NPI: 1588992861 · OKLAHOMA CITY, OK 73142 · 3336S0011X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,763 | $36K |
| 2019 | 2,527 | $29K |
| 2020 | 2,358 | $48K |
| 2021 | 1,867 | $38K |
| 2022 | 1,508 | $29K |
| 2023 | 1,014 | $16K |
| 2024 | 507 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7503 | Tacrol envarsus ex rel oral | 835 | 743 | $93K |
| J7517 | Mycophenolate mofetil oral | 1,693 | 1,587 | $44K |
| J7507 | Tacrolimus imme rel oral 1mg | 1,887 | 1,703 | $27K |
| Q0511 | Sup fee antiem,antica,immuno | 3,234 | 3,098 | $10K |
| J7518 | Mycophenolic acid | 202 | 186 | $9K |
| Q0512 | Px sup fee anti-can sub pres | 3,425 | 2,847 | $7K |
| J7520 | Sirolimus, oral | 145 | 130 | $7K |
| J7512 | Prednisone ir or dr oral 1mg | 1,123 | 1,065 | $499.74 |