NPI: 1184622318 · BULLARD, TX 75757 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 475 | $10K |
| 2019 | 280 | $4K |
| 2020 | 549 | $44K |
| 2021 | 1,515 | $220K |
| 2022 | 1,034 | $166K |
| 2023 | 500 | $79K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A9274 | Ext amb insulin delivery sys | 481 | 479 | $316K |
| A4230 | Infus insulin pump non needl | 783 | 755 | $109K |
| A9276 | Disposable sensor, cgm sys | 162 | 134 | $34K |
| A4232 | Syringe w/needle insulin 3cc | 876 | 752 | $22K |
| A4554 | Disposable underpads | 364 | 363 | $15K |
| A4253 | Blood glucose/reagent strips | 131 | 129 | $9K |
| A4238 | Adju cgm supply allowance | 33 | 12 | $7K |
| A4335 | Incontinence supply | 1,187 | 1,184 | $7K |
| A5120 | Skin barrier, wipe or swab | 221 | 219 | $3K |
| A4259 | Lancets per box | 115 | 114 | $1K |