1457389223

1457389223 was paid $11K by Medicaid between Jan 2018 and Jul 2018, across 5 billing codes. Its largest line is J7507, Tacrolimus, immediate release, oral, 1 mg — 47% of everything it billed.

33Billing provider info1457389223

33aNPI1457389223

33bProvider type—

28Total paid$11K

24GClaims1,102

24DCodes billed5

24AFirst – last monthJan 2018 – Jul 2018

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,102	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J7507	Tacrolimus, immediate release, oral, 1 mg	47%	314	253	$5K
J7517	Mycophenolate mofetil, oral, 250 mg	43%	263	238	$5K
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	4.0%	287	194	$426.30
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	4.0%	173	164	$422.77
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	1.8%	65	57	$195.53

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.