NPI: 1326077389 · PUEBLO WEST, CO 81007 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 46 | $833.58 |
| 2021 | 250 | $1K |
| 2022 | 404 | $29K |
| 2023 | 431 | $24K |
| 2024 | 85 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1399 | Durable medical equipment mi | 616 | 501 | $46K |
| 90471 | 166 | 149 | $3K | |
| 91322 | 14 | 14 | $2K | |
| 90480 | 29 | 29 | $1K | |
| 90682 | 20 | 20 | $1K | |
| 0124A | 17 | 16 | $926.55 | |
| 90673 | 40 | 20 | $733.40 | |
| 0064A | 14 | 14 | $535.34 | |
| 90686 | 28 | 28 | $454.29 | |
| 0004A | 12 | 12 | $370.62 | |
| A4253 | Blood glucose/reagent strips | 12 | 12 | $261.24 |
| 90688 | 12 | 12 | $206.88 | |
| 91306 | 14 | 14 | $0.00 | |
| 91303 | 16 | 16 | $0.00 | |
| 0031A | 16 | 16 | $0.00 | |
| 0011A | 16 | 15 | $0.00 | |
| 91301 | 35 | 29 | $0.00 | |
| 91300 | 122 | 120 | $0.00 | |
| 91312 | 17 | 16 | $0.00 |