PROCARE PHARMACY, L.L.C.
NPI: 1417100447
· PORTLAND, ME 04101
· 3336C0003X
$109K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,008 |
$26K |
| 2019 |
3,975 |
$20K |
| 2020 |
3,937 |
$22K |
| 2021 |
2,883 |
$17K |
| 2022 |
2,218 |
$12K |
| 2023 |
1,719 |
$8K |
| 2024 |
1,215 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7517 |
Mycophenolate mofetil oral |
2,488 |
2,038 |
$47K |
| J7507 |
Tacrolimus imme rel oral 1mg |
4,183 |
2,652 |
$37K |
| Q0511 |
Sup fee antiem,antica,immuno |
3,595 |
3,013 |
$13K |
| Q0512 |
Px sup fee anti-can sub pres |
6,744 |
2,944 |
$9K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,928 |
2,549 |
$1K |
| J7518 |
Mycophenolic acid |
17 |
12 |
$1K |