NPI: 1548423338 · AMMON, ID 83406 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,288 | $49K |
| 2020 | 16 | $129.79 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4522 | Adult size brief/diaper med | 411 | 373 | $30K |
| B4150 | Ef complet w/intact nutrient | 420 | 318 | $17K |
| A4253 | Blood glucose/reagent strips | 245 | 220 | $2K |
| A4206 | 1 cc sterile syringe&needle | 15 | 13 | $294.00 |
| A4245 | Alcohol wipes per box | 181 | 148 | $128.72 |
| A4259 | Lancets per box | 32 | 31 | $33.44 |