Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OHIO STATE UNIVERSITY OUTPATIENT PHARMACY

NPI: 1235596990 · COLUMBUS, OH 43210 · Specialty Pharmacy · NPI assigned 01/26/2016

$4K
Total Medicaid Paid
133
Total Claims
126
Beneficiaries
3
Codes Billed
2019-04
First Month
2020-06
Last Month

Provider Details

Authorized OfficialJORDAN, TRISHA (CHIEF PHARMACY OFFICER)
NPI Enumeration Date01/26/2016

Related Entities

Other providers sharing the same authorized official: JORDAN, TRISHA

ProviderCityStateTotal Paid
OHIO STATE UNIVERSITY OUTPATIENT PHARMACY COLUMBUS OH $415K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 109 $3K
2020 24 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J7518 Mycophenolic acid, oral, 180 mg 25 25 $3K
J7507 Tacrolimus, immediate release, oral, 1 mg 70 64 $1K
Q0511 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period 38 37 $163.20