NPI: 1154722841 · SAINT LOUIS, MO 63110 · Community/Retail Pharmacy · NPI assigned 09/12/2014
| Authorized Official | ABAD, ANN (PRESIDENT) |
| NPI Enumeration Date | 09/12/2014 |
Other providers sharing the same authorized official: ABAD, ANN
| Provider | City | State | Total Paid |
|---|---|---|---|
| MISSOURI BAPTIST MEDICAL CENTER | SAINT LOUIS | MO | $1.30M |
| MISSOURI BAPTIST PHYSICIAN SERVICES LLC | SAINT LOUIS | MO | $150K |
| MISSOURI BAPTIST MEDICAL CENTER | SAINT LOUIS | MO | $103K |
| MB PROFESSIONAL BILLING SERVICES, LLC | SAINT LOUIS | MO | $5K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 282 | $5K |
| 2021 | 1,351 | $43K |
| 2022 | 1,973 | $37K |
| 2023 | 319 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7503 | Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg | 495 | 458 | $76K |
| J7518 | Mycophenolic acid, oral, 180 mg | 403 | 379 | $8K |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 769 | 731 | $4K |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 1,355 | 856 | $3K |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 903 | 841 | $482.21 |