NPI: 1275625360 · CALEXICO, CA 92231 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 44 | $12.20 |
| 2021 | 32 | $0.00 |
| 2022 | 92 | $0.00 |
| 2023 | 178 | $0.00 |
| 2024 | 393 | $613.08 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 271 | 267 | $582.67 |
| A4259 | Lancets per box | 107 | 106 | $30.41 |
| 90694 | 143 | 143 | $12.20 | |
| 90653 | 50 | 50 | $0.00 | |
| 91320 | 12 | 12 | $0.00 | |
| 90480 | 39 | 39 | $0.00 | |
| G0008 | Admin influenza virus vac | 70 | 70 | $0.00 |
| G0009 | Admin pneumococcal vaccine | 16 | 16 | $0.00 |
| 90677 | 16 | 16 | $0.00 | |
| 90674 | 15 | 15 | $0.00 |