NPI: 1063440550 · CEDAR RAPIDS, IA 52405 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 169 | $3K |
| 2020 | 226 | $4K |
| 2021 | 1,402 | $31K |
| 2022 | 453 | $11K |
| 2023 | 401 | $11K |
| 2024 | 229 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,077 | 1,021 | $28K |
| 0002A | 302 | 302 | $11K | |
| 0001A | 328 | 328 | $11K | |
| 0004A | 108 | 108 | $4K | |
| A4215 | Sterile needle | 148 | 144 | $3K |
| 0124A | 59 | 59 | $2K | |
| K1034 | Covid test self-admn/collect | 28 | 28 | $2K |
| 91320 | 12 | 12 | $2K | |
| 90480 | 46 | 46 | $1K | |
| 90686 | 65 | 65 | $920.75 | |
| 90471 | 66 | 66 | $300.31 | |
| A4259 | Lancets per box | 79 | 79 | $176.26 |
| 91312 | 59 | 59 | $0.00 | |
| 91300 | 503 | 477 | $0.00 |