UNIVERSITY OF VERMONT MEDICAL CENTER INC
NPI: 1619031044
· BURLINGTON, VT 05401
· Pharmacy
· NPI assigned 12/20/2006
$260.25
Total Medicaid Paid
Provider Details
| Authorized Official | DIPARLO, MARK (PHARMACY DIRECTOR) |
| NPI Enumeration Date | 12/20/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$0.00 |
| 2019 |
134 |
$0.00 |
| 2020 |
495 |
$151.00 |
| 2021 |
158 |
$69.25 |
| 2022 |
87 |
$0.00 |
| 2023 |
80 |
$0.00 |
| 2024 |
395 |
$40.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
929 |
477 |
$112.46 |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
137 |
115 |
$103.00 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
284 |
249 |
$44.79 |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
12 |
12 |
$0.00 |