NPI: 1346263340 · PORTLAND, OR 97239 · Clinic Pharmacy · NPI assigned 07/25/2006
Authorized official SMITH, KELLY controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, KELLY (VICE PRESIDENT, ERC) |
| NPI Enumeration Date | 07/25/2006 |
Other providers sharing the same authorized official: SMITH, KELLY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,734 | $7K |
| 2019 | 1,512 | $5K |
| 2020 | 771 | $841.55 |
| 2021 | 394 | $148.07 |
| 2022 | 645 | $917.66 |
| 2023 | 1,511 | $2K |
| 2024 | 806 | $462.22 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7517 | Mycophenolate mofetil, oral, 250 mg | 897 | 656 | $8K |
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 2,186 | 1,646 | $6K |
| J7518 | Mycophenolic acid, oral, 180 mg | 209 | 183 | $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 | 2,421 | 1,911 | $344.54 |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 3,471 | 1,802 | $290.56 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 1,055 | 884 | $173.03 |
| J7500 | Azathioprine, oral, 50 mg | 118 | 104 | $6.12 |
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | 16 | 13 | $0.00 |