NPI: 1669835484 · LITTLE ROCK, AR 72703 · 333600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,547 | $53K |
| 2019 | 4,068 | $45K |
| 2020 | 3,997 | $43K |
| 2021 | 3,927 | $35K |
| 2022 | 3,256 | $27K |
| 2023 | 2,096 | $14K |
| 2024 | 1,408 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7518 | Mycophenolic acid | 1,853 | 1,763 | $83K |
| J7507 | Tacrolimus imme rel oral 1mg | 4,885 | 3,907 | $81K |
| J7517 | Mycophenolate mofetil oral | 1,795 | 1,639 | $41K |
| Q0511 | Sup fee antiem,antica,immuno | 4,752 | 4,527 | $7K |
| J7512 | Prednisone ir or dr oral 1mg | 2,896 | 2,662 | $6K |
| Q0512 | Px sup fee anti-can sub pres | 6,534 | 4,213 | $6K |
| 0011A | 193 | 193 | $0.00 | |
| 0012A | 176 | 175 | $0.00 | |
| 0001A | 47 | 47 | $0.00 | |
| G0008 | Admin influenza virus vac | 85 | 83 | $0.00 |
| 90686 | 12 | 12 | $0.00 | |
| 0013A | 40 | 40 | $0.00 | |
| 0002A | 31 | 31 | $0.00 |