Caremark, L.L.C.
Caremark, L.L.C. was paid $19.87M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is J3285, Injection, treprostinil, 1 mg — 45% of everything it billed.
REDLANDS, CA 92374
Next to other Home Infusion Therapy Pharmacy providers in California
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 984 | $1.98M | |
| 2019 | 1,209 | $2.58M | |
| 2020 | 1,999 | $3.14M | |
| 2021 | 3,888 | $5.11M | |
| 2022 | 2,757 | $3.01M | |
| 2023 | 2,339 | $2.40M | |
| 2024incomplete | 1,435 | $1.65M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J3285 | Injection, treprostinil, 1 mg | 45% | 2,816 | 1,570 | $8.92M |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 14% | 2,905 | 2,751 | $2.78M |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 8.7% | 1,701 | 1,663 | $1.74M |
| J2357 | Injection, omalizumab, 5 mg | 7.7% | 814 | 700 | $1.52M |
| Z5999 | 7.4% | 51 | 50 | $1.48M | |
| 90378 | 7.3% | 536 | 439 | $1.44M | |
| S9347 | Home infusion therapy, uninterrupted, long-term, controlled rate intravenous or subcutaneous infusion therapy (e.g., epoprostenol); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 3.4% | 665 | 508 | $674K |
| J1726 | Injection, hydroxyprogesterone caproate, (makena), 10 mg | 1.9% | 182 | 156 | $384K |
| J0135 | Injection, adalimumab, 20 mg | 1.7% | 368 | 336 | $334K |
| J3590 | Unclassified biologics | 1.0% | 307 | 285 | $202K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | <1% | 1,131 | 718 | $125K |
| J1438 | Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | <1% | 122 | 118 | $76K |
10 more codes
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 1,087 | $67K |
| J7192 | Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified | <1% | 25 | $65K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 27 | $35K |
| K0455 | Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) | <1% | 703 | $16K |
| J7296 | Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg | <1% | 12 | $11K |
| J3490 | Unclassified drugs | <1% | 458 | $5K |
| S5000 | Prescription drug, generic | <1% | 120 | $3K |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | <1% | 400 | $452.74 |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | <1% | 130 | $377.69 |
| J7507 | Tacrolimus, immediate release, oral, 1 mg | <1% | 51 | $326.73 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Procare Pharmacy Direct, LLC. | Monroeville, PA | $227.31M |
| Procare Pharmacy, L.L.C. | Honolulu, HI | $41.83M |
| Caremark, L.L.C. | Mt Prospect, IL | $34.08M |
| Caremark, L.L.C. | Tampa, FL | $7.28M |
| Caremark, L.L.C. | Fairfield, NJ | $3.43M |
| Caremark L.L.C. | Raleigh, NC | $2.69M |
| Caremark L.L.C. | Lenexa, KS | $2.54M |
| Caremark, L.L.C. | Milford, MA | $2.20M |
| Caremark, L.L.C. | Bartlett, TN | $1.96M |
| Procare Pharmacy, LLC. | Birmingham, AL | $623K |
| Procare Pharmacy, L.L.C. | Portland, ME | $109K |
| Procare Pharmacy LLC | Boston, MA | $724.47 |
| Caremark, LLC | Mt. Prospec, IL | $76.40 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.