NPI: 1124033485 · FOUNTAIN, CO 80817 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 792 | $34K |
| 2019 | 851 | $24K |
| 2020 | 829 | $18K |
| 2021 | 4,245 | $61K |
| 2022 | 673 | $16K |
| 2023 | 235 | $3K |
| 2024 | 155 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 2,278 | 2,094 | $67K |
| 0001A | 990 | 728 | $25K | |
| A4215 | Sterile needle | 692 | 652 | $24K |
| 0002A | 759 | 571 | $23K | |
| E1399 | Durable medical equipment mi | 106 | 97 | $8K |
| A4259 | Lancets per box | 512 | 494 | $5K |
| A4627 | Spacer bag/reservoir | 93 | 91 | $3K |
| 0003A | 77 | 44 | $2K | |
| 90471 | 80 | 78 | $878.59 | |
| 90674 | 27 | 27 | $618.44 | |
| 0004A | 22 | 13 | $452.98 | |
| 90656 | 16 | 16 | $357.60 | |
| 90686 | 42 | 40 | $215.64 | |
| 91300 | 2,011 | 1,335 | $0.00 | |
| 91305 | 75 | 68 | $0.00 |