Is ACCREDO HEALTH GROUP INC flagged for Medicaid fraud?

ACCREDO HEALTH GROUP INC (NPI: 1952359150) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does ACCREDO HEALTH GROUP INC bill Medicaid?

ACCREDO HEALTH GROUP INC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Pharmacy provider. Located in CORONA, CA.

What is NPI 1952359150?

NPI 1952359150 is the National Provider Identifier for ACCREDO HEALTH GROUP INC. They are a Pharmacy provider based in CORONA, CA. This NPI is registered with the CMS NPI Registry.

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ACCREDO HEALTH GROUP INC

Pharmacy·CORONA, CA·NPI: 1952359150Share

Active Billing Period:2018-01→2024-09(80 months)

Total Paid

$20.3M

$20,276,990

Total Claims

9,345

Beneficiaries

7,003

1.3 claims/patient

Avg Cost/Claim

$2K

Monthly Spending Trend

Yearly Spending

2018

$4.0M

-4%

2019

$3.8M

+30%

2020

$4.9M

-21%

2021

$3.9M

-51%

2022

$1.9M

-53%

2023

$893K

+1%

2024

$899K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (J3285) accounts for 79% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

J3285 See all providers →

$16.0M

1,891 claims

$8,474.87

$4,178.96

2.0×

Top 1%

J3285Top 1%

$16.0M

1,891 claims · 79.0%

Your Cost: $8,474.87/claim|Median: $4,178.96

2.0× median

S9347 See all providers →

$2.3M

2,707 claims

$856.72

$265.52

3.2×

Top 25%

S9347Top 25%

$2.3M

2,707 claims · 11.4%

Your Cost: $856.72/claim|Median: $265.52

3.2× median

J7686 See all providers →

$1.5M

445 claims

$3,408.17

$3,406.01

1.0×

Top 1%

J7686Top 1%

$1.5M

445 claims · 7.5%

Your Cost: $3,408.17/claim|Median: $3,406.01

1.0× median

J1325 See all providers →

$166K

274 claims

$606.21

$732.53

0.8×

Normal range

J1325Normal range

$166K

274 claims · 0.8%

Your Cost: $606.21/claim|Median: $732.53

0.8× median

K0455 See all providers →

$125K

1,505 claims

$83.08

$27.80

3.0×

Top 1%

K0455Top 1%

$125K

1,505 claims · 0.6%

Your Cost: $83.08/claim|Median: $27.80

3.0× median

A4222 See all providers →

$92K

549 claims

$168.03

$62.70

2.7×

Top 25%

A4222Top 25%

$92K

549 claims · 0.5%

Your Cost: $168.03/claim|Median: $62.70

2.7× median

A4221Supplies for maintenance of drug infusion catheterSee all providers →

$27K

1,576 claims

$17.17

$16.19

1.1×

Normal range

A4221Normal range

Supplies for maintenance of drug infusion catheter

$27K

1,576 claims · 0.1%

Your Cost: $17.17/claim|Median: $16.19

1.1× median

Q0513 See all providers →

$3K

13 claims

$243.99

$5.61

43.5×

Top 1%

Q0513Top 1%

$3K

13 claims · 0.0%

Your Cost: $243.99/claim|Median: $5.61

43.5× median

K0552 See all providers →

$2K

385 claims

$4.24

$19.78

0.2×

Normal range

K0552Normal range

$2K

385 claims · 0.0%

Your Cost: $4.24/claim|Median: $19.78

0.2× median

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