NPI: 1528349347 · WATERLOO, IA 50701 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 269 | $5K |
| 2020 | 368 | $9K |
| 2021 | 1,149 | $23K |
| 2022 | 490 | $7K |
| 2023 | 329 | $7K |
| 2024 | 298 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,425 | 1,326 | $34K |
| 0002A | 180 | 180 | $7K | |
| 0001A | 204 | 204 | $6K | |
| A4215 | Sterile needle | 371 | 361 | $5K |
| A4239 | Non-adju cgm supply allow | 53 | 51 | $4K |
| A4259 | Lancets per box | 261 | 250 | $848.73 |
| S8490 | 100 insulin syringes | 34 | 24 | $680.19 |
| 0004A | 13 | 13 | $520.00 | |
| 0124A | 14 | 14 | $440.00 | |
| 90686 | 13 | 13 | $210.00 | |
| 90471 | 13 | 13 | $61.08 | |
| 91300 | 308 | 291 | $0.00 | |
| 91312 | 14 | 14 | $0.00 |