NPI: 1023047479 · WEST DES MOINES, IA 50265 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 179 | $5K |
| 2020 | 174 | $5K |
| 2021 | 1,660 | $37K |
| 2022 | 331 | $6K |
| 2023 | 54 | $994.28 |
| 2024 | 15 | $431.38 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 560 | 508 | $15K |
| 0002A | 364 | 363 | $14K | |
| 0001A | 392 | 390 | $14K | |
| 0004A | 141 | 139 | $5K | |
| 0124A | 67 | 67 | $2K | |
| 0064A | 32 | 31 | $1K | |
| 90480 | 16 | 16 | $640.00 | |
| 0054A | 12 | 12 | $480.00 | |
| 90686 | 27 | 27 | $455.00 | |
| 90471 | 26 | 26 | $132.34 | |
| 91300 | 658 | 590 | $0.00 | |
| 91312 | 63 | 63 | $0.00 | |
| 91301 | 38 | 38 | $0.00 | |
| 91305 | 17 | 16 | $0.00 |