NPI: 1336166214 · SIOUX CITY, IA 51106 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 274 | $241.42 |
| 2019 | 227 | $3K |
| 2020 | 347 | $6K |
| 2021 | 1,901 | $46K |
| 2022 | 734 | $13K |
| 2023 | 591 | $8K |
| 2024 | 452 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,903 | 1,650 | $29K |
| 0001A | 486 | 485 | $15K | |
| 0002A | 426 | 425 | $15K | |
| 0003A | 125 | 125 | $5K | |
| 99211 | 195 | 190 | $3K | |
| 90686 | 180 | 180 | $2K | |
| 0071A | 76 | 61 | $2K | |
| 0124A | 49 | 49 | $2K | |
| 91322 | 31 | 31 | $2K | |
| 0072A | 41 | 40 | $2K | |
| 91320 | 15 | 15 | $2K | |
| A4215 | Sterile needle | 66 | 63 | $1K |
| 90480 | 49 | 49 | $770.18 | |
| 0004A | 16 | 16 | $640.00 | |
| 0031A | 17 | 17 | $640.00 | |
| 90674 | 22 | 22 | $443.64 | |
| G0310 | Immunize counsel 5-15 min | 34 | 34 | $409.08 |
| 90471 | 213 | 211 | $254.96 | |
| A4259 | Lancets per box | 92 | 88 | $193.23 |
| 91300 | 199 | 195 | $0.00 | |
| 99212 | 51 | 50 | $0.00 | |
| 91312 | 47 | 47 | $0.00 | |
| 91307 | 128 | 88 | $0.00 | |
| G0008 | Admin influenza virus vac | 32 | 32 | $0.00 |
| 90656 | 33 | 33 | $0.00 |