Supplier
Mayo Clinic Arizona
Mayo Clinic Arizona was paid $983.50 by Medicaid between Jun 2018 and Jan 2024, across 4 billing codes. Its largest line is J7507, Tacrolimus, immediate release, oral, 1 mg — 60% of everything it billed.
33Billing provider infoMAYO CLINIC ARIZONA
PHOENIX, AZ 85054
PHOENIX, AZ 85054
33aNPI1255796496assigned 12/15/2015
33bProvider typePharmacy
28Total paid$983.50
24GClaims201
24DCodes billed4
24AFirst – last monthJun 2018 – Jan 2024
Compared with peers
Next to other Pharmacy providers in Arizona
Rank by total paid#5 of 7
Median peer was paid$2K
This provider vs. median0.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 16 | $24.00 | |
| 2019 | 14 | $159.51 | |
| 2022 | 26 | $231.05 | |
| 2023 | 128 | $489.03 | |
| 2024incomplete | 17 | $79.91 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 60% | 99 | 79 | $590.44 |
| J7517 | Mycophenolate mofetil, oral, 250 mg | 22% | 28 | 25 | $212.58 |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 16% | 57 | 48 | $158.08 |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 2.3% | 17 | 14 | $22.40 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDIDEHBAN, ROSHANAK (CAO)
| Provider | Location | Paid |
|---|---|---|
| Mayo Clinic Arizona | Phoenix, AZ | $12.55M |
| Mayo Clinic Arizona | Scottsdale, AZ | $949K |
| Mayo Clinic Arizona | Scottsdale, AZ | $77K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.