Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EVERSANA LIFE SCIENCE SERVICES, LLC

NPI: 1548264591 · CHESTERFIELD, MO 63005 · Community/Retail Pharmacy · NPI assigned 06/08/2005

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code J0256 with only 3 total codes billed. Highly concentrated billing profile.

$38.90M
Total Medicaid Paid
20,534
Total Claims
5,260
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialRESTREPO, JORGE (DIRECTOR ACCESS AND REIMBURSEMENT)
NPI Enumeration Date06/08/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,177 $6.74M
2019 4,007 $6.15M
2020 3,901 $6.87M
2021 3,487 $7.03M
2022 3,155 $6.27M
2023 1,458 $4.53M
2024 349 $1.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0256 Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg 16,156 4,015 $38.59M
99601 4,095 1,038 $272K
S9346 Home infusion therapy, alpha-1-proteinase inhibitor (e.g., prolastin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 283 207 $35K