NPI: 1255634218 · MIAMI, FL 33125 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/14/2010
Authorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more
| Authorized Official | PONCE, JENNIFER (MANAGER) |
| Parent Organization | WALGREENS BOOTS ALLIANCE INC |
| NPI Enumeration Date | 12/14/2010 |
Other providers sharing the same authorized official: PONCE, JENNIFER
| Provider | City | State | Total Paid |
|---|---|---|---|
| CYSTIC FIBROSIS SERVICES LLC | FRISCO | TX | $205K |
| WALGREEN CO | SHELTON | CT | $31K |
| WALGREEN CO | WHITEVILLE | NC | $26K |
| WALGREEN CO | HAMDEN | CT | $22K |
| WALGREEN CO | LAKEWOOD | CO | $20K |
| WALGREEN CO | DE PERE | WI | $17K |
| WALGREEN CO | KINSTON | NC | $16K |
| DUANE READE | NEW YORK | NY | $7K |
| WALGREEN CO | VIROQUA | WI | $6K |
| WALGREEN CO | GUILDERLAND | NY | $6K |
| WALGREEN CO | APEX | NC | $5K |
| WALGREEN CO | WILMINGTON | NC | $4K |
| WALGREEN CO | GEORGETOWN | SC | $720.00 |
| WALGREEN CO | BRYANT | AR | $290.52 |
| WALGREEN CO | HESPERIA | CA | $281.52 |
| WALGREEN CO | SHORELINE | WA | $240.00 |
| WALGREEN CO | COVINGTON | LA | $74.79 |
| WALGREEN CO | GLENVIEW | IL | $2.20 |
| WALGREEN CO | POUGHKEEPSIE | NY | $0.00 |
| WALGREEN CO | MITCHELL | SD | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,149 | $141K |
| 2019 | 14,303 | $124K |
| 2020 | 13,934 | $81K |
| 2021 | 11,003 | $40K |
| 2022 | 8,951 | $28K |
| 2023 | 5,840 | $4K |
| 2024 | 3,429 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7518 | Mycophenolic acid, oral, 180 mg | 9,524 | 6,578 | $256K |
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 18,416 | 11,102 | $112K |
| J7517 | Mycophenolate mofetil, oral, 250 mg | 4,272 | 2,960 | $23K |
| J7520 | Sirolimus, oral, 1 mg | 743 | 478 | $21K |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 6,227 | 4,821 | $3K |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 14 | 12 | $2K |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 14,548 | 10,645 | $2K |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 15,842 | 10,638 | $2K |
| Q0510 | Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant | 23 | 22 | $24.50 |