NPI: 1003852997 · BURLINGTON, IA 52601 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 61 | $141.46 |
| 2019 | 513 | $9K |
| 2020 | 701 | $13K |
| 2021 | 1,601 | $28K |
| 2022 | 874 | $18K |
| 2023 | 464 | $9K |
| 2024 | 233 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,824 | 1,690 | $46K |
| A4215 | Sterile needle | 469 | 441 | $10K |
| K1034 | Covid test self-admn/collect | 143 | 134 | $6K |
| 0011A | 181 | 181 | $5K | |
| 0012A | 137 | 137 | $5K | |
| A4259 | Lancets per box | 1,020 | 967 | $3K |
| 0064A | 53 | 53 | $2K | |
| 0004A | 46 | 45 | $2K | |
| A4239 | Non-adju cgm supply allow | 12 | 12 | $1K |
| 0124A | 14 | 14 | $560.00 | |
| 0001A | 12 | 12 | $480.00 | |
| 0002A | 12 | 12 | $480.00 | |
| 0134A | 12 | 12 | $440.00 | |
| 90686 | 49 | 49 | $336.50 | |
| 90471 | 38 | 38 | $71.26 | |
| 91301 | 280 | 277 | $0.00 | |
| G0008 | Admin influenza virus vac | 13 | 13 | $0.00 |
| 91300 | 118 | 113 | $0.00 | |
| 91312 | 14 | 14 | $0.00 |