NPI: 1407965973 · WEST HOLLYWOOD, CA 90069 · 332B00000X
| 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 | 409 | 389 | $28K |
| J7518 | Mycophenolic acid | 169 | 154 | $24K |
| J7507 | Tacrolimus imme rel oral 1mg | 779 | 644 | $16K |
| Q0511 | Sup fee antiem,antica,immuno | 1,380 | 1,323 | $8K |
| Q0512 | Px sup fee anti-can sub pres | 1,424 | 1,059 | $3K |
| S5000 | Prescription drug, generic | 63 | 50 | $3K |
| J7512 | Prednisone ir or dr oral 1mg | 432 | 399 | $2K |