NPI: 1396771267 · CEDAR RAPIDS, IA 52402 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 163 | $4K |
| 2020 | 249 | $7K |
| 2021 | 1,300 | $25K |
| 2022 | 546 | $10K |
| 2023 | 240 | $9K |
| 2024 | 140 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,156 | 1,064 | $28K |
| 0002A | 218 | 217 | $8K | |
| 0001A | 218 | 218 | $7K | |
| K1034 | Covid test self-admn/collect | 77 | 77 | $6K |
| 0004A | 86 | 85 | $3K | |
| 0072A | 53 | 53 | $2K | |
| 0071A | 31 | 31 | $1K | |
| 0124A | 27 | 27 | $920.00 | |
| A4259 | Lancets per box | 215 | 210 | $759.24 |
| 0064A | 13 | 13 | $520.00 | |
| 90480 | 12 | 12 | $480.00 | |
| A4215 | Sterile needle | 25 | 25 | $424.00 |
| 90686 | 15 | 15 | $227.50 | |
| 90471 | 14 | 14 | $66.17 | |
| 91300 | 354 | 330 | $0.00 | |
| 91312 | 14 | 14 | $0.00 | |
| 91307 | 93 | 90 | $0.00 | |
| 91301 | 17 | 17 | $0.00 |