Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OU MEDICINE INC.

NPI: 1851602866 · OKLAHOMA CITY, OK 73104 · Community/Retail Pharmacy · NPI assigned 06/24/2010

$16K
Total Medicaid Paid
643
Total Claims
495
Beneficiaries
3
Codes Billed
2023-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPETTY, LAURA (DIRECTOR OF RETAIL PHARMACY)
NPI Enumeration Date06/24/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 57 $112.48
2024 586 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J7503 Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg 102 78 $14K
Q0511 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period 230 216 $619.50
Q0512 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period 311 201 $518.11