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OPTUMRX, INC.

Durable Medical Equipment & Medical Supplies·EDEN PRAIRIE, MN·NPI: 1336736115Share

Compared to Durable Medical Equipment & Medical Supplies Peers

Total spending distribution among 35 providers in this specialty

P25MedianP75P90

This provider's total spending of $18.6M is at the below 25th percentile among 35 Durable Medical Equipment & Medical Supplies providers.

Active Billing Period:2019-01→2024-12(71 months)

Total Paid

$18.6M

$18,602,134

Total Claims

607K

Beneficiaries

261K

2.3 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2019
$7.3M
-67%
2020
$2.4M
-7%
2021
$2.2M
+9%
2022
$2.4M
-15%
2023
$2.1M
+9%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 44 distinct procedure codes. The top code (A9999) accounts for 33% of total spending.

A9999Normal range

$6.1M

335K claims · 33.0%

Your Cost: $18.32/claim|Median: $39.73
0.5× median
B4154Normal range

$3.0M

33K claims · 16.3%

Your Cost: $92.49/claim|Median: $132.96
0.7× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$3.0M

43K claims · 16.2%

Your Cost: $70.69/claim|Median: $89.79
0.8× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$1.4M

16K claims · 7.6%

Your Cost: $89.40/claim|Median: $92.20
1.0× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$1.1M

21K claims · 6.2%

Your Cost: $53.59/claim|Median: $42.03
1.3× median
A4554Top 25%

Disposable underpads, all sizes

$832K

14K claims · 4.5%

Your Cost: $60.90/claim|Median: $37.02
1.6× median
A4335Top 25%

Incontinence supply, miscellaneous

$550K

41K claims · 3.0%

Your Cost: $13.59/claim|Median: $5.54
2.5× median
A4927Normal range

Gloves, non-sterile, per 100

$426K

25K claims · 2.3%

Your Cost: $16.73/claim|Median: $12.90
1.3× median
T4527Normal range

Adult-sized disposable incontinence product, large

$355K

6,200 claims · 1.9%

Your Cost: $57.19/claim|Median: $99.53
0.6× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$225K

21K claims · 1.2%

Your Cost: $10.83/claim|Median: $9.88
1.1× median
E0143Top 1%

Walker, folding, wheeled, adjustable or fixed height

$219K

2,617 claims · 1.2%

Your Cost: $83.84/claim|Median: $31.59
2.7× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$166K

2,780 claims · 0.9%

Your Cost: $59.56/claim|Median: $105.14
0.6× median
E0240Normal range

$108K

2,760 claims · 0.6%

Your Cost: $39.18/claim|Median: $62.75
0.6× median
T4540Top 25%

$99K

2,791 claims · 0.5%

Your Cost: $35.42/claim|Median: $17.85
2.0× median
T4525Normal range

$90K

1,706 claims · 0.5%

Your Cost: $53.01/claim|Median: $79.46
0.7× median
E0244Top 25%

$73K

1,531 claims · 0.4%

Your Cost: $47.89/claim|Median: $32.11
1.5× median
A9270Top 10%

$73K

8,851 claims · 0.4%

Your Cost: $8.27/claim|Median: $0.20
41.4× median
B4102Top 25%

$65K

572 claims · 0.3%

Your Cost: $112.88/claim|Median: $65.22
1.7× median
A4466Normal range

$57K

2,631 claims · 0.3%

Your Cost: $21.66/claim|Median: $21.66
1.0× median
A9900Normal range

$56K

2,077 claims · 0.3%

Your Cost: $27.05/claim|Median: $58.14
0.5× median
E0245Normal range

$56K

1,487 claims · 0.3%

Your Cost: $37.61/claim|Median: $42.10
0.9× median
E0241Normal range

$51K

2,410 claims · 0.3%

Your Cost: $21.21/claim|Median: $28.48
0.7× median
A6549Normal range

$49K

2,277 claims · 0.3%

Your Cost: $21.68/claim|Median: $190.50
0.1× median
L0625Normal range

$49K

1,879 claims · 0.3%

Your Cost: $26.10/claim|Median: $32.27
0.8× median
A6530Normal range

$41K

1,218 claims · 0.2%

Your Cost: $33.66/claim|Median: $49.70
0.7× median
E0247Normal range

$24K

321 claims · 0.1%

Your Cost: $75.23/claim|Median: $75.27
1.0× median
A4245Top 25%

$22K

3,434 claims · 0.1%

Your Cost: $6.33/claim|Median: $2.33
2.7× median
K0002Top 1%

$21K

148 claims · 0.1%

Your Cost: $140.40/claim|Median: $16.01
8.8× median
E0100Normal range

$20K

1,846 claims · 0.1%

Your Cost: $11.01/claim|Median: $9.96
1.1× median
T4524Normal range

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

$20K

224 claims · 0.1%

Your Cost: $90.30/claim|Median: $108.31
0.8× median
E0163Normal range

$18K

451 claims · 0.1%

Your Cost: $40.00/claim|Median: $27.98
1.4× median
A6413Top 25%

$14K

1,708 claims · 0.1%

Your Cost: $8.34/claim|Median: $0.03
278.0× median
A6443Normal range

$13K

1,318 claims · 0.1%

Your Cost: $9.70/claim|Median: $10.83
0.9× median
E0149Top 5%

$12K

137 claims · 0.1%

Your Cost: $90.66/claim|Median: $17.18
5.3× median
A4467Normal range

$11K

733 claims · 0.1%

Your Cost: $15.62/claim|Median: $20.21
0.8× median
E0243Normal range

$8K

202 claims · 0.0%

Your Cost: $38.38/claim|Median: $48.72
0.8× median
E0105Normal range

$8K

374 claims · 0.0%

Your Cost: $20.11/claim|Median: $22.59
0.9× median
A6402Normal range

$4K

833 claims · 0.0%

Your Cost: $4.31/claim|Median: $7.69
0.6× median
A4452Normal range

$4K

536 claims · 0.0%

Your Cost: $6.61/claim|Median: $9.98
0.7× median
L3923Normal range

$3K

312 claims · 0.0%

Your Cost: $11.09/claim|Median: $21.47
0.5× median
A6452Normal range

$3K

998 claims · 0.0%

Your Cost: $3.41/claim|Median: $83.58
0.0× median
A4649Normal range

Surgical supply, miscellaneous, not otherwise classified

$3K

876 claims · 0.0%

Your Cost: $3.62/claim|Median: $5.04
0.7× median
A6446Normal range

$2K

477 claims · 0.0%

Your Cost: $4.66/claim|Median: $14.64
0.3× median
E0325Normal range

$620

147 claims · 0.0%

Your Cost: $4.22/claim|Median: $4.22
1.0× median

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Accra Care

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$306.8M

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$230.9M

Activstyle, LLC

Durable Medical Equipment & Medical Supplies, Pare

$219.6M

Similar Providers

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Arden, NC

$571.7M

Shield California Health Care Center INC

Valencia, CA

$522.6M

Zoll Services LLC

Pittsburgh, PA

$504.0M

J&b Medical Supply CO INC

Wixom, MI

$339.0M

Home Care Delivered, Inc.

Richmond, VA

$309.5M

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