NPI: 1154668077 · PROVIDENCE, RI 02903 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 249 | $11K |
| 2020 | 169 | $7K |
| 2021 | 467 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q0512 | Px sup fee anti-can sub pres | 283 | 132 | $11K |
| Q0511 | Sup fee antiem,antica,immuno | 79 | 72 | $4K |
| J7518 | Mycophenolic acid | 13 | 13 | $2K |
| J7507 | Tacrolimus imme rel oral 1mg | 31 | 25 | $462.25 |
| 0001A | 190 | 190 | $0.00 | |
| 0011A | 33 | 33 | $0.00 | |
| 0031A | 14 | 14 | $0.00 | |
| J7512 | Prednisone ir or dr oral 1mg | 12 | 12 | $0.00 |
| 0012A | 30 | 30 | $0.00 | |
| 0002A | 200 | 200 | $0.00 |