NPI: 1356372700 · OTTUMWA, IA 52501 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 43 | $0.00 |
| 2019 | 518 | $9K |
| 2020 | 660 | $14K |
| 2021 | 1,786 | $35K |
| 2022 | 1,084 | $35K |
| 2023 | 847 | $23K |
| 2024 | 664 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 2,138 | 2,017 | $59K |
| K1034 | Covid test self-admn/collect | 382 | 378 | $29K |
| A4215 | Sterile needle | 659 | 638 | $11K |
| 0002A | 272 | 271 | $10K | |
| 0001A | 282 | 282 | $10K | |
| A4259 | Lancets per box | 1,127 | 1,092 | $4K |
| S8490 | 100 insulin syringes | 67 | 51 | $1K |
| 0004A | 30 | 30 | $1K | |
| 0064A | 29 | 29 | $1K | |
| 0124A | 12 | 12 | $360.00 | |
| 90686 | 18 | 18 | $280.00 | |
| 90471 | 18 | 18 | $81.44 | |
| 91300 | 476 | 433 | $0.00 | |
| 90662 | 12 | 12 | $0.00 | |
| 91301 | 49 | 47 | $0.00 | |
| G0008 | Admin influenza virus vac | 31 | 31 | $0.00 |