NPI: 1407836778 · MUSCATINE, IA 52761 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 149 | $365.45 |
| 2019 | 93 | $774.26 |
| 2020 | 77 | $2K |
| 2021 | 1,417 | $22K |
| 2022 | 391 | $5K |
| 2023 | 39 | $443.86 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A7031 | Replacement facemask interfa | 122 | 118 | $5K |
| 0011A | 142 | 140 | $4K | |
| 0012A | 120 | 119 | $4K | |
| 0001A | 95 | 95 | $4K | |
| 0002A | 75 | 75 | $3K | |
| A7038 | Pos airway pressure filter | 431 | 403 | $2K |
| 0072A | 36 | 36 | $1K | |
| 0003A | 34 | 34 | $1K | |
| 0071A | 33 | 33 | $1K | |
| 0013A | 39 | 36 | $1K | |
| A4253 | Blood glucose/reagent strips | 87 | 75 | $974.76 |
| 0031A | 22 | 22 | $720.00 | |
| 0124A | 28 | 28 | $440.00 | |
| 90756 | 46 | 46 | $266.85 | |
| 90471 | 57 | 57 | $81.44 | |
| 91300 | 284 | 272 | $31.00 | |
| 91312 | 28 | 28 | $12.00 | |
| 91307 | 121 | 118 | $10.00 | |
| 91301 | 320 | 312 | $10.00 | |
| 91303 | 28 | 24 | $0.00 | |
| G0008 | Admin influenza virus vac | 18 | 18 | $0.00 |