NPI: 1245275007 · CEDAR RAPIDS, IA 52405 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 193 | $4K |
| 2020 | 258 | $4K |
| 2021 | 1,236 | $21K |
| 2022 | 528 | $7K |
| 2023 | 233 | $6K |
| 2024 | 191 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,314 | 940 | $19K |
| 0001A | 247 | 247 | $8K | |
| 0002A | 190 | 188 | $7K | |
| 0004A | 86 | 82 | $3K | |
| 91320 | 18 | 18 | $2K | |
| A4215 | Sterile needle | 159 | 109 | $1K |
| 0124A | 28 | 28 | $1K | |
| 90480 | 21 | 21 | $760.00 | |
| 0071A | 16 | 16 | $640.00 | |
| 90686 | 32 | 32 | $507.50 | |
| A4259 | Lancets per box | 91 | 64 | $167.86 |
| 90471 | 32 | 32 | $147.61 | |
| 91300 | 361 | 314 | $0.00 | |
| 91312 | 28 | 28 | $0.00 | |
| 91307 | 16 | 16 | $0.00 |