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AAPEX COMMUNITY PHARMACY INC

Pharmacy, Compounding Pharmacy·HOUSTON, TX·NPI: 1629013156Share
Active Billing Period:2020-03→2024-12(58 months)

Total Paid

$21.7M

$21,703,769

Total Claims

100K

Beneficiaries

90K

1.1 claims/patient

Avg Cost/Claim

$217

Monthly Spending Trend

Yearly Spending

2020
$887K
+525%
2021
$5.5M
+3%
2022
$5.7M
-8%
2023
$5.3M
-18%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (K0553 (Supply allowance for therapeutic CGM, per month)) accounts for 26% of total spending.

K0553Top 10%

Supply allowance for therapeutic CGM, per month

$5.5M

20K claims · 25.5%

Your Cost: $272.16/claim|Median: $53.20
5.1× median
B4162Top 25%

$5.2M

7,045 claims · 24.1%

Your Cost: $741.55/claim|Median: $412.82
1.8× median
A4239Top 25%

Supply allowance for non-insulin pump CGM, per month

$4.3M

21K claims · 20.0%

Your Cost: $205.66/claim|Median: $73.75
2.8× median
B4155Top 5%

$2.1M

4,196 claims · 9.6%

Your Cost: $496.89/claim|Median: $46.72
10.6× median
B9998Top 25%

Enteral/parenteral nutritional supplies, NOS

$942K

7,013 claims · 4.3%

Your Cost: $134.36/claim|Median: $55.51
2.4× median
B4160Top 25%

Enteral formula, per 100 calories

$544K

2,493 claims · 2.5%

Your Cost: $218.30/claim|Median: $157.30
1.4× median
B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$487K

695 claims · 2.2%

Your Cost: $700.83/claim|Median: $465.86
1.5× median
K0554Top 5%

$443K

1,201 claims · 2.0%

Your Cost: $369.02/claim|Median: $77.38
4.8× median
B4104Top 1%

$400K

976 claims · 1.8%

Your Cost: $409.59/claim|Median: $72.05
5.7× median
B4035Top 5%

Enteral feeding supply kit, pump fed, per day

$397K

1,392 claims · 1.8%

Your Cost: $285.30/claim|Median: $117.24
2.4× median
A4253Top 25%

Blood glucose test strips

$336K

10K claims · 1.5%

Your Cost: $33.09/claim|Median: $6.92
4.8× median
T4531Top 25%

$296K

2,086 claims · 1.4%

Your Cost: $141.71/claim|Median: $100.68
1.4× median
B4157Normal range

$241K

334 claims · 1.1%

Your Cost: $720.15/claim|Median: $693.97
1.0× median
E2103Top 25%

$139K

656 claims · 0.6%

Your Cost: $211.30/claim|Median: $85.49
2.5× median
B4158Normal range

$69K

614 claims · 0.3%

Your Cost: $112.09/claim|Median: $145.71
0.8× median
B4152Top 10%

Enteral formula, calorically dense, per 100 calories

$67K

325 claims · 0.3%

Your Cost: $206.06/claim|Median: $92.20
2.2× median
A4245Normal range

$55K

12K claims · 0.3%

Your Cost: $4.43/claim|Median: $2.33
1.9× median
A4554Normal range

Disposable underpads, all sizes

$44K

1,315 claims · 0.2%

Your Cost: $33.12/claim|Median: $37.02
0.9× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$17K

476 claims · 0.1%

Your Cost: $35.22/claim|Median: $28.63
1.2× median
A4322Normal range

$13K

1,477 claims · 0.1%

Your Cost: $8.80/claim|Median: $14.10
0.6× median
A4335Normal range

Incontinence supply, miscellaneous

$12K

1,914 claims · 0.1%

Your Cost: $6.16/claim|Median: $5.54
1.1× median
A4670Normal range

$11K

192 claims · 0.0%

Your Cost: $54.72/claim|Median: $50.23
1.1× median
A6216Normal range

Gauze, non-impregnated, sterile

$2K

930 claims · 0.0%

Your Cost: $1.71/claim|Median: $4.91
0.3× median
A4209Normal range

$890

562 claims · 0.0%

Your Cost: $1.58/claim|Median: $1.41
1.1× median

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