IHC HEALTH SERVICES INC
NPI: 1093130031
· MIDVALE, UT 84047
· Pharmacy
· NPI assigned 02/27/2014
$6.51M
Total Medicaid Paid
Provider Details
| Authorized Official | BERENSEN, NANNETTE (VICE PRESIDENT OF CLINICAL SYSTEMS) |
| Parent Organization | IHC HEALTH SERVICES INC |
| NPI Enumeration Date | 02/27/2014 |
Related Entities
Other providers sharing the same authorized official: BERENSEN, NANNETTE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
240 |
$800K |
| 2019 |
203 |
$676K |
| 2020 |
248 |
$713K |
| 2021 |
517 |
$1.26M |
| 2022 |
680 |
$1.53M |
| 2023 |
506 |
$1.05M |
| 2024 |
333 |
$485K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7639 |
Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
1,097 |
1,023 |
$3.91M |
| J2357 |
Injection, omalizumab, 5 mg |
639 |
561 |
$1.43M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
973 |
947 |
$1.17M |
| 90378 |
|
18 |
12 |
$5K |