NPI: 1740685072 · PORTLAND, ME 04102 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 895 | $9K |
| 2019 | 1,621 | $10K |
| 2020 | 2,275 | $14K |
| 2021 | 2,853 | $15K |
| 2022 | 2,988 | $13K |
| 2023 | 3,054 | $11K |
| 2024 | 2,373 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7507 | Tacrolimus imme rel oral 1mg | 3,482 | 2,363 | $32K |
| J7517 | Mycophenolate mofetil oral | 1,692 | 1,469 | $27K |
| Q0511 | Sup fee antiem,antica,immuno | 2,623 | 2,425 | $10K |
| Q0512 | Px sup fee anti-can sub pres | 5,838 | 2,476 | $9K |
| J7512 | Prednisone ir or dr oral 1mg | 2,394 | 2,192 | $1K |
| J7518 | Mycophenolic acid | 30 | 24 | $865.78 |