NPI: 1073141982 · BRYANT, AR 72022 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 18 | $0.00 |
| 2021 | 863 | $2K |
| 2022 | 1,442 | $14K |
| 2023 | 1,743 | $14K |
| 2024 | 468 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7507 | Tacrolimus imme rel oral 1mg | 766 | 684 | $14K |
| J7518 | Mycophenolic acid | 420 | 372 | $12K |
| J7517 | Mycophenolate mofetil oral | 522 | 470 | $6K |
| J7512 | Prednisone ir or dr oral 1mg | 443 | 416 | $1K |
| Q0511 | Sup fee antiem,antica,immuno | 1,174 | 974 | $163.20 |
| Q0512 | Px sup fee anti-can sub pres | 1,209 | 802 | $44.80 |