NPI: 1164492906 · SIOUX FALLS, SD 57107 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 577 | $1.25M |
| 2019 | 535 | $1.25M |
| 2020 | 363 | $889K |
| 2021 | 491 | $1.06M |
| 2022 | 584 | $836K |
| 2023 | 1,170 | $797K |
| 2024 | 694 | $612K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90378 | 2,990 | 1,856 | $6.17M | |
| A9274 | Ext amb insulin delivery sys | 373 | 314 | $250K |
| A4239 | Non-adju cgm supply allow | 693 | 535 | $132K |
| A9276 | Disposable sensor, cgm sys | 163 | 113 | $106K |
| A9277 | External transmitter, cgm | 165 | 99 | $27K |
| A4221 | Supp non-insulin inf cath/wk | 30 | 25 | $591.87 |