NPI: 1407959182 · MARION, IN 46952 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 606 | $2K |
| 2019 | 234 | $969.24 |
| 2020 | 143 | $727.74 |
| 2021 | 121 | $497.93 |
| 2023 | 82 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 718 | 641 | $4K |
| J7620 | Albuterol ipratrop non-comp | 41 | 40 | $152.63 |
| A4259 | Lancets per box | 12 | 12 | $4.22 |
| 90662 | 14 | 14 | $0.00 | |
| Q0513 | Disp fee inhal drugs/30 days | 106 | 104 | $0.00 |
| G0008 | Admin influenza virus vac | 207 | 184 | $0.00 |
| 0064A | 27 | 27 | $0.00 | |
| 90686 | 25 | 25 | $0.00 | |
| 90674 | 36 | 18 | $0.00 |