Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

TRINITY HOMECARE LLC

Pharmacy, Home Infusion Therapy Pharmacy·RIDGEWOOD, NY·NPI: 1518036458Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$46.8M

$46,793,800

Total Claims

200K

Beneficiaries

85K

2.4 claims/patient

Avg Cost/Claim

$235

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+36%
2019
$4.1M
+57%
2020
$6.5M
+34%
2021
$8.6M
+13%
2022
$9.8M
-13%
2023
$8.6M
-28%
2024
$6.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (J1726) accounts for 17% of total spending.

J1726Normal range

$7.8M

11K claims · 16.8%

Your Cost: $692.56/claim|Median: $789.74
0.9× median
S9500Top 25%

$5.4M

16K claims · 11.5%

Your Cost: $326.46/claim|Median: $144.40
2.3× median
99601Normal range

$5.3M

55K claims · 11.3%

Your Cost: $96.81/claim|Median: $82.41
1.2× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$4.5M

19K claims · 9.6%

Your Cost: $242.86/claim|Median: $176.25
1.4× median
S9379Top 1%

$3.5M

6,849 claims · 7.4%

Your Cost: $505.44/claim|Median: $70.89
7.1× median
S9366Top 25%

$2.7M

4,078 claims · 5.9%

Your Cost: $674.18/claim|Median: $394.05
1.7× median
S9502Top 25%

$1.8M

4,746 claims · 3.8%

Your Cost: $374.81/claim|Median: $165.71
2.3× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.6M

3,126 claims · 3.5%

Your Cost: $516.58/claim|Median: $465.86
1.1× median
J1745Top 25%

Injection, infliximab, excludes biosimilar, 10 mg

$1.5M

510 claims · 3.3%

Your Cost: $3,023.13/claim|Median: $1,587.53
1.9× median
B4185Top 25%

$1.3M

5,503 claims · 2.8%

Your Cost: $235.16/claim|Median: $134.70
1.7× median
S9501Top 25%

$1.2M

3,549 claims · 2.6%

Your Cost: $337.30/claim|Median: $160.52
2.1× median
J1335Top 25%

$1.1M

2,978 claims · 2.4%

Your Cost: $384.48/claim|Median: $100.54
3.8× median
Q5103Top 5%

$1.1M

234 claims · 2.3%

Your Cost: $4,651.58/claim|Median: $1,075.28
4.3× median
B4160Top 10%

Enteral formula, per 100 calories

$1.0M

3,162 claims · 2.2%

Your Cost: $322.27/claim|Median: $157.30
2.0× median
S9365Top 1%

$811K

1,522 claims · 1.7%

Your Cost: $532.52/claim|Median: $188.23
2.8× median
99602Top 25%

$739K

5,867 claims · 1.6%

Your Cost: $126.03/claim|Median: $84.91
1.5× median
J1561Top 10%

$579K

141 claims · 1.2%

Your Cost: $4,103.45/claim|Median: $1,482.84
2.8× median
J0878Top 25%

$542K

1,792 claims · 1.2%

Your Cost: $302.39/claim|Median: $130.03
2.3× median
S9367Normal range

$415K

1,082 claims · 0.9%

Your Cost: $383.52/claim|Median: $270.91
1.4× median
A4223Normal range

$376K

4,767 claims · 0.8%

Your Cost: $78.78/claim|Median: $60.92
1.3× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$364K

3,830 claims · 0.8%

Your Cost: $95.05/claim|Median: $117.24
0.8× median
J3380Top 5%

Injection, vedolizumab, one milligram

$309K

43 claims · 0.7%

Your Cost: $7,195.74/claim|Median: $4,027.41
1.8× median
J0696Top 5%

$262K

4,301 claims · 0.6%

Your Cost: $60.92/claim|Median: $1.34
45.5× median
S9343Normal range

$254K

2,727 claims · 0.5%

Your Cost: $93.29/claim|Median: $99.47
0.9× median
A4222Normal range

$220K

2,236 claims · 0.5%

Your Cost: $98.49/claim|Median: $62.70
1.6× median
S9542Normal range

$219K

8,678 claims · 0.5%

Your Cost: $25.19/claim|Median: $43.71
0.6× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$205K

2,378 claims · 0.4%

Your Cost: $86.26/claim|Median: $92.20
0.9× median
B4088Top 25%

$205K

1,818 claims · 0.4%

Your Cost: $112.68/claim|Median: $73.20
1.5× median
S9374Top 25%

$203K

1,053 claims · 0.4%

Your Cost: $192.94/claim|Median: $136.10
1.4× median
J3370Top 5%

$175K

2,976 claims · 0.4%

Your Cost: $58.80/claim|Median: $2.40
24.5× median
S9338Top 25%

$170K

1,901 claims · 0.4%

Your Cost: $89.56/claim|Median: $60.83
1.5× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$153K

1,852 claims · 0.3%

Your Cost: $82.82/claim|Median: $89.79
0.9× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$126K

5,926 claims · 0.3%

Your Cost: $21.21/claim|Median: $16.19
1.3× median
B4154Normal range

$57K

362 claims · 0.1%

Your Cost: $156.15/claim|Median: $132.96
1.2× median
J0692Top 5%

$53K

448 claims · 0.1%

Your Cost: $119.15/claim|Median: $2.04
58.4× median
B4034Normal range

$43K

980 claims · 0.1%

Your Cost: $43.73/claim|Median: $46.28
0.9× median
J2185Normal range

Injection, meropenem, one hundred milligrams

$41K

262 claims · 0.1%

Your Cost: $154.63/claim|Median: $105.00
1.5× median
B4158Normal range

$37K

193 claims · 0.1%

Your Cost: $192.61/claim|Median: $145.71
1.3× median
J0690Top 5%

$35K

570 claims · 0.1%

Your Cost: $61.59/claim|Median: $0.94
65.5× median
B4155Normal range

$28K

541 claims · 0.1%

Your Cost: $51.19/claim|Median: $46.72
1.1× median
J0872Top 1%

$23K

23 claims · 0.1%

Your Cost: $1,017.60/claim|Median: $520.53
2.0× median
J1580Top 10%

$22K

2,249 claims · 0.0%

Your Cost: $9.88/claim|Median: $1.13
8.7× median
B4197Normal range

$22K

32 claims · 0.0%

Your Cost: $687.38/claim|Median: $687.38
1.0× median
S9359Top 25%

$21K

195 claims · 0.0%

Your Cost: $106.58/claim|Median: $62.59
1.7× median
B4153Normal range

$20K

81 claims · 0.0%

Your Cost: $246.67/claim|Median: $410.73
0.6× median
B4224Normal range

$19K

606 claims · 0.0%

Your Cost: $32.04/claim|Median: $78.83
0.4× median
J0873Top 1%

$18K

48 claims · 0.0%

Your Cost: $384.71/claim|Median: $384.71
1.0× median
B4180Normal range

$18K

592 claims · 0.0%

Your Cost: $30.22/claim|Median: $75.10
0.4× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$17K

68 claims · 0.0%

Your Cost: $242.80/claim|Median: $300.16
0.8× median
S9503Top 1%

$11K

25 claims · 0.0%

Your Cost: $456.20/claim|Median: $205.52
2.2× median