NPI: 1154336238 · CHIPPEWA FALLS, WI 54729 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 66 | $2K |
| 2019 | 66 | $2K |
| 2020 | 185 | $3K |
| 2021 | 1,572 | $25K |
| 2022 | 156 | $3K |
| 2023 | 326 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 327 | 305 | $11K | |
| 0002A | 286 | 268 | $10K | |
| 90750 | 209 | 109 | $7K | |
| 90686 | 289 | 224 | $6K | |
| 90674 | 117 | 95 | $4K | |
| 91322 | 35 | 27 | $4K | |
| 0064A | 53 | 53 | $2K | |
| 0011A | 68 | 67 | $2K | |
| 90678 | 46 | 29 | $1K | |
| 0012A | 38 | 37 | $1K | |
| A4627 | Spacer bag/reservoir | 12 | 12 | $189.00 |
| A4239 | Non-adju cgm supply allow | 25 | 24 | $23.52 |
| 91300 | 625 | 533 | $0.00 | |
| 91306 | 53 | 53 | $0.00 | |
| 91301 | 188 | 185 | $0.00 |