ALLINA HEALTH SYSTEM
NPI: 1316901333
· MINNEAPOLIS, MN 55407
· Clinic Pharmacy
· NPI assigned 04/14/2006
$461.88
Total Medicaid Paid
Provider Details
| Authorized Official | BYRE, ANN (VICE PRESIDENT) |
| NPI Enumeration Date | 04/14/2006 |
Related Entities
Other providers sharing the same authorized official: BYRE, ANN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
25 |
$220.80 |
| 2022 |
14 |
$38.40 |
| 2023 |
66 |
$202.68 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
66 |
62 |
$340.80 |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
14 |
12 |
$105.15 |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
25 |
24 |
$15.93 |