NPI: 1316983919 · PUEBLO, CO 81005 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 202 | $8K |
| 2019 | 314 | $7K |
| 2020 | 435 | $9K |
| 2021 | 798 | $12K |
| 2022 | 740 | $42K |
| 2023 | 282 | $13K |
| 2024 | 218 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1399 | Durable medical equipment mi | 460 | 417 | $44K |
| A4253 | Blood glucose/reagent strips | 1,508 | 1,350 | $33K |
| 90471 | 275 | 240 | $5K | |
| 90682 | 37 | 37 | $2K | |
| 0004A | 36 | 36 | $1K | |
| 90673 | 76 | 41 | $1K | |
| 0031A | 49 | 49 | $1K | |
| 90480 | 25 | 25 | $1K | |
| 0124A | 16 | 16 | $988.32 | |
| 90686 | 53 | 53 | $949.74 | |
| 0064A | 25 | 25 | $947.14 | |
| 0002A | 24 | 24 | $905.96 | |
| A4215 | Sterile needle | 25 | 24 | $874.10 |
| 0001A | 26 | 26 | $609.72 | |
| A4259 | Lancets per box | 26 | 24 | $122.91 |
| 91303 | 49 | 49 | $0.32 | |
| 91300 | 238 | 230 | $0.00 | |
| 91312 | 16 | 16 | $0.00 | |
| 91306 | 25 | 25 | $0.00 |