THE CLEVELAND CLINIC FOUNDATION
NPI: 1043291784
· CLEVELAND, OH 44106
· Clinic Pharmacy
· NPI assigned 11/09/2005
$175.39
Total Medicaid Paid
Provider Details
| Authorized Official | LONGVILLE, TIM (CHIEF ACCOUNTING OFFICER AND CONTRO) |
| NPI Enumeration Date | 11/09/2005 |
Related Entities
Other providers sharing the same authorized official: LONGVILLE, TIM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
25 |
$175.39 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
12 |
12 |
$132.19 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
13 |
13 |
$43.20 |