ST JUDE HOSPITAL PHARMACY
NPI: 1407152689
· MEMPHIS, TN 38105
· 3336H0001X
$149K
Total Medicaid Paid
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 with pump |
4,406 |
283 |
$126K |
| J2248 |
Micafungin sodium injection |
371 |
25 |
$14K |
| S9379 |
Hit noc per diem |
210 |
12 |
$9K |
| A4221 |
Supp non-insulin inf cath/wk |
79 |
41 |
$816.61 |