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

    Accredo Health Group Inc — Billing Profile & Reimbursement Data

    NPI 1073569034 · Irving, TX · 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 pharmacy provider located in Irving, Texas. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    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

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAccredo Health Group Inc
    Address4343 W Royal Ln
    CityIrving
    StateTX
    ZIP75063
    TaxonomyPharmacy
    NPI EnumeratedMay 25, 2006

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

    Payer SourceTotal Paid
    Medicaid$27.7M
    Medicare$0

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2326Injection, nusinersen, 0.1 mg270$99,700$27.3M
    J0584Injection, burosumab-twza 1 mg30$10,690$342.1K
    J7307Etonogestrel (contraceptive) implant system, including implant and supplies30$910$24.5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J2326Injection, nusinersen, 0.1 mg110270$99,700$27.3M
    J0584Injection, burosumab-twza 1 mg11030$10,690$342.1K
    J7307Etonogestrel (contraceptive) implant system, including implant and supplies263040$660$131.4K

    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 IncFLSpecialty Pharmacy$10.5K$18.1M
    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
    Quest Diagnostics Clinical Laboratories IncTXClinical Medical Laboratory$46.7M$276.8M
    Andrew LeeTXRadiation Oncology Physician$2.2M$0
    Jared SturgeonTXRadiation Oncology Physician$2.1M$0
    Firstox Laboratories, LLCTXClinical Medical Laboratory$241K$1.3M
    Victor MangonaTXRadiation Oncology Physician$1.6M$0
    Carenexa, LLCTXClinical Medical Laboratory$1.1M$15K
    David HullTXAnatomic Pathology & Clinical Pathology Physician$1.1M$10.1K
    Biostat ImagingTXPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$852.9K$179.1K
    Daniel SuezTXAllergy & Immunology Physician$697.4K$0
    Thomas SalmonTXNeurology Physician$591.8K$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.

    Medicaid Revenue by Year vs. Texas Providers
    3 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Accredo Health Group Inc — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas