OPTIMA INFUSION PHARMACY INC
NPI: 1609975010
· DORADO, PR 00646
· 251F00000X
$470K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
272 |
$50K |
| 2019 |
439 |
$30K |
| 2020 |
506 |
$27K |
| 2021 |
2,171 |
$71K |
| 2022 |
1,586 |
$89K |
| 2023 |
2,582 |
$184K |
| 2024 |
308 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9131 |
Pt in the home per diem |
5,370 |
949 |
$266K |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,685 |
179 |
$120K |
| S9097 |
Home visit wound care |
592 |
84 |
$38K |
| J7518 |
Mycophenolic acid |
48 |
46 |
$22K |
| J7507 |
Tacrolimus imme rel oral 1mg |
71 |
69 |
$20K |
| S9129 |
Occupational therapy, in the |
42 |
12 |
$3K |
| T1001 |
Nursing assessment/evaluatn |
32 |
25 |
$2K |
| 90471 |
|
12 |
12 |
$20.30 |
| 90688 |
|
12 |
12 |
$12.00 |