NPI: 1356693436 · SOUTHAVEN, MS 38671 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 69 | $93.05 |
| 2022 | 3,052 | $3K |
| 2023 | 3,032 | $2K |
| 2024 | 994 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 2,347 | 2,206 | $4K |
| A4239 | Non-adju cgm supply allow | 42 | 42 | $627.95 |
| A4256 | Calibrator solution/chips | 1,422 | 1,343 | $493.78 |
| A4259 | Lancets per box | 1,880 | 1,769 | $488.80 |
| A4235 | Lithium batt for glucose mon | 937 | 926 | $336.74 |
| A4258 | Lancet device each | 450 | 444 | $218.71 |
| A4595 | Tens suppl 2 lead per month | 69 | 68 | $93.05 |