NPI: 1942721048 · ALBUQUERQUE, NM 87108 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 236 | $6K |
| 2020 | 882 | $15K |
| 2021 | 1,435 | $22K |
| 2022 | 2,133 | $30K |
| 2023 | 1,539 | $11K |
| 2024 | 1,267 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7518 | Mycophenolic acid | 1,539 | 1,190 | $53K |
| J7503 | Tacrol envarsus ex rel oral | 285 | 138 | $17K |
| Q0512 | Px sup fee anti-can sub pres | 2,284 | 1,540 | $7K |
| Q0511 | Sup fee antiem,antica,immuno | 1,683 | 1,352 | $5K |
| K0553 | Ther cgm supply allowance | 240 | 209 | $5K |
| J7507 | Tacrolimus imme rel oral 1mg | 686 | 463 | $3K |
| J7512 | Prednisone ir or dr oral 1mg | 775 | 608 | $206.55 |