NPI: 1316968373 · EAGLE GROVE, IA 50533 · 333600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 58 | $370.12 |
| 2020 | 28 | $303.06 |
| 2021 | 293 | $3K |
| 2022 | 100 | $1K |
| 2023 | 13 | $15.27 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0011A | 30 | 30 | $1K | |
| 90688 | 37 | 37 | $789.66 | |
| 90674 | 38 | 38 | $689.57 | |
| A4253 | Blood glucose/reagent strips | 86 | 63 | $673.18 |
| 0002A | 25 | 23 | $600.00 | |
| 0072A | 13 | 13 | $520.00 | |
| 0134A | 12 | 12 | $357.05 | |
| 0001A | 21 | 21 | $226.34 | |
| 90471 | 88 | 88 | $152.70 | |
| 91307 | 21 | 14 | $16.00 | |
| 91313 | 12 | 12 | $9.00 | |
| 91300 | 40 | 40 | $0.00 | |
| 91301 | 69 | 67 | $0.00 |