NPI: 1043256050 · FORT DODGE, IA 50501 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 33 | $38.62 |
| 2019 | 196 | $4K |
| 2020 | 140 | $2K |
| 2021 | 1,861 | $29K |
| 2022 | 316 | $4K |
| 2023 | 149 | $2K |
| 2024 | 14 | $152.19 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 782 | 730 | $14K |
| 0011A | 391 | 386 | $12K | |
| 0012A | 270 | 267 | $8K | |
| 0013A | 49 | 49 | $2K | |
| 90686 | 77 | 75 | $1K | |
| 90688 | 49 | 48 | $1K | |
| 0001A | 27 | 27 | $1K | |
| 0002A | 25 | 25 | $1K | |
| 0134A | 15 | 15 | $397.05 | |
| A4215 | Sterile needle | 28 | 25 | $363.07 |
| 90471 | 167 | 154 | $315.58 | |
| A4259 | Lancets per box | 12 | 12 | $29.95 |
| 91313 | 14 | 14 | $7.00 | |
| 91300 | 87 | 79 | $0.00 | |
| 91301 | 701 | 683 | $0.00 | |
| G0008 | Admin influenza virus vac | 15 | 15 | $0.00 |