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OPTUM INFUSION SERVICES 308, LLC

Pharmacy, Home Infusion Therapy Pharmacy·CHANDLER, AZ·NPI: 1356352983Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$29.1M

$29,089,941

Total Claims

228K

Beneficiaries

97K

2.3 claims/patient

Avg Cost/Claim

$128

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+102%
2019
$3.2M
+13%
2020
$3.6M
-6%
2021
$3.4M
-3%
2022
$3.3M
+25%
2023
$4.1M
+135%
2024
$9.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99601) accounts for 13% of total spending.

99601Normal range

$3.7M

39K claims · 12.6%

Your Cost: $94.35/claim|Median: $82.41
1.1× median
J1569Normal range

$2.8M

1,711 claims · 9.5%

Your Cost: $1,623.07/claim|Median: $1,387.65
1.2× median
S9500Normal range

$2.6M

14K claims · 9.1%

Your Cost: $195.19/claim|Median: $144.40
1.4× median
J1561Top 25%

$2.5M

1,049 claims · 8.6%

Your Cost: $2,375.48/claim|Median: $1,482.84
1.6× median
S9366Normal range

$2.2M

6,423 claims · 7.7%

Your Cost: $348.60/claim|Median: $394.05
0.9× median
S9502Normal range

$1.9M

8,206 claims · 6.6%

Your Cost: $234.23/claim|Median: $165.71
1.4× median
B4185Top 25%

$1.8M

8,335 claims · 6.3%

Your Cost: $220.47/claim|Median: $134.70
1.6× median
J1559Normal range

$1.5M

2,089 claims · 5.2%

Your Cost: $730.98/claim|Median: $811.35
0.9× median
S9501Normal range

$1.3M

6,642 claims · 4.5%

Your Cost: $197.10/claim|Median: $160.52
1.2× median
S9374Normal range

$1.2M

13K claims · 4.1%

Your Cost: $87.55/claim|Median: $136.10
0.6× median
J3380Normal range

Injection, vedolizumab, one milligram

$1.1M

895 claims · 3.6%

Your Cost: $1,184.96/claim|Median: $4,027.41
0.3× median
99602Normal range

$929K

11K claims · 3.2%

Your Cost: $82.84/claim|Median: $84.91
1.0× median
B4224Top 10%

$805K

4,442 claims · 2.8%

Your Cost: $181.21/claim|Median: $78.83
2.3× median
S9338Normal range

$772K

13K claims · 2.7%

Your Cost: $60.83/claim|Median: $60.83
1.0× median
S9379Normal range

$677K

9,195 claims · 2.3%

Your Cost: $73.68/claim|Median: $70.89
1.0× median
S9375Normal range

$494K

3,545 claims · 1.7%

Your Cost: $139.28/claim|Median: $165.98
0.8× median
J2941Normal range

$326K

8,978 claims · 1.1%

Your Cost: $36.26/claim|Median: $163.62
0.2× median
J0135Normal range

Injection, adalimumab, twenty milligrams

$282K

8,653 claims · 1.0%

Your Cost: $32.59/claim|Median: $2,044.06
0.0× median
B4220Top 10%

$257K

4,320 claims · 0.9%

Your Cost: $59.53/claim|Median: $27.49
2.2× median
S9370Top 1%

$257K

662 claims · 0.9%

Your Cost: $388.41/claim|Median: $243.80
1.6× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$227K

245 claims · 0.8%

Your Cost: $924.49/claim|Median: $1,587.53
0.6× median
Q5103Normal range

$197K

861 claims · 0.7%

Your Cost: $228.85/claim|Median: $1,075.28
0.2× median
J1438Normal range

$187K

4,294 claims · 0.6%

Your Cost: $43.52/claim|Median: $1,184.84
0.0× median
S9503Normal range

$179K

698 claims · 0.6%

Your Cost: $256.01/claim|Median: $205.52
1.2× median
S5501Top 10%

$148K

952 claims · 0.5%

Your Cost: $155.98/claim|Median: $43.74
3.6× median
S9542Normal range

$143K

41K claims · 0.5%

Your Cost: $3.45/claim|Median: $43.71
0.1× median
J1335Normal range

$116K

1,274 claims · 0.4%

Your Cost: $90.77/claim|Median: $100.54
0.9× median
J1955Top 1%

$115K

577 claims · 0.4%

Your Cost: $200.14/claim|Median: $45.31
4.4× median
B4189Top 25%

$57K

48 claims · 0.2%

Your Cost: $1,179.39/claim|Median: $743.70
1.6× median
J2997Normal range

$56K

902 claims · 0.2%

Your Cost: $62.56/claim|Median: $86.25
0.7× median
J3370Top 25%

$54K

2,582 claims · 0.2%

Your Cost: $20.84/claim|Median: $2.40
8.7× median
A4222Normal range

$40K

1,557 claims · 0.1%

Your Cost: $25.78/claim|Median: $62.70
0.4× median
J0878Normal range

$33K

1,129 claims · 0.1%

Your Cost: $29.18/claim|Median: $130.03
0.2× median
S5502Normal range

$26K

1,209 claims · 0.1%

Your Cost: $21.13/claim|Median: $25.28
0.8× median
J0696Top 25%

$17K

2,229 claims · 0.1%

Your Cost: $7.53/claim|Median: $1.34
5.6× median
S9367Normal range

$12K

271 claims · 0.0%

Your Cost: $45.99/claim|Median: $270.91
0.2× median
J0692Top 25%

$12K

644 claims · 0.0%

Your Cost: $18.25/claim|Median: $2.04
8.9× median
J0690Top 10%

$9K

566 claims · 0.0%

Your Cost: $16.26/claim|Median: $0.94
17.3× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$4K

558 claims · 0.0%

Your Cost: $6.32/claim|Median: $1.53
4.1× median
S5517Top 1%

$3K

33 claims · 0.0%

Your Cost: $91.32/claim|Median: $16.78
5.4× median
S9359Top 5%

$3K

16 claims · 0.0%

Your Cost: $160.83/claim|Median: $62.59
2.6× median
S9470Normal range

Nutritional counseling

$2K

219 claims · 0.0%

Your Cost: $8.95/claim|Median: $16.62
0.5× median
J2185Normal range

Injection, meropenem, one hundred milligrams

$1K

44 claims · 0.0%

Your Cost: $30.74/claim|Median: $105.00
0.3× median
S5498Normal range

$1K

52 claims · 0.0%

Your Cost: $25.95/claim|Median: $28.30
0.9× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$1K

221 claims · 0.0%

Your Cost: $5.71/claim|Median: $0.58
9.8× median
J3490Normal range

Unclassified drugs

$928

44 claims · 0.0%

Your Cost: $21.10/claim|Median: $5.70
3.7× median
J2543Top 25%

$400

32 claims · 0.0%

Your Cost: $12.50/claim|Median: $2.87
4.4× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$342

17 claims · 0.0%

Your Cost: $20.13/claim|Median: $16.19
1.2× median
J7050Normal range

Normal saline solution infusion, 250 cc

$67

196 claims · 0.0%

Your Cost: $0.34/claim|Median: $0.82
0.4× median
S0028Normal range

$25

39 claims · 0.0%

Your Cost: $0.63/claim|Median: $0.83
0.8× median

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