Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAccredo Health Group Inc
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Accredo Health Group Inc — Billing Profile & Reimbursement Data

    NPI 1043309735 · Orlando, FL · Specialty Pharmacy

    Customize your policy alerts

    Sign up for Accredo Health Group Inc — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Accredo Health Group Inc is a specialty pharmacy provider located in Orlando, Florida. This profile covers 1 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAccredo Health Group Inc
    Address6272 Lee Vista Blvd
    CityOrlando
    StateFL
    ZIP32822
    TaxonomySpecialty Pharmacy
    NPI EnumeratedOctober 12, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$18.1M
    Medicare$10.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0068Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy…460$20$10.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0068110460$20$10.5K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2326Injection, nusinersen, 0.1 mg130$130,650$16.5M
    J1325Injection, epoprostenol, 0.5 mg2,680$380$1M
    J3285Injection, treprostinil, 1 mg180$1,730$302.2K
    J0585Injection, onabotulinumtoxina, 1 unit90$1,230$110.7K
    A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)3,160$40$110.5K
    A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)4,180$10$29.2K
    K0455Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)990$10$13.8K
    J7507Tacrolimus, immediate release, oral, 1 mg40$20$530
    K0552Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each720$0$0
    Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period180$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Florida median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J2326Injection, nusinersen, 0.1 mg110130$130,650$16.5M
    J1325Injection, epoprostenol, 0.5 mg1102,680$380$1M
    J3285Injection, treprostinil, 1 mg110180$1,730$302.3K
    J0585Injection, onabotulinumtoxina, 1 unit122080$430$124.8K
    A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)110740$40$40.7K
    J7507Tacrolimus, immediate release, oral, 1 mg1620810$1$22.3K
    A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)210260$20$21.5K
    K0552Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each2101,020$20$18.4K
    K0455Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)110990$10$13.3K
    Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period1720820$1$560

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Accredo Health Group Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Accredo Health Group IncPAPharmacy$37.8M$130.9M
    Accredo Health Group IncTNPharmacy$0$165.6M
    Accredo Health Group IncTXPharmacy$0$27.7M
    Accredo Health Group IncDEPharmacy$0$10.2M
    Accredo Health Group IncAZPharmacy$65.5K$9.1M
    Accredo Health Group IncKSPharmacy$0$944.9K
    Accredo Health Group IncHIPharmacy$0$549.1K

    Nearby Providers

    Other providers in the same ZIP code as Accredo Health Group Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Home Society Of FloridaFLCommunity/Behavioral Health Agency$0$29.4M
    The Devereux FoundationFLCommunity Health Clinic/Center$0$29.2M
    Professional Psychiatric Services, LLCFLCommunity/Behavioral Health Agency$0$8.2M
    Compassion Pediatrics LLCFLPediatrics Physician$0$8M
    First 2 Aid Ems, IncFLLand Ambulance$665.4K$418.8K
    Benyam YosephFLGeneral Practice Physician$738.5K$0
    Christopher SmithFLInternal Medicine Physician$732.1K$0
    Fyzamedical LLCFLClinical Medical Laboratory$457.4K$8.5K
    Michael HawksFLOrthopaedic Surgery Physician$215.5K$0
    Edwin Martinez MejiasFLCardiovascular Disease Physician$131.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Accredo Health Group Inc — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Accredo Health Group Inc — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida