NPI: 1184057168 · EMPORIA, KS 66801 · 3336C0004X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 171 | $462.17 |
| 2019 | 136 | $118.38 |
| 2021 | 33 | $0.00 |
| 2022 | 104 | $90.82 |
| 2023 | 63 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 259 | 233 | $591.37 |
| 0124A | 50 | 50 | $40.00 | |
| 0004A | 31 | 31 | $40.00 | |
| 0134A | 32 | 32 | $0.00 | |
| 90480 | 14 | 14 | $0.00 | |
| G0008 | Admin influenza virus vac | 25 | 25 | $0.00 |
| 91322 | 14 | 14 | $0.00 | |
| A5514 | Mult den insert dir carv/cam | 24 | 12 | $0.00 |
| A5500 | Diab shoe for density insert | 25 | 13 | $0.00 |
| 0003A | 33 | 33 | $0.00 |