NPI: 1548264591 · CHESTERFIELD, MO 63005 · Community/Retail Pharmacy · NPI assigned 06/08/2005
99% of spending on code J0256 with only 3 total codes billed. Highly concentrated billing profile.
| Authorized Official | RESTREPO, JORGE (DIRECTOR ACCESS AND REIMBURSEMENT) |
| NPI Enumeration Date | 06/08/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,177 | $6.74M |
| 2019 | 4,007 | $6.15M |
| 2020 | 3,901 | $6.87M |
| 2021 | 3,487 | $7.03M |
| 2022 | 3,155 | $6.27M |
| 2023 | 1,458 | $4.53M |
| 2024 | 349 | $1.30M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J0256 | Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg | 16,156 | 4,015 | $38.59M |
| 99601 | 4,095 | 1,038 | $272K | |
| S9346 | Home infusion therapy, alpha-1-proteinase inhibitor (e.g., prolastin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 283 | 207 | $35K |