NPI: 1215365325 · ROCKY RIVER, OH 44116 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,438 | $24K |
| 2019 | 1,712 | $8K |
| 2020 | 611 | $6K |
| 2021 | 513 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7507 | Tacrolimus imme rel oral 1mg | 1,305 | 998 | $17K |
| J7517 | Mycophenolate mofetil oral | 668 | 565 | $14K |
| Q0511 | Sup fee antiem,antica,immuno | 1,495 | 1,229 | $5K |
| Q0512 | Px sup fee anti-can sub pres | 2,317 | 1,209 | $5K |
| J7500 | Azathioprine oral 50mg | 51 | 38 | $201.77 |
| J7512 | Prednisone ir or dr oral 1mg | 438 | 364 | $115.52 |