NPI: 1093238206 · RICHMOND, VA 23227 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/19/2017
| Authorized Official | ALLEN, ELIZABETH (VP FINANCE AND ACCOUNTING) |
| NPI Enumeration Date | 07/19/2017 |
Other providers sharing the same authorized official: ALLEN, ELIZABETH
| Provider | City | State | Total Paid |
|---|---|---|---|
| VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY | QUINTON | VA | $121K |
| COMMUNITY MEMORIAL HOSPITAL | SOUTH HILL | VA | $99K |
| VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY | QUINTON | VA | $57K |
| VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY | RICHMOND | VA | $3K |
| COMMUNITY MEMORIAL HOSPITAL | SOUTH HILL | VA | $148.50 |
| COMMUNITY MEMORIAL HOSPITAL | SOUTH HILL | VA | $0.28 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 460 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7503 | Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg | 74 | 47 | $8K |
| J7518 | Mycophenolic acid, oral, 180 mg | 59 | 57 | $354.24 |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 95 | 93 | $254.40 |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 136 | 89 | $182.40 |
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 26 | 25 | $81.86 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 70 | 69 | $12.24 |