NPI: 1144205766 · COLUMBIA, SC 29212 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,535 | $65K |
| 2019 | 4,094 | $145K |
| 2020 | 3,058 | $84K |
| 2021 | 2,593 | $82K |
| 2022 | 2,184 | $66K |
| 2023 | 1,821 | $46K |
| 2024 | 536 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A5512 | Multi den insert direct form | 3,994 | 2,851 | $223K |
| A5500 | Diab shoe for density insert | 3,993 | 2,845 | $179K |
| A4253 | Blood glucose/reagent strips | 3,493 | 3,139 | $95K |
| A4259 | Lancets per box | 3,460 | 3,128 | $9K |
| L1902 | Afo ankle gauntlet pre ots | 148 | 105 | $5K |
| A4258 | Lancet device each | 733 | 649 | $867.41 |