NPI: 1336179936 · SIOUX CITY, IA 51104 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 349 | $7K |
| 2020 | 415 | $11K |
| 2021 | 3,076 | $63K |
| 2022 | 470 | $9K |
| 2023 | 254 | $8K |
| 2024 | 133 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,282 | 1,165 | $33K |
| 0002A | 704 | 699 | $26K | |
| 0001A | 702 | 699 | $25K | |
| 0004A | 236 | 232 | $8K | |
| K1034 | Covid test self-admn/collect | 36 | 36 | $3K |
| A4215 | Sterile needle | 131 | 126 | $2K |
| 0071A | 25 | 24 | $920.00 | |
| 90686 | 71 | 71 | $791.50 | |
| 0124A | 15 | 15 | $560.00 | |
| 0003A | 20 | 20 | $560.00 | |
| 0072A | 12 | 12 | $480.00 | |
| 90471 | 69 | 69 | $274.86 | |
| 0012A | 12 | 12 | $113.56 | |
| 0011A | 12 | 12 | $67.76 | |
| A4259 | Lancets per box | 42 | 39 | $3.64 |
| 91300 | 1,211 | 1,117 | $0.00 | |
| 91312 | 14 | 14 | $0.00 | |
| 91307 | 47 | 37 | $0.00 | |
| 91301 | 27 | 27 | $0.00 | |
| 91305 | 29 | 27 | $0.00 |