CAREMARK PUERTO RICO SPECIALTY
NPI: 1053585257
· CAROLINA, PR 00982
· Durable Medical Equipment & Medical Supplies
· NPI assigned 04/17/2008
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code J0178 with only 3 total codes billed. Highly concentrated billing profile.
$1.77M
Total Medicaid Paid
Provider Details
| Authorized Official | MARKOS, MARIA (PRESIDENT) |
| NPI Enumeration Date | 04/17/2008 |
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 |
Injection, aflibercept, 1 mg |
944 |
327 |
$1.77M |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
33 |
24 |
$616.97 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
309 |
118 |
$30.40 |