NPI: 1255497525 · OKLAHOMA CITY, OK 73112 · 3336S0011X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 617 | $11K |
| 2019 | 773 | $10K |
| 2020 | 804 | $9K |
| 2021 | 1,069 | $13K |
| 2022 | 1,437 | $15K |
| 2023 | 1,684 | $18K |
| 2024 | 1,322 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7517 | Mycophenolate mofetil oral | 1,818 | 1,666 | $39K |
| J7507 | Tacrolimus imme rel oral 1mg | 1,871 | 1,646 | $34K |
| Q0511 | Sup fee antiem,antica,immuno | 1,670 | 1,601 | $5K |
| Q0512 | Px sup fee anti-can sub pres | 2,048 | 1,616 | $4K |
| J7503 | Tacrol envarsus ex rel oral | 36 | 29 | $3K |
| J7512 | Prednisone ir or dr oral 1mg | 263 | 231 | $123.16 |