NPI: 1528502291 · OKLAHOMA CITY, OK 73103 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 483 | $10K |
| 2019 | 1,026 | $20K |
| 2020 | 749 | $14K |
| 2021 | 743 | $11K |
| 2022 | 1,033 | $15K |
| 2023 | 444 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7518 | Mycophenolic acid | 801 | 752 | $41K |
| J7507 | Tacrolimus imme rel oral 1mg | 990 | 911 | $17K |
| K0553 | Ther cgm supply allowance | 331 | 330 | $10K |
| Q0512 | Px sup fee anti-can sub pres | 1,247 | 1,100 | $3K |
| Q0511 | Sup fee antiem,antica,immuno | 1,045 | 1,005 | $3K |
| A4239 | Non-adju cgm supply allow | 64 | 63 | $2K |