NPI: 1134582398 · COLUMBUS, OH 43201 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,822 | $156K |
| 2020 | 1,646 | $91K |
| 2021 | 1,385 | $34K |
| 2022 | 1,604 | $30K |
| 2024 | 112 | $701.53 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7527 | Oral everolimus | 202 | 189 | $127K |
| J7518 | Mycophenolic acid | 1,769 | 1,573 | $125K |
| J7515 | Cyclosporine oral 25 mg | 760 | 695 | $19K |
| J7520 | Sirolimus, oral | 195 | 174 | $15K |
| Q0512 | Px sup fee anti-can sub pres | 2,283 | 1,997 | $9K |
| Q0511 | Sup fee antiem,antica,immuno | 1,848 | 1,720 | $8K |
| J7507 | Tacrolimus imme rel oral 1mg | 459 | 422 | $8K |
| J7502 | Cyclosporine oral 100 mg | 53 | 51 | $2K |