NPI: 1063465904 · LAFAYETTE, IN 47904 · 333600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 316 | $0.00 |
| 2019 | 314 | $0.00 |
| 2020 | 346 | $11.80 |
| 2021 | 303 | $2.52 |
| 2022 | 213 | $0.00 |
| 2023 | 194 | $0.00 |
| 2024 | 196 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4259 | Lancets per box | 50 | 50 | $14.32 |
| 90653 | 12 | 12 | $0.00 | |
| 90756 | 398 | 397 | $0.00 | |
| 90688 | 224 | 224 | $0.00 | |
| A4253 | Blood glucose/reagent strips | 99 | 90 | $0.00 |
| 90674 | 56 | 56 | $0.00 | |
| G0008 | Admin influenza virus vac | 872 | 865 | $0.00 |
| 90656 | 80 | 80 | $0.00 | |
| 90686 | 79 | 79 | $0.00 | |
| 90694 | 12 | 12 | $0.00 |