NPI: 1407965973 · WEST HOLLYWOOD, CA 90069 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/29/2006
Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more
| Authorized Official | COLBERT, SUSAN (DIRECTOR PAYER RELATIONS) |
| NPI Enumeration Date | 08/29/2006 |
Other providers sharing the same authorized official: COLBERT, SUSAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| MONTANA CVS PHARMACY LLC | ANACONDA | MT | $15K |
| WISCONSIN CVS PHARMACY LLC | APPLETON | WI | $13K |
| WISCONSIN CVS PHARMACY LLC | GREEN BAY | WI | $10K |
| WISCONSIN CVS PHARMACY LLC | MILWAUKEE | WI | $5K |
| AMERICAN DRUG STORES DELAWARE LLC | FARGO | ND | $3K |
| WISCONSIN CVS PHARMACY LLC | WAUWATOSA | WI | $3K |
| WISCONSIN CVS PHARMACY LLC | KENOSHA | WI | $3K |
| WISCONSIN CVS PHARMACY LLC | CUDAHY | WI | $2K |
| WISCONSIN CVS PHARMACY LLC | JANESVILLE | WI | $938.31 |
| CVS PHARMACY, INC. | BIG SPRING | TX | $900.03 |
| GARFIELD BEACH CVS, L.L.C. | REDDING | CA | $493.69 |
| HOOK-SUPERX LLC | TERRE HAUTE | IN | $424.35 |
| WISCONSIN CVS PHARMACY LLC | GREEN BAY | WI | $310.51 |
| GARFIELD BEACH CVS LLC | MISSION HILLS | CA | $301.55 |
| GARFIELD BEACH CVS LLC | SAND CITY | CA | $210.35 |
| GARFIELD BEACH CVS LLC | LOS ANGELES | CA | $173.03 |
| GARFIELD BEACH CVS LLC | GARDENA | CA | $173.03 |
| ARIZONA CVS STORES LLC | TUCSON | AZ | $118.58 |
| GARFIELD BEACH CVS LLC | BURBANK | CA | $0.00 |
| GARFIELD BEACH CVS LLC | SAN JOSE | CA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,148 | $67K |
| 2019 | 817 | $7K |
| 2020 | 551 | $7K |
| 2021 | 128 | $2K |
| 2022 | 12 | $165.16 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7517 | Mycophenolate mofetil, oral, 250 mg | 409 | 389 | $28K |
| J7518 | Mycophenolic acid, oral, 180 mg | 169 | 154 | $24K |
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 779 | 644 | $16K |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 1,380 | 1,323 | $8K |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 1,424 | 1,059 | $3K |
| S5000 | Prescription drug, generic | 63 | 50 | $3K |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 432 | 399 | $2K |