SSM-SLUH, INC.
NPI: 1629695838
· SAINT LOUIS, MO 63104
· Community/Retail Pharmacy
· NPI assigned 07/03/2020
$371.55
Total Medicaid Paid
Provider Details
| Authorized Official | SPENCER, KIMBERLY (V.P. PHARMACY SERVICES) |
| NPI Enumeration Date | 07/03/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
206 |
$371.55 |
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 |
180 |
89 |
$313.60 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
13 |
12 |
$52.80 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
13 |
12 |
$5.15 |