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Accredo Health Group INC

Pharmacy·Memphis, TN·NPI: 1346208949Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$165.6M

$165,627,376

Total Claims

47K

Beneficiaries

40K

1.2 claims/patient

Avg Cost/Claim

$4K

#608 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Accredo Health Group INC is a Pharmacy provider based in Memphis, TN. From the 2018–2024 period, this provider received $165.6M in Medicaid payments across 47K claims.

Why This Matters

This provider received $165.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,703 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 53% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$16.1M
+50%
2019
$24.2M
+49%
2020
$36.0M
-2%
2021
$35.4M
-12%
2022
$31.1M
-51%
2023
$15.3M
-51%
2024
$7.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (J2326 (Nusinersen (Spinraza), 12 mg intrathecal injection)) accounts for 49% of total spending.

J2326Normal range

Nusinersen (Spinraza), 12 mg intrathecal injection

$80.9M

953 claims · 48.9%

Your Cost: $84,903.32/claim|Median: $99,695.50
0.8× median
J2357Top 10%

Injection, omalizumab, 5 mg

$20.7M

8K claims · 12.5%

Your Cost: $2,455.79/claim|Median: $920.37
2.7× median
Q9992Normal range

$15.0M

10K claims · 9.1%

Your Cost: $1,582.15/claim|Median: $1,537.34
1.0× median
Q9991Normal range

$12.0M

8K claims · 7.2%

Your Cost: $1,554.42/claim|Median: $1,554.42
1.0× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$8.1M

8K claims · 4.9%

Your Cost: $1,038.15/claim|Median: $470.36
2.2× median
J3285Top 25%

$3.9M

594 claims · 2.4%

Your Cost: $6,597.40/claim|Median: $4,178.96
1.6× median
J0517Normal range

Injection, benralizumab, one milligram

$3.7M

954 claims · 2.2%

Your Cost: $3,879.60/claim|Median: $2,255.19
1.7× median
J1950Top 25%

Injection, leuprolide acetate, per three point seven five milligrams

$3.7M

1K claims · 2.2%

Your Cost: $3,679.77/claim|Median: $1,442.37
2.5× median
90378Normal range

$3.2M

2K claims · 1.9%

Your Cost: $2,115.90/claim|Median: $1,627.19
1.3× median
J0584Normal range

Burosumab-twza (Crysvita) injection, 1 mg

$3.1M

183 claims · 1.9%

Your Cost: $17,198.64/claim|Median: $15,993.89
1.1× median
J7686Normal range

$2.8M

2K claims · 1.7%

Your Cost: $1,774.46/claim|Median: $3,406.01
0.5× median
J1726Normal range

$2.6M

1K claims · 1.6%

Your Cost: $2,000.20/claim|Median: $789.74
2.5× median
J2182Top 25%

Injection, mepolizumab, one milligram

$1.9M

708 claims · 1.1%

Your Cost: $2,664.79/claim|Median: $1,614.23
1.6× median
J3490Top 1%

Unclassified drugs

$904K

125 claims · 0.5%

Your Cost: $7,229.58/claim|Median: $5.70
1268.3× median
J2323Top 1%

Injection, natalizumab, one milligram

$831K

107 claims · 0.5%

Your Cost: $7,766.77/claim|Median: $2,797.07
2.8× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$723K

981 claims · 0.4%

Your Cost: $736.73/claim|Median: $786.43
0.9× median
J3241Top 1%

$595K

14 claims · 0.4%

Your Cost: $42,491.68/claim|Median: $20,286.67
2.1× median
J7318Top 25%

$277K

259 claims · 0.2%

Your Cost: $1,071.35/claim|Median: $505.91
2.1× median
J0897Top 25%

Injection, denosumab, one milligram

$163K

144 claims · 0.1%

Your Cost: $1,134.50/claim|Median: $493.25
2.3× median
J7321Top 1%

Hyaluronan injection for knee joint supplement

$107K

156 claims · 0.1%

Your Cost: $683.99/claim|Median: $24.72
27.7× median
Q0513Top 1%

$103K

816 claims · 0.1%

Your Cost: $126.05/claim|Median: $5.61
22.5× median
S9347Normal range

$60K

240 claims · 0.0%

Your Cost: $250.71/claim|Median: $265.52
0.9× median
A4221Top 5%

Supplies for maintenance of drug infusion catheter

$42K

487 claims · 0.0%

Your Cost: $85.40/claim|Median: $16.19
5.3× median
J7325Top 25%

Synvisc or synvisc-one injection for joint supplementation

$32K

101 claims · 0.0%

Your Cost: $315.05/claim|Median: $85.94
3.7× median
J1325Normal range

$23K

14 claims · 0.0%

Your Cost: $1,620.51/claim|Median: $732.53
2.2× median
Q0512Top 25%

$2K

540 claims · 0.0%

Your Cost: $2.84/claim|Median: $1.14
2.5× median
S5001Normal range

$870

19 claims · 0.0%

Your Cost: $45.80/claim|Median: $17.91
2.6× median
S9999Normal range

$0

455 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.38

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