POLKS CROSSGATES DISCOUNT DRUGS INC
NPI: 1265538664
· SHREVEPORT, LA 71103
· 332B00000X
$450K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,845 |
$140K |
| 2019 |
5,881 |
$87K |
| 2020 |
5,920 |
$104K |
| 2021 |
7,209 |
$56K |
| 2022 |
5,056 |
$37K |
| 2023 |
3,055 |
$17K |
| 2024 |
2,108 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7503 |
Tacrol envarsus ex rel oral |
701 |
430 |
$132K |
| J7507 |
Tacrolimus imme rel oral 1mg |
6,367 |
5,289 |
$105K |
| J7517 |
Mycophenolate mofetil oral |
4,709 |
4,467 |
$85K |
| J7518 |
Mycophenolic acid |
1,012 |
965 |
$67K |
| Q0512 |
Px sup fee anti-can sub pres |
10,851 |
6,105 |
$30K |
| Q0511 |
Sup fee antiem,antica,immuno |
7,298 |
6,944 |
$28K |
| J7512 |
Prednisone ir or dr oral 1mg |
4,136 |
3,903 |
$2K |