NPI: 1902277239 · CHARLOTTE, NC 28204 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 401 | $8K |
| 2022 | 856 | $6K |
| 2023 | 1,050 | $0.00 |
| 2024 | 977 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7503 | Tacrol envarsus ex rel oral | 754 | 479 | $12K |
| J7517 | Mycophenolate mofetil oral | 536 | 483 | $772.03 |
| Q0512 | Px sup fee anti-can sub pres | 1,112 | 812 | $768.76 |
| Q0511 | Sup fee antiem,antica,immuno | 826 | 734 | $328.71 |
| J7512 | Prednisone ir or dr oral 1mg | 38 | 38 | $5.47 |
| J7507 | Tacrolimus imme rel oral 1mg | 18 | 12 | $0.00 |