NPI: 1396780912 · DES MOINES, IA 50320 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 76 | $1K |
| 2019 | 832 | $13K |
| 2020 | 945 | $21K |
| 2021 | 4,842 | $104K |
| 2022 | 1,788 | $33K |
| 2023 | 1,125 | $31K |
| 2024 | 640 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 2,704 | 2,524 | $67K |
| 0002A | 857 | 856 | $33K | |
| 0001A | 883 | 882 | $32K | |
| A4215 | Sterile needle | 1,432 | 1,353 | $28K |
| 0004A | 270 | 269 | $10K | |
| K1034 | Covid test self-admn/collect | 138 | 134 | $9K |
| 91320 | 75 | 75 | $9K | |
| 0124A | 111 | 111 | $4K | |
| 90686 | 270 | 270 | $4K | |
| 90480 | 103 | 103 | $3K | |
| 0011A | 86 | 85 | $3K | |
| 0012A | 79 | 79 | $3K | |
| A4259 | Lancets per box | 860 | 817 | $2K |
| 0064A | 60 | 60 | $2K | |
| 0054A | 45 | 45 | $2K | |
| 0031A | 33 | 33 | $1K | |
| 90471 | 288 | 286 | $1K | |
| 0071A | 25 | 25 | $1K | |
| 90656 | 12 | 12 | $149.49 | |
| 91300 | 1,437 | 1,307 | $0.00 | |
| 91312 | 106 | 106 | $0.00 | |
| 91301 | 244 | 238 | $0.00 | |
| 91305 | 86 | 85 | $0.00 | |
| 91303 | 19 | 19 | $0.00 | |
| 91307 | 25 | 25 | $0.00 |