OPTUM PHARMACY 801, INC.
NPI: 1780030163
· PHOENIX, AZ 85085
· 251F00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
241 |
$5K |
| 2020 |
198 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0511 |
Sup fee antiem,antica,immuno |
219 |
207 |
$5K |
| S5000 |
Prescription drug, generic |
33 |
24 |
$1K |
| Q0512 |
Px sup fee anti-can sub pres |
187 |
122 |
$1K |