Supplier
Eversana Life Science Services, LLC
Eversana Life Science Services, LLC was paid $38.90M by Medicaid between Jan 2018 and May 2024, across 3 billing codes. Its largest line is J0256, Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg — 99% of everything it billed.
33Billing provider infoEVERSANA LIFE SCIENCE SERVICES, LLC
CHESTERFIELD, MO 63005
CHESTERFIELD, MO 63005
33aNPI1548264591assigned 06/08/2005
33bProvider typeCommunity/Retail Pharmacy
28Total paid$38.90M
24GClaims20,534
24DCodes billed3
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in Missouri
Rank by total paid#1 of 47
Median peer was paid$3K
This provider vs. median13,298×
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.
Single-Code Concentration99% of spending on code J0256 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 349 | $1.30M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0256 | Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg | 99% | 16,156 | 4,015 | $38.59M |
| 99601 | <1% | 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 | <1% | 283 | 207 | $35K |
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.
From NPPES
Who's on the registration
Authorized officialRESTREPO, JORGE (DIRECTOR ACCESS AND REIMBURSEMENT)