NPI: 1013018910 · BISMARCK, ND 58501 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,306 | $224K |
| 2022 | 3,383 | $195K |
| 2023 | 2,053 | $307K |
| 2024 | 1,866 | $435K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4230 | Infus insulin pump non needl | 1,566 | 1,489 | $523K |
| A4232 | Syringe w/needle insulin 3cc | 1,556 | 1,479 | $161K |
| A9276 | Disposable sensor, cgm sys | 106 | 106 | $153K |
| A4239 | Non-adju cgm supply allow | 1,369 | 1,334 | $101K |
| A4224 | Supply insulin inf cath/wk | 2,874 | 675 | $94K |
| E0784 | Ext amb infusn pump insulin | 35 | 28 | $91K |
| A4225 | Sup/ext insulin inf pump syr | 689 | 647 | $25K |
| K0553 | Ther cgm supply allowance | 301 | 297 | $13K |
| A9277 | External transmitter, cgm | 97 | 97 | $290.33 |
| 91301 | 15 | 13 | $0.00 |