NPI: 1003851627 · DES MOINES, IA 50321 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 261 | $5K |
| 2020 | 234 | $7K |
| 2021 | 2,234 | $46K |
| 2022 | 990 | $17K |
| 2023 | 571 | $15K |
| 2024 | 312 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,345 | 1,251 | $34K |
| 0002A | 300 | 298 | $11K | |
| 0001A | 293 | 293 | $10K | |
| 0004A | 157 | 155 | $6K | |
| A4215 | Sterile needle | 280 | 266 | $5K |
| 0072A | 100 | 99 | $4K | |
| 0011A | 139 | 118 | $4K | |
| 0012A | 89 | 89 | $3K | |
| K1034 | Covid test self-admn/collect | 37 | 37 | $3K |
| 0071A | 77 | 76 | $3K | |
| 0124A | 74 | 74 | $2K | |
| 0031A | 56 | 56 | $2K | |
| A4239 | Non-adju cgm supply allow | 16 | 14 | $2K |
| 90686 | 167 | 167 | $2K | |
| 91320 | 14 | 14 | $2K | |
| 0064A | 39 | 39 | $1K | |
| 90471 | 170 | 168 | $819.49 | |
| A4259 | Lancets per box | 191 | 181 | $762.12 |
| 90480 | 22 | 22 | $760.00 | |
| 91301 | 190 | 188 | $0.00 | |
| 91307 | 206 | 199 | $0.00 | |
| 91300 | 572 | 534 | $0.00 | |
| 91312 | 68 | 68 | $0.00 |