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PREMIER KIDS CARE INC

Pharmacy, Community/Retail Pharmacy·TYLER, TX·NPI: 1447321674Share
Active Billing Period:2018-12→2024-12(72 months)

Total Paid

$28.2M

$28,214,288

Total Claims

105K

Beneficiaries

99K

1.1 claims/patient

Avg Cost/Claim

$269

Monthly Spending Trend

Yearly Spending

2018
$5K
+4326%
2019
$200K
+662%
2020
$1.5M
+257%
2021
$5.4M
+7%
2022
$5.8M
+20%
2023
$7.0M
+19%
2024
$8.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (A4239 (Supply allowance for non-insulin pump CGM, per month)) accounts for 39% of total spending.

A4239Top 10%

Supply allowance for non-insulin pump CGM, per month

$10.9M

45K claims · 38.6%

Your Cost: $241.49/claim|Median: $73.75
3.3× median
K0553Top 5%

Supply allowance for therapeutic CGM, per month

$9.0M

26K claims · 31.9%

Your Cost: $348.47/claim|Median: $53.20
6.6× median
A9274Normal range

External ambulatory insulin delivery system, disposable

$3.4M

8,147 claims · 12.0%

Your Cost: $414.81/claim|Median: $466.16
0.9× median
E0784Normal range

External ambulatory infusion pump, insulin

$1.7M

2,032 claims · 5.9%

Your Cost: $817.72/claim|Median: $1,188.30
0.7× median
A4230Normal range

Infusion supplies, non-chemotherapy, per visit

$1.2M

7,653 claims · 4.1%

Your Cost: $151.04/claim|Median: $136.09
1.1× median
A9276Top 10%

Breath test analyzer, FDA approved, disposable

$765K

1,170 claims · 2.7%

Your Cost: $653.84/claim|Median: $294.58
2.2× median
E2103Top 10%

$512K

2,313 claims · 1.8%

Your Cost: $221.35/claim|Median: $85.49
2.6× median
A4232Normal range

$335K

8,571 claims · 1.2%

Your Cost: $39.04/claim|Median: $34.49
1.1× median
K0554Top 10%

$321K

1,294 claims · 1.1%

Your Cost: $247.73/claim|Median: $77.38
3.2× median
A9277Normal range

Breath alcohol test, per administration

$127K

286 claims · 0.5%

Your Cost: $444.98/claim|Median: $407.76
1.1× median
A4231Normal range

$39K

570 claims · 0.1%

Your Cost: $67.95/claim|Median: $93.81
0.7× median
A4225Top 25%

$27K

858 claims · 0.1%

Your Cost: $31.22/claim|Median: $22.71
1.4× median
A6257Normal range

$4K

375 claims · 0.0%

Your Cost: $10.45/claim|Median: $10.48
1.0× median
A5120Normal range

$1K

417 claims · 0.0%

Your Cost: $2.63/claim|Median: $6.35
0.4× median
A4456Normal range

$594

446 claims · 0.0%

Your Cost: $1.33/claim|Median: $6.74
0.2× median

Other Top Providers in Texas

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Girling Health Care Inc.

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$858.2M

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$708.5M

Consumer Directed Services in Texas Inc.

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$624.8M

Caregivers Home Health TX INC

Nursing Care

$477.7M

Legacy Community Health Services, INC

Pediatrics

$406.5M

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$130.9M

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