MEDICAL PLAZA PHARMACY INC
NPI: 1972615086
· PALO ALTO, CA 94304
· 333600000X
$165K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,123 |
$28K |
| 2019 |
3,778 |
$17K |
| 2020 |
4,442 |
$32K |
| 2021 |
5,380 |
$43K |
| 2022 |
6,327 |
$37K |
| 2023 |
974 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus imme rel oral 1mg |
5,375 |
3,885 |
$68K |
| J7517 |
Mycophenolate mofetil oral |
3,345 |
3,075 |
$44K |
| J7503 |
Tacrol envarsus ex rel oral |
491 |
350 |
$32K |
| Q0511 |
Sup fee antiem,antica,immuno |
5,191 |
4,897 |
$9K |
| Q0512 |
Px sup fee anti-can sub pres |
7,421 |
5,160 |
$7K |
| A4253 |
Blood glucose/reagent strips |
588 |
551 |
$3K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,601 |
2,357 |
$2K |
| A4259 |
Lancets per box |
12 |
12 |
$3.65 |