NPI: 1356356661 · DAVENPORT, IA 52807 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 281 | $6K |
| 2020 | 556 | $11K |
| 2021 | 834 | $11K |
| 2022 | 527 | $9K |
| 2023 | 402 | $7K |
| 2024 | 94 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,781 | 1,498 | $38K |
| 0001A | 64 | 60 | $2K | |
| 0071A | 46 | 46 | $1K | |
| A4259 | Lancets per box | 452 | 419 | $1K |
| 0072A | 29 | 29 | $1K | |
| 0124A | 34 | 31 | $1K | |
| 0002A | 12 | 12 | $400.00 | |
| 0004A | 13 | 13 | $280.00 | |
| T5999 | Supply, nos | 15 | 15 | $151.21 |
| 91307 | 83 | 76 | $0.00 | |
| 91301 | 14 | 14 | $0.00 | |
| 91300 | 118 | 105 | $0.00 | |
| 91312 | 33 | 31 | $0.00 |