NPI: 1073541553 · BURLINGTON, IA 52601 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 40 | $559.51 |
| 2019 | 436 | $8K |
| 2020 | 716 | $14K |
| 2021 | 2,748 | $54K |
| 2022 | 824 | $15K |
| 2023 | 673 | $20K |
| 2024 | 472 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,748 | 1,648 | $41K |
| A4215 | Sterile needle | 920 | 851 | $17K |
| A4239 | Non-adju cgm supply allow | 88 | 86 | $11K |
| 0002A | 286 | 286 | $10K | |
| 0001A | 280 | 280 | $9K | |
| 0012A | 199 | 199 | $7K | |
| 0011A | 232 | 232 | $7K | |
| 0004A | 101 | 100 | $4K | |
| 0064A | 92 | 92 | $4K | |
| 0124A | 67 | 67 | $2K | |
| 90686 | 112 | 112 | $2K | |
| K1034 | Covid test self-admn/collect | 58 | 56 | $2K |
| 91320 | 14 | 14 | $2K | |
| A4259 | Lancets per box | 576 | 561 | $1K |
| 90480 | 32 | 32 | $1K | |
| 0071A | 18 | 18 | $720.00 | |
| 0072A | 15 | 15 | $600.00 | |
| 90471 | 111 | 111 | $554.81 | |
| 91312 | 62 | 62 | $0.00 | |
| 91300 | 495 | 449 | $0.00 | |
| 91301 | 370 | 367 | $0.00 | |
| 91307 | 33 | 33 | $0.00 |