NPI: 1174689715 · LOS ANGELES, CA 90057 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14,868 | $225K |
| 2019 | 7,768 | $165K |
| 2020 | 4,284 | $98K |
| 2021 | 2,619 | $68K |
| 2022 | 2,746 | $48K |
| 2023 | 768 | $7K |
| 2024 | 1,727 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q0511 | Sup fee antiem,antica,immuno | 11,869 | 10,418 | $291K |
| J7518 | Mycophenolic acid | 2,105 | 1,915 | $133K |
| J7507 | Tacrolimus imme rel oral 1mg | 4,253 | 3,100 | $66K |
| Q0512 | Px sup fee anti-can sub pres | 10,616 | 5,639 | $42K |
| J7517 | Mycophenolate mofetil oral | 1,123 | 1,024 | $38K |
| J7512 | Prednisone ir or dr oral 1mg | 3,560 | 3,269 | $24K |
| J7503 | Tacrol envarsus ex rel oral | 209 | 171 | $13K |
| J7515 | Cyclosporine oral 25 mg | 498 | 468 | $10K |
| J7520 | Sirolimus, oral | 72 | 65 | $3K |
| A4253 | Blood glucose/reagent strips | 355 | 304 | $2K |
| J7502 | Cyclosporine oral 100 mg | 48 | 45 | $1K |
| A4259 | Lancets per box | 72 | 53 | $48.17 |