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IHC HEALTH SERVICES INC

Pharmacy, Home Infusion Therapy Pharmacy·SOUTH JORDAN, UT·NPI: 1396852000Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$38.2M

$38,175,023

Total Claims

375K

Beneficiaries

198K

1.9 claims/patient

Avg Cost/Claim

$102

Monthly Spending Trend

Yearly Spending

2018
$4.8M
+28%
2019
$6.1M
+13%
2020
$6.9M
-22%
2021
$5.4M
-9%
2022
$4.9M
-3%
2023
$4.8M
+10%
2024
$5.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 48 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 27% of total spending.

B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$10.2M

46K claims · 26.8%

Your Cost: $222.46/claim|Median: $117.24
1.9× median
A4222Top 5%

$4.4M

9,018 claims · 11.6%

Your Cost: $489.43/claim|Median: $62.70
7.8× median
B9002Normal range

$3.6M

120K claims · 9.6%

Your Cost: $30.47/claim|Median: $54.41
0.6× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$2.9M

9,992 claims · 7.6%

Your Cost: $290.38/claim|Median: $465.86
0.6× median
A4223Top 25%

$2.2M

13K claims · 5.8%

Your Cost: $168.30/claim|Median: $60.92
2.8× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$1.8M

7,992 claims · 4.8%

Your Cost: $230.12/claim|Median: $300.16
0.8× median
B4034Top 1%

$1.8M

11K claims · 4.7%

Your Cost: $165.37/claim|Median: $46.28
3.6× median
B4160Normal range

Enteral formula, per 100 calories

$1.7M

18K claims · 4.5%

Your Cost: $97.70/claim|Median: $157.30
0.6× median
B4185Normal range

$1.3M

9,402 claims · 3.4%

Your Cost: $139.34/claim|Median: $134.70
1.0× median
B4153Normal range

$1.2M

4,315 claims · 3.0%

Your Cost: $268.80/claim|Median: $410.73
0.7× median
A4305Normal range

$841K

12K claims · 2.2%

Your Cost: $70.69/claim|Median: $76.95
0.9× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$744K

11K claims · 1.9%

Your Cost: $70.57/claim|Median: $89.79
0.8× median
B4100Top 25%

$722K

7,235 claims · 1.9%

Your Cost: $99.82/claim|Median: $67.58
1.5× median
B4189Normal range

$689K

2,524 claims · 1.8%

Your Cost: $273.05/claim|Median: $743.70
0.4× median
A4221Top 10%

Supplies for maintenance of drug infusion catheter

$689K

17K claims · 1.8%

Your Cost: $41.51/claim|Median: $16.19
2.6× median
E0781Normal range

$525K

7,435 claims · 1.4%

Your Cost: $70.64/claim|Median: $54.38
1.3× median
B4088Normal range

$505K

8,767 claims · 1.3%

Your Cost: $57.65/claim|Median: $73.20
0.8× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$434K

5,289 claims · 1.1%

Your Cost: $82.07/claim|Median: $92.20
0.9× median
S5520Normal range

$258K

17K claims · 0.7%

Your Cost: $15.25/claim|Median: $88.92
0.2× median
B4197Normal range

$221K

635 claims · 0.6%

Your Cost: $348.45/claim|Median: $687.38
0.5× median
B4162Normal range

$211K

815 claims · 0.6%

Your Cost: $259.02/claim|Median: $412.82
0.6× median
B4154Normal range

$201K

1,708 claims · 0.5%

Your Cost: $117.95/claim|Median: $132.96
0.9× median
B4155Normal range

$181K

3,896 claims · 0.5%

Your Cost: $46.56/claim|Median: $46.72
1.0× median
B4036Top 25%

$156K

1,291 claims · 0.4%

Your Cost: $120.73/claim|Median: $74.87
1.6× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$94K

1,489 claims · 0.2%

Your Cost: $63.16/claim|Median: $176.25
0.4× median
B4224Normal range

$70K

9,204 claims · 0.2%

Your Cost: $7.62/claim|Median: $78.83
0.1× median
B4216Normal range

$58K

971 claims · 0.2%

Your Cost: $59.42/claim|Median: $59.42
1.0× median
E0776Top 25%

$49K

2,087 claims · 0.1%

Your Cost: $23.63/claim|Median: $8.13
2.9× median
A4216Top 5%

$46K

291 claims · 0.1%

Your Cost: $159.46/claim|Median: $8.45
18.9× median
J1559Top 25%

$46K

30 claims · 0.1%

Your Cost: $1,529.44/claim|Median: $811.35
1.9× median
B4220Normal range

$45K

9,174 claims · 0.1%

Your Cost: $4.95/claim|Median: $27.49
0.2× median
J7030Top 10%

Normal saline solution infusion, 1000 cc

$41K

1,272 claims · 0.1%

Your Cost: $32.32/claim|Median: $1.53
21.1× median
J1955Normal range

$36K

3,413 claims · 0.1%

Your Cost: $10.62/claim|Median: $45.31
0.2× median
J3490Normal range

Unclassified drugs

$26K

1,654 claims · 0.1%

Your Cost: $15.57/claim|Median: $5.70
2.7× median
B4199Normal range

$22K

45 claims · 0.1%

Your Cost: $486.38/claim|Median: $810.01
0.6× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$17K

1,312 claims · 0.0%

Your Cost: $13.29/claim|Median: $55.51
0.2× median
J2997Normal range

$11K

116 claims · 0.0%

Your Cost: $97.51/claim|Median: $86.25
1.1× median
S9435Normal range

$7K

12 claims · 0.0%

Your Cost: $615.33/claim|Median: $563.77
1.1× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$4K

56 claims · 0.0%

Your Cost: $67.69/claim|Median: $53.41
1.3× median
S9343Normal range

$2K

101 claims · 0.0%

Your Cost: $23.86/claim|Median: $99.47
0.2× median
E0779Normal range

$2K

273 claims · 0.0%

Your Cost: $7.12/claim|Median: $7.60
0.9× median
J3411Top 5%

$435

22 claims · 0.0%

Your Cost: $19.79/claim|Median: $1.52
13.0× median
K0552Normal range

$391

94 claims · 0.0%

Your Cost: $4.16/claim|Median: $19.78
0.2× median
B4081Normal range

$365

180 claims · 0.0%

Your Cost: $2.03/claim|Median: $36.64
0.1× median
J7120Normal range

Ringer's lactate infusion, up to 1000 cc

$297

58 claims · 0.0%

Your Cost: $5.13/claim|Median: $1.51
3.4× median
B4158Normal range

$241

12 claims · 0.0%

Your Cost: $20.10/claim|Median: $145.71
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
J3475Normal range

$0

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.03