NPI: 1003852518 · DAVENPORT, IA 52806 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 203 | $5K |
| 2020 | 217 | $5K |
| 2021 | 1,159 | $23K |
| 2022 | 501 | $11K |
| 2023 | 297 | $23K |
| 2024 | 117 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,191 | 1,110 | $29K |
| A4239 | Non-adju cgm supply allow | 120 | 110 | $19K |
| 0001A | 211 | 211 | $7K | |
| 0002A | 177 | 177 | $7K | |
| 0004A | 99 | 98 | $4K | |
| K1034 | Covid test self-admn/collect | 92 | 91 | $3K |
| 0064A | 29 | 29 | $1K | |
| A4215 | Sterile needle | 42 | 41 | $446.74 |
| 90471 | 26 | 25 | $132.34 | |
| A4259 | Lancets per box | 25 | 25 | $71.64 |
| 90686 | 26 | 26 | $33.65 | |
| 91301 | 28 | 28 | $0.00 | |
| 91300 | 428 | 395 | $0.00 |