NPI: 1194824300 · VINELAND, NJ 08360 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 219 | $163.33 |
| 2021 | 300 | $525.74 |
| 2022 | 279 | $0.00 |
| 2023 | 153 | $0.00 |
| 2024 | 119 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 233 | 228 | $638.75 |
| 0013A | 39 | 39 | $40.00 | |
| A4259 | Lancets per box | 12 | 12 | $10.32 |
| G0008 | Admin influenza virus vac | 299 | 299 | $0.00 |
| 90694 | 167 | 167 | $0.00 | |
| K1034 | Covid test self-admn/collect | 121 | 121 | $0.00 |
| 90480 | 44 | 44 | $0.00 | |
| 90674 | 13 | 13 | $0.00 | |
| 0004A | 15 | 15 | $0.00 | |
| 0054A | 21 | 21 | $0.00 | |
| 90653 | 39 | 39 | $0.00 | |
| 0124A | 25 | 25 | $0.00 | |
| 91322 | 12 | 12 | $0.00 | |
| 0003A | 14 | 14 | $0.00 | |
| 91320 | 16 | 16 | $0.00 |