NPI: 1447265756 · DAVENPORT, IA 52804 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 222 | $375.53 |
| 2019 | 886 | $13K |
| 2020 | 1,820 | $32K |
| 2021 | 3,290 | $38K |
| 2022 | 1,628 | $20K |
| 2023 | 857 | $13K |
| 2024 | 202 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 4,309 | 3,509 | $82K |
| A4215 | Sterile needle | 644 | 554 | $10K |
| A4206 | 1 cc sterile syringe&needle | 539 | 445 | $7K |
| 0011A | 251 | 241 | $5K | |
| 0012A | 180 | 177 | $4K | |
| A4259 | Lancets per box | 1,617 | 1,424 | $4K |
| E0607 | Blood glucose monitor home | 208 | 198 | $2K |
| 0064A | 63 | 63 | $2K | |
| T5999 | Supply, nos | 121 | 110 | $1K |
| 0001A | 123 | 122 | $860.92 | |
| 0002A | 71 | 71 | $283.90 | |
| Q0513 | Disp fee inhal drugs/30 days | 116 | 78 | $42.87 |
| J7613 | Albuterol non-comp unit | 20 | 14 | $9.49 |
| 91301 | 447 | 423 | $0.00 | |
| 91306 | 62 | 62 | $0.00 | |
| 91300 | 134 | 132 | $0.00 |