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PANTHERX SPECIALTY LLC

Pharmacy, Specialty Pharmacy·PITTSBURGH, PA·NPI: 1316213531Share
Active Billing Period:2018-01→2024-06(78 months)

Total Paid

$64.9M

$64,932,270

Total Claims

20K

Beneficiaries

14K

1.5 claims/patient

Avg Cost/Claim

$3K

Monthly Spending Trend

Yearly Spending

2018
$700K
+800%
2019
$6.3M
+31%
2020
$8.2M
+62%
2021
$13.4M
+7%
2022
$14.3M
-6%
2023
$13.4M
-36%
2024
$8.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (J0584 (Burosumab-twza (Crysvita) injection, 1 mg)) accounts for 88% of total spending.

J0584Normal range

Burosumab-twza (Crysvita) injection, 1 mg

$57.4M

4,457 claims · 88.4%

Your Cost: $12,871.38/claim|Median: $15,993.89
0.8× median
J3316Normal range

$6.5M

437 claims · 10.0%

Your Cost: $14,808.18/claim|Median: $14,875.75
1.0× median
J3590Top 1%

Unclassified biologic drug injection

$511K

44 claims · 0.8%

Your Cost: $11,622.44/claim|Median: $24.77
469.2× median
Q0512Top 1%

$177K

4,767 claims · 0.3%

Your Cost: $37.23/claim|Median: $1.14
32.7× median
J7503Top 25%

$127K

846 claims · 0.2%

Your Cost: $149.95/claim|Median: $80.91
1.9× median
Q0511Top 1%

$110K

2,847 claims · 0.2%

Your Cost: $38.81/claim|Median: $2.11
18.4× median
J7518Top 25%

$86K

1,284 claims · 0.1%

Your Cost: $66.74/claim|Median: $34.13
2.0× median
J7507Top 5%

Tacrolimus, immediate release, oral, per milligram

$59K

1,779 claims · 0.1%

Your Cost: $32.89/claim|Median: $7.69
4.3× median
J7517Normal range

$9K

1,500 claims · 0.0%

Your Cost: $6.30/claim|Median: $7.59
0.8× median
J7508Top 1%

$9K

115 claims · 0.0%

Your Cost: $74.21/claim|Median: $47.17
1.6× median
J7512Top 10%

$4K

1,520 claims · 0.0%

Your Cost: $2.67/claim|Median: $0.20
13.3× median
Q0510Top 1%

$881

30 claims · 0.0%

Your Cost: $29.36/claim|Median: $1.83
16.0× median

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