ST JUDE HOSPITAL PHARMACY
NPI: 1407152689
· MEMPHIS, TN 38105
· Home Infusion Therapy Pharmacy
· NPI assigned 02/04/2011
$149K
Total Medicaid Paid
Provider Details
| Authorized Official | HUMPHREY, WILLIAM (DIRECTOR, PHARMACY OPERATIONS) |
| NPI Enumeration Date | 02/04/2011 |
Related Entities
Other providers sharing the same authorized official: HUMPHREY, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
210 |
$9K |
| 2021 |
192 |
$8K |
| 2022 |
1,955 |
$51K |
| 2023 |
2,709 |
$82K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
4,406 |
283 |
$126K |
| J2248 |
Injection, micafungin sodium, 1 mg |
371 |
25 |
$14K |
| S9379 |
Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
210 |
12 |
$9K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
79 |
41 |
$816.61 |