Polk's Crossgates Discount Drugs INC.
Polk's Crossgates Discount Drugs INC. was paid $262K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is J7507, Tacrolimus, immediate release, oral, 1 mg — 42% of everything it billed.
33Billing provider infoPOLK'S CROSSGATES DISCOUNT DRUGS INC.
JACKSON, MS 39208
JACKSON, MS 39208
33aNPI1013925122assigned 08/04/2006
33bProvider typePharmacy Technician
28Total paid$262K
24GClaims29,401
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
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 | 5,295 | $70K | |
| 2019 | 4,871 | $56K | |
| 2020 | 5,295 | $56K | |
| 2021 | 4,031 | $34K | |
| 2022 | 3,893 | $21K | |
| 2023 | 4,135 | $15K | |
| 2024incomplete | 1,881 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 42% | 5,713 | 4,771 | $111K |
| J7517 | Mycophenolate mofetil, oral, 250 mg | 35% | 4,191 | 3,795 | $93K |
| J7518 | Mycophenolic acid, oral, 180 mg | 10% | 409 | 354 | $27K |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 4.6% | 3,754 | 3,299 | $12K |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 4.2% | 6,127 | 5,520 | $11K |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 3.1% | 9,207 | 4,970 | $8K |
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 officialJONES, KENDALL (MANAGER)