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PENTEC HEALTH INC

Pharmacy, Home Infusion Therapy Pharmacy·UPPER CHICHESTER, PA·NPI: 1770528994Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$40.2M

$40,214,263

Total Claims

349K

Beneficiaries

87K

4.0 claims/patient

Avg Cost/Claim

$115

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+12%
2019
$3.7M
+25%
2020
$4.7M
+43%
2021
$6.7M
-1%
2022
$6.6M
+9%
2023
$7.2M
+11%
2024
$8.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (S9363) accounts for 35% of total spending.

S9363Normal range

$14.2M

19K claims · 35.2%

Your Cost: $747.67/claim|Median: $719.76
1.0× median
S9328Top 25%

$6.5M

16K claims · 16.3%

Your Cost: $404.60/claim|Median: $175.94
2.3× median
B4197Normal range

$5.8M

36K claims · 14.3%

Your Cost: $159.33/claim|Median: $687.38
0.2× median
B4193Normal range

$3.5M

26K claims · 8.6%

Your Cost: $130.93/claim|Median: $569.75
0.2× median
J0475Normal range

Injection, baclofen, ten milligrams

$2.5M

12K claims · 6.2%

Your Cost: $210.47/claim|Median: $384.42
0.5× median
B4189Normal range

$2.4M

19K claims · 5.9%

Your Cost: $126.51/claim|Median: $743.70
0.2× median
S9325Top 1%

$1.1M

1,022 claims · 2.9%

Your Cost: $1,121.66/claim|Median: $966.07
1.2× median
B4224Normal range

$1.1M

88K claims · 2.8%

Your Cost: $12.63/claim|Median: $78.83
0.2× median
B4199Normal range

$755K

3,991 claims · 1.9%

Your Cost: $189.14/claim|Median: $810.01
0.2× median
99601Normal range

$521K

9,271 claims · 1.3%

Your Cost: $56.16/claim|Median: $82.41
0.7× median
99602Normal range

$516K

8,760 claims · 1.3%

Your Cost: $58.91/claim|Median: $84.91
0.7× median
S9379Normal range

$312K

3,367 claims · 0.8%

Your Cost: $92.55/claim|Median: $70.89
1.3× median
B4185Normal range

$236K

4,075 claims · 0.6%

Your Cost: $57.82/claim|Median: $134.70
0.4× median
B4220Normal range

$218K

60K claims · 0.5%

Your Cost: $3.63/claim|Median: $27.49
0.1× median
S9368Normal range

$141K

448 claims · 0.4%

Your Cost: $314.26/claim|Median: $314.26
1.0× median
J7999Normal range

$131K

8,566 claims · 0.3%

Your Cost: $15.31/claim|Median: $6.94
2.2× median
J1170Top 5%

Injection, hydromorphone, up to four milligrams

$89K

1,694 claims · 0.2%

Your Cost: $52.51/claim|Median: $1.03
51.0× median
J2274Top 5%

$72K

800 claims · 0.2%

Your Cost: $90.11/claim|Median: $2.97
30.3× median
A4220Normal range

Refill kit for implantable drug infusion pump

$67K

9,248 claims · 0.2%

Your Cost: $7.26/claim|Median: $7.24
1.0× median
J3490Normal range

Unclassified drugs

$43K

3,146 claims · 0.1%

Your Cost: $13.69/claim|Median: $5.70
2.4× median
A9270Top 25%

$30K

15K claims · 0.1%

Your Cost: $2.07/claim|Median: $0.20
10.3× median
95990Normal range

$20K

2,425 claims · 0.0%

Your Cost: $8.13/claim|Median: $27.97
0.3× median
B4157Normal range

$4K

17 claims · 0.0%

Your Cost: $263.53/claim|Median: $693.97
0.4× median
J2270Top 5%

Injection, morphine sulfate, up to ten milligrams

$3K

221 claims · 0.0%

Your Cost: $14.70/claim|Median: $1.00
14.7× median
S9365Normal range

$600

382 claims · 0.0%

Your Cost: $1.57/claim|Median: $188.23
0.0× median
B9999Normal range

$51

135 claims · 0.0%

Your Cost: $0.38/claim|Median: $29.84
0.0× median

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