NPI: 1497898472 · GREEN BAY, WI 54301 · 3336L0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 420 | $5K |
| 2019 | 459 | $6K |
| 2020 | 454 | $5K |
| 2021 | 1,633 | $21K |
| 2022 | 629 | $8K |
| 2023 | 549 | $11K |
| 2024 | 3,638 | $96K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A9150 | Misc/exper non-prescript dru | 2,927 | 2,144 | $79K |
| H0034 | Med trng & support per 15min | 2,801 | 2,258 | $25K |
| A4253 | Blood glucose/reagent strips | 164 | 153 | $8K |
| 90686 | 237 | 236 | $8K | |
| 91320 | 54 | 53 | $7K | |
| 0002A | 225 | 224 | $7K | |
| 0001A | 243 | 241 | $5K | |
| 0003A | 101 | 101 | $4K | |
| 99605 | 37 | 25 | $2K | |
| 0124A | 33 | 33 | $1K | |
| A4259 | Lancets per box | 120 | 117 | $1K |
| 90756 | 32 | 32 | $1K | |
| 99606 | 23 | 22 | $840.00 | |
| 99212 | 26 | 26 | $810.00 | |
| 99401 | 18 | 18 | $540.00 | |
| 90674 | 15 | 15 | $531.02 | |
| 90688 | 15 | 15 | $499.05 | |
| 99607 | 53 | 37 | $0.00 | |
| 91300 | 640 | 561 | $0.00 | |
| 91312 | 18 | 18 | $0.00 |