NPI: 1265990113 · RICHARDSON, TX 75081 · 333600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 364 | $13K |
| 2022 | 90 | $3K |
| 2023 | 449 | $7K |
| 2024 | 129 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4239 | Non-adju cgm supply allow | 526 | 470 | $8K |
| 87426 | 106 | 97 | $4K | |
| U0002 | Covid-19 lab test non-cdc | 89 | 85 | $4K |
| 0012A | 93 | 92 | $3K | |
| 0011A | 76 | 75 | $3K | |
| K0553 | Ther cgm supply allowance | 70 | 66 | $2K |
| K0554 | Ther cgm receiver/monitor | 20 | 20 | $790.40 |
| E2103 | Non-adju cgm receiver/mon | 52 | 48 | $750.25 |