NPI: 1659479632
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,201 | $32K |
| 2019 | 441 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5000 | Prescription drug, generic | 478 | 364 | $37K |
| J8521 | Capecitabine, oral, 500 mg | 123 | 99 | $5K |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 684 | 628 | $1K |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 357 | 291 | $360.40 |