LOYOLA UNIVERSITY MEDICAL CENTER
NPI: 1386785152
· HICKORY HILLS, IL 60457
· Home Infusion Therapy Pharmacy
· NPI assigned 02/12/2007
$182K
Total Medicaid Paid
Provider Details
| Authorized Official | WITT, KEVIN (PHARMACY MANAGER INTERIM) |
| NPI Enumeration Date | 02/12/2007 |
Related Entities
Other providers sharing the same authorized official: WITT, KEVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
159 |
$17K |
| 2019 |
206 |
$26K |
| 2020 |
749 |
$46K |
| 2021 |
570 |
$20K |
| 2022 |
443 |
$23K |
| 2023 |
791 |
$42K |
| 2024 |
251 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
929 |
431 |
$124K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
2,021 |
862 |
$42K |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
100 |
37 |
$14K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
119 |
48 |
$1K |