NPI: 1538174842 · DAVENPORT, IA 52806 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 179 | $4K |
| 2020 | 287 | $8K |
| 2021 | 1,506 | $24K |
| 2022 | 405 | $7K |
| 2023 | 151 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,216 | 988 | $27K |
| 0001A | 302 | 297 | $8K | |
| 0002A | 250 | 249 | $7K | |
| 0004A | 44 | 44 | $2K | |
| 0071A | 24 | 23 | $920.00 | |
| 0072A | 22 | 21 | $840.00 | |
| 87635 | 14 | 13 | $359.17 | |
| G2023 | Specimen collect covid-19 | 14 | 13 | $46.92 |
| A4259 | Lancets per box | 18 | 16 | $41.88 |
| 91300 | 531 | 492 | $0.00 | |
| 91305 | 41 | 38 | $0.00 | |
| 91307 | 52 | 47 | $0.00 |