OPTUM PHARMACY 707, INC.
NPI: 1932110442
· IRWINDALE, CA 91706
· 333600000X
$2.49M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
237 |
$8K |
| 2019 |
35 |
$16K |
| 2020 |
1,213 |
$1.16M |
| 2021 |
711 |
$914K |
| 2022 |
317 |
$387K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0585 |
Injection,onabotulinumtoxina |
1,823 |
1,573 |
$1.73M |
| J2315 |
Naltrexone, depot form |
239 |
212 |
$334K |
| J2357 |
Omalizumab injection |
140 |
120 |
$283K |
| Q9991 |
Buprenorph xr 100 mg or less |
74 |
68 |
$130K |
| S5000 |
Prescription drug, generic |
223 |
86 |
$8K |
| Q0511 |
Sup fee antiem,antica,immuno |
14 |
12 |
$60.45 |