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CHILDREN'S HOSPITAL MEDICAL CENTER

Pharmacy, Home Infusion Therapy Pharmacy·CINCINNATI, OH·NPI: 1629116645Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$57.0M

$56,971,203

Total Claims

46K

Beneficiaries

29K

1.6 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2018
$6.4M
-0%
2019
$6.4M
+32%
2020
$8.4M
+25%
2021
$10.5M
+11%
2022
$11.7M
-41%
2023
$6.9M
-2%
2024
$6.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (S9340) accounts for 52% of total spending.

S9340Top 1%

$29.5M

17K claims · 51.7%

Your Cost: $1,756.62/claim|Median: $196.46
8.9× median
J3490Top 1%

Unclassified drugs

$16.4M

9,890 claims · 28.8%

Your Cost: $1,658.57/claim|Median: $5.70
291.0× median
S9590Top 1%

$2.8M

1,741 claims · 4.9%

Your Cost: $1,617.05/claim|Median: $324.98
5.0× median
90378Top 1%

$2.4M

571 claims · 4.2%

Your Cost: $4,195.19/claim|Median: $1,627.19
2.6× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.9M

4,181 claims · 3.3%

Your Cost: $448.49/claim|Median: $465.86
1.0× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$1.1M

3,348 claims · 1.9%

Your Cost: $330.50/claim|Median: $300.16
1.1× median
B4160Normal range

Enteral formula, per 100 calories

$920K

5,319 claims · 1.6%

Your Cost: $173.01/claim|Median: $157.30
1.1× median
S5497Top 1%

$824K

1,727 claims · 1.4%

Your Cost: $477.32/claim|Median: $46.31
10.3× median
J7170Normal range

Emicizumab-kxwh (Hemlibra) injection, 0.5 mg

$815K

46 claims · 1.4%

Your Cost: $17,707.74/claim|Median: $23,418.64
0.8× median
S9338Top 1%

$136K

91 claims · 0.2%

Your Cost: $1,494.67/claim|Median: $60.83
24.6× median
S9345Top 1%

$93K

120 claims · 0.2%

Your Cost: $771.86/claim|Median: $41.98
18.4× median
J3590Top 25%

Unclassified biologic drug injection

$49K

155 claims · 0.1%

Your Cost: $317.31/claim|Median: $24.77
12.8× median
B4158Normal range

$38K

318 claims · 0.1%

Your Cost: $117.95/claim|Median: $145.71
0.8× median
J1580Top 5%

$10K

452 claims · 0.0%

Your Cost: $21.78/claim|Median: $1.13
19.3× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$5K

779 claims · 0.0%

Your Cost: $6.86/claim|Median: $1.53
4.5× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$3K

31 claims · 0.0%

Your Cost: $105.58/claim|Median: $92.20
1.1× median
J2941Normal range

$2K

44 claims · 0.0%

Your Cost: $55.73/claim|Median: $163.62
0.3× median
J7050Normal range

Normal saline solution infusion, 250 cc

$587

269 claims · 0.0%

Your Cost: $2.18/claim|Median: $0.82
2.7× median

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