NPI: 1285732503 · CEDAR RAPIDS, IA 52402 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 317 | $60.54 |
| 2019 | 111 | $2.33 |
| 2021 | 712 | $9K |
| 2022 | 351 | $3K |
| 2023 | 287 | $9K |
| 2024 | 51 | $628.38 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 91322 | 65 | 65 | $5K | |
| 0001A | 74 | 74 | $3K | |
| 0012A | 75 | 53 | $2K | |
| 91320 | 30 | 30 | $2K | |
| 0011A | 76 | 54 | $2K | |
| A4253 | Blood glucose/reagent strips | 448 | 399 | $2K |
| 90674 | 60 | 60 | $2K | |
| 90480 | 80 | 80 | $1K | |
| 0124A | 40 | 40 | $1K | |
| 90688 | 92 | 92 | $1K | |
| 90686 | 102 | 102 | $846.54 | |
| 90685 | 38 | 38 | $724.76 | |
| 90471 | 202 | 202 | $346.12 | |
| 90656 | 14 | 14 | $44.70 | |
| 91312 | 40 | 40 | $17.00 | |
| 91300 | 74 | 74 | $0.00 | |
| G0008 | Admin influenza virus vac | 129 | 129 | $0.00 |
| 91301 | 190 | 135 | $0.00 |