NPI: 1093744435 · MARSHALLTOWN, IA 50158 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 44 | $928.14 |
| 2019 | 656 | $10K |
| 2020 | 979 | $20K |
| 2021 | 3,826 | $75K |
| 2022 | 1,962 | $52K |
| 2023 | 1,369 | $47K |
| 2024 | 847 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 3,126 | 2,986 | $75K |
| A4239 | Non-adju cgm supply allow | 259 | 257 | $28K |
| A4215 | Sterile needle | 1,308 | 1,251 | $22K |
| K0553 | Ther cgm supply allowance | 166 | 158 | $18K |
| 0012A | 325 | 325 | $12K | |
| 0001A | 307 | 306 | $12K | |
| 0011A | 356 | 352 | $11K | |
| 0002A | 263 | 262 | $10K | |
| K1034 | Covid test self-admn/collect | 106 | 105 | $6K |
| 0064A | 132 | 130 | $5K | |
| A4259 | Lancets per box | 1,406 | 1,367 | $4K |
| 0004A | 92 | 91 | $4K | |
| 91322 | 29 | 29 | $3K | |
| 90686 | 160 | 160 | $2K | |
| 90480 | 48 | 48 | $2K | |
| 0031A | 36 | 36 | $1K | |
| 0124A | 26 | 26 | $1K | |
| 0071A | 20 | 20 | $800.00 | |
| 90471 | 155 | 155 | $778.77 | |
| 0134A | 12 | 12 | $400.00 | |
| S8490 | 100 insulin syringes | 12 | 12 | $322.98 |
| E0607 | Blood glucose monitor home | 12 | 12 | $295.10 |
| 91301 | 653 | 638 | $0.00 | |
| 91305 | 18 | 16 | $0.00 | |
| 91307 | 20 | 20 | $0.00 | |
| 91300 | 610 | 557 | $0.00 | |
| 91312 | 26 | 26 | $0.00 |