SAINT MARYS FAMILY PHARMACY-WEGE CENTER
NPI: 1588641682
· GRAND RAPIDS, MI 49503
· Community/Retail Pharmacy
· NPI assigned 12/29/2005
Provider Details
| Authorized Official | CASALOU, ROBERT (PRESIDENT/CEO) |
| NPI Enumeration Date | 12/29/2005 |
Related Entities
Other providers sharing the same authorized official: CASALOU, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,458 |
$21K |
| 2019 |
1,268 |
$17K |
| 2020 |
1,153 |
$12K |
| 2021 |
1,034 |
$9K |
| 2022 |
1,244 |
$15K |
| 2023 |
1,275 |
$12K |
| 2024 |
900 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
2,002 |
1,817 |
$28K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
653 |
602 |
$23K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
752 |
710 |
$19K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
2,368 |
2,199 |
$13K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
2,557 |
1,965 |
$8K |