OPTUM PHARMACY 701, LLC
NPI: 1427250448
· FLINT, MI 48507
· 332B00000X
$312K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
748 |
$10K |
| 2019 |
724 |
$301K |
| 2020 |
19 |
$68.13 |
| 2021 |
13 |
$193.51 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90378 |
|
115 |
68 |
$296K |
| S5000 |
Prescription drug, generic |
522 |
387 |
$14K |
| Q0511 |
Sup fee antiem,antica,immuno |
600 |
475 |
$2K |
| J8521 |
Capecitabine, oral, 500 mg |
17 |
12 |
$450.52 |
| Q0512 |
Px sup fee anti-can sub pres |
250 |
142 |
$268.65 |