NPI: 1396018883 · SAINT LOUIS, MO 63108 · 3336C0004X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 852 | $11K |
| 2019 | 1,680 | $53K |
| 2020 | 3,210 | $95K |
| 2021 | 2,500 | $67K |
| 2022 | 1,711 | $39K |
| 2023 | 1,393 | $34K |
| 2024 | 774 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7503 | Tacrol envarsus ex rel oral | 1,565 | 1,327 | $222K |
| J7518 | Mycophenolic acid | 717 | 657 | $43K |
| J7507 | Tacrolimus imme rel oral 1mg | 1,629 | 1,376 | $25K |
| Q0511 | Sup fee antiem,antica,immuno | 3,025 | 2,862 | $14K |
| Q0512 | Px sup fee anti-can sub pres | 3,157 | 2,543 | $14K |
| J7517 | Mycophenolate mofetil oral | 76 | 67 | $1K |
| J7512 | Prednisone ir or dr oral 1mg | 1,936 | 1,759 | $984.94 |
| Q0510 | Dispens fee immunosupressive | 15 | 12 | $30.00 |