NPI: 1932334711 · FORT WORTH, TX 76104 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,338 | $4K |
| 2019 | 883 | $0.00 |
| 2020 | 1,350 | $0.00 |
| 2021 | 2,419 | $7K |
| 2022 | 2,111 | $5K |
| 2023 | 1,943 | $4K |
| 2024 | 271 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7518 | Mycophenolic acid | 2,529 | 2,199 | $9K |
| J7503 | Tacrol envarsus ex rel oral | 1,741 | 1,227 | $7K |
| J7507 | Tacrolimus imme rel oral 1mg | 753 | 600 | $2K |
| Q0511 | Sup fee antiem,antica,immuno | 2,254 | 2,164 | $1K |
| Q0512 | Px sup fee anti-can sub pres | 3,138 | 2,265 | $914.34 |
| J7512 | Prednisone ir or dr oral 1mg | 900 | 854 | $101.50 |