CAREMARK PUERTO RICO SPECIALTY
NPI: 1053585257
· CAROLINA, PR 00982
· 332B00000X
$1.77M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
100 |
$183.77 |
| 2019 |
242 |
$463.60 |
| 2024 |
944 |
$1.77M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0178 |
Aflibercept injection |
944 |
327 |
$1.77M |
| J7507 |
Tacrolimus imme rel oral 1mg |
33 |
24 |
$616.97 |
| Q0512 |
Px sup fee anti-can sub pres |
309 |
118 |
$30.40 |