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MINI PHARMACY ENTERPRISES, INC

Pharmacy, Community/Retail Pharmacy·LOS ANGELES, CA·NPI: 1295801421Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$41.3M

$41,302,649

Total Claims

279K

Beneficiaries

265K

1.1 claims/patient

Avg Cost/Claim

$148

Monthly Spending Trend

Yearly Spending

2018
$6.9M
+7%
2019
$7.4M
+26%
2020
$9.3M
+10%
2021
$10.3M
-65%
2022
$3.6M
-37%
2023
$2.2M
-31%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 39 distinct procedure codes. The top code (Z5999) accounts for 25% of total spending.

Z5999Normal range

$10.5M

25K claims · 25.5%

Your Cost: $427.77/claim|Median: $373.86
1.1× median
A9276Top 25%

Breath test analyzer, FDA approved, disposable

$9.4M

22K claims · 22.8%

Your Cost: $432.24/claim|Median: $294.58
1.5× median
A4230Normal range

Infusion supplies, non-chemotherapy, per visit

$5.3M

31K claims · 12.9%

Your Cost: $171.25/claim|Median: $136.09
1.3× median
A9277Normal range

Breath alcohol test, per administration

$2.5M

6,137 claims · 6.0%

Your Cost: $403.85/claim|Median: $407.76
1.0× median
E0784Top 25%

External ambulatory infusion pump, insulin

$2.4M

687 claims · 5.8%

Your Cost: $3,495.14/claim|Median: $1,188.30
2.9× median
A9274Normal range

External ambulatory insulin delivery system, disposable

$2.3M

4,490 claims · 5.6%

Your Cost: $514.29/claim|Median: $466.16
1.1× median
A4215Top 5%

Sterile needle, each

$2.2M

39K claims · 5.4%

Your Cost: $57.23/claim|Median: $20.71
2.8× median
K0553Normal range

Supply allowance for therapeutic CGM, per month

$1.5M

21K claims · 3.7%

Your Cost: $73.48/claim|Median: $53.20
1.4× median
A4232Normal range

$1.5M

37K claims · 3.6%

Your Cost: $39.26/claim|Median: $34.49
1.1× median
99199Top 5%

Unlisted special service, procedure, or report

$817K

2,127 claims · 2.0%

Your Cost: $384.31/claim|Median: $5.39
71.3× median
A4239Normal range

Supply allowance for non-insulin pump CGM, per month

$756K

11K claims · 1.8%

Your Cost: $71.72/claim|Median: $73.75
1.0× median
A4231Normal range

$515K

5,850 claims · 1.2%

Your Cost: $88.05/claim|Median: $93.81
0.9× median
A9278Normal range

$501K

1,201 claims · 1.2%

Your Cost: $416.98/claim|Median: $366.50
1.1× median
K0554Normal range

$271K

1,905 claims · 0.7%

Your Cost: $142.34/claim|Median: $77.38
1.8× median
99429Top 1%

$260K

565 claims · 0.6%

Your Cost: $460.89/claim|Median: $28.58
16.1× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$107K

2,927 claims · 0.3%

Your Cost: $36.58/claim|Median: $41.28
0.9× median
A4245Normal range

$49K

44K claims · 0.1%

Your Cost: $1.10/claim|Median: $2.33
0.5× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$45K

1,319 claims · 0.1%

Your Cost: $34.23/claim|Median: $42.03
0.8× median
B4160Normal range

Enteral formula, per 100 calories

$40K

379 claims · 0.1%

Your Cost: $104.55/claim|Median: $157.30
0.7× median
A6257Normal range

$33K

3,384 claims · 0.1%

Your Cost: $9.85/claim|Median: $10.48
0.9× median
E2103Normal range

$28K

347 claims · 0.1%

Your Cost: $79.30/claim|Median: $85.49
0.9× median
T4522Normal range

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

$25K

408 claims · 0.1%

Your Cost: $61.36/claim|Median: $84.50
0.7× median
T4527Normal range

Adult-sized disposable incontinence product, large

$22K

420 claims · 0.1%

Your Cost: $53.53/claim|Median: $99.53
0.5× median
T4523Normal range

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

$21K

300 claims · 0.1%

Your Cost: $69.52/claim|Median: $96.13
0.7× median
T5999Normal range

Transportation service, not otherwise classified

$20K

8,591 claims · 0.0%

Your Cost: $2.38/claim|Median: $8.13
0.3× median
A5120Top 10%

$20K

1,154 claims · 0.0%

Your Cost: $17.12/claim|Median: $6.35
2.7× median
A4253Normal range

Blood glucose test strips

$14K

2,468 claims · 0.0%

Your Cost: $5.64/claim|Median: $6.92
0.8× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$13K

350 claims · 0.0%

Your Cost: $38.17/claim|Median: $88.94
0.4× median
T4530Normal range

$12K

197 claims · 0.0%

Your Cost: $59.83/claim|Median: $83.90
0.7× median
A4456Top 5%

$12K

477 claims · 0.0%

Your Cost: $24.19/claim|Median: $6.74
3.6× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$9K

198 claims · 0.0%

Your Cost: $45.01/claim|Median: $105.14
0.4× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$8K

852 claims · 0.0%

Your Cost: $9.93/claim|Median: $9.88
1.0× median
A4927Normal range

Gloves, non-sterile, per 100

$6K

345 claims · 0.0%

Your Cost: $17.55/claim|Median: $12.90
1.4× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$6K

78 claims · 0.0%

Your Cost: $75.15/claim|Median: $110.54
0.7× median
A4335Top 25%

Incontinence supply, miscellaneous

$6K

578 claims · 0.0%

Your Cost: $9.81/claim|Median: $5.54
1.8× median
T4524Normal range

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

$3K

53 claims · 0.0%

Your Cost: $61.07/claim|Median: $108.31
0.6× median
E0607Normal range

$2K

96 claims · 0.0%

Your Cost: $18.19/claim|Median: $23.10
0.8× median
A4259Normal range

Lancets for blood glucose testing

$2K

2,027 claims · 0.0%

Your Cost: $0.75/claim|Median: $2.27
0.3× median
A9286Normal range

$49

63 claims · 0.0%

Your Cost: $0.78/claim|Median: $11.41
0.1× median

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