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OPTUM PHARMACY 706, INC.

Pharmacy, Community/Retail Pharmacy·LONG ISLAND CITY, NY·NPI: 1295842615Share
Active Billing Period:2018-01→2024-09(81 months)

Total Paid

$25.3M

$25,316,755

Total Claims

12K

Beneficiaries

12K

1.0 claims/patient

Avg Cost/Claim

$2K

Monthly Spending Trend

Yearly Spending

2018
$4.5M
+12%
2019
$5.1M
-8%
2020
$4.7M
-2%
2021
$4.6M
-8%
2022
$4.2M
-62%
2023
$1.6M
-64%
2024
$582K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (J2323 (Injection, natalizumab, one milligram)) accounts for 45% of total spending.

J2323Top 10%

Injection, natalizumab, one milligram

$11.4M

1,658 claims · 44.9%

Your Cost: $6,860.76/claim|Median: $2,797.07
2.5× median
J0585Top 10%

Injection, onabotulinumtoxinA, 1 unit

$7.2M

5,781 claims · 28.4%

Your Cost: $1,242.21/claim|Median: $470.36
2.6× median
J1726Top 10%

$3.2M

1,101 claims · 12.5%

Your Cost: $2,869.99/claim|Median: $789.74
3.6× median
J0897Top 25%

Injection, denosumab, one milligram

$1.3M

1,003 claims · 5.1%

Your Cost: $1,283.16/claim|Median: $493.25
2.6× median
J2315Top 10%

$699K

521 claims · 2.8%

Your Cost: $1,342.22/claim|Median: $1,045.36
1.3× median
J0517Top 1%

Injection, benralizumab, one milligram

$416K

87 claims · 1.6%

Your Cost: $4,779.05/claim|Median: $2,255.19
2.1× median
Q9991Normal range

$320K

203 claims · 1.3%

Your Cost: $1,577.32/claim|Median: $1,554.42
1.0× median
J7324Top 1%

$259K

95 claims · 1.0%

Your Cost: $2,727.78/claim|Median: $56.65
48.2× median
J7323Top 1%

$239K

185 claims · 0.9%

Your Cost: $1,291.42/claim|Median: $101.00
12.8× median
Q9992Normal range

$141K

88 claims · 0.6%

Your Cost: $1,604.56/claim|Median: $1,537.34
1.0× median
J1729Top 10%

$89K

41 claims · 0.4%

Your Cost: $2,177.71/claim|Median: $462.84
4.7× median
J3590Top 1%

Unclassified biologic drug injection

$87K

12 claims · 0.3%

Your Cost: $7,221.97/claim|Median: $24.77
291.6× median
J2182Normal range

Injection, mepolizumab, one milligram

$40K

21 claims · 0.2%

Your Cost: $1,907.68/claim|Median: $1,614.23
1.2× median
J2790Top 10%

$23K

223 claims · 0.1%

Your Cost: $103.24/claim|Median: $61.58
1.7× median
Q0511Normal range

$0

305 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.11
J7518Normal range

$0

124 claims · 0.0%

Your Cost: $0.00/claim|Median: $34.13
J7507Normal range

Tacrolimus, immediate release, oral, per milligram

$0

275 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.69
J7517Normal range

$0

38 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.59
Q0512Normal range

$0

460 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.14

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