POLK'S CROSSGATES DISCOUNT DRUGS INC.
NPI: 1013925122
· JACKSON, MS 39208
· 183700000X
$262K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,295 |
$70K |
| 2019 |
4,871 |
$56K |
| 2020 |
5,295 |
$56K |
| 2021 |
4,031 |
$34K |
| 2022 |
3,893 |
$21K |
| 2023 |
4,135 |
$15K |
| 2024 |
1,881 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus imme rel oral 1mg |
5,713 |
4,771 |
$111K |
| J7517 |
Mycophenolate mofetil oral |
4,191 |
3,795 |
$93K |
| J7518 |
Mycophenolic acid |
409 |
354 |
$27K |
| J7512 |
Prednisone ir or dr oral 1mg |
3,754 |
3,299 |
$12K |
| Q0511 |
Sup fee antiem,antica,immuno |
6,127 |
5,520 |
$11K |
| Q0512 |
Px sup fee anti-can sub pres |
9,207 |
4,970 |
$8K |