0.7× median
A4212Top 25%

$15K

481 claims · 0.1%

Your Cost: $30.28/claim|Median: $10.64
2.8× median
A7015Top 25%

$11K

7,157 claims · 0.1%

Your Cost: $1.55/claim|Median: $1.08
1.4× median
E0781Top 10%

$11K

58 claims · 0.1%

Your Cost: $191.14/claim|Median: $54.38
3.5× median
A4248Normal range

$10K

2,701 claims · 0.1%

Your Cost: $3.89/claim|Median: $2.10
1.9× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

← All providersAll providers in California →How we detect fraud →