NPI: 1558390898 · OTTUMWA, IA 52501 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 43 | $468.81 |
| 2019 | 343 | $5K |
| 2020 | 366 | $9K |
| 2021 | 1,352 | $26K |
| 2022 | 599 | $11K |
| 2023 | 382 | $10K |
| 2024 | 290 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,766 | 1,670 | $40K |
| 0001A | 233 | 231 | $8K | |
| 0002A | 211 | 209 | $8K | |
| K1034 | Covid test self-admn/collect | 71 | 69 | $4K |
| A4215 | Sterile needle | 127 | 123 | $2K |
| A4259 | Lancets per box | 360 | 354 | $1K |
| 90686 | 73 | 73 | $1K | |
| 90480 | 15 | 15 | $520.00 | |
| 0004A | 13 | 13 | $480.00 | |
| 0064A | 14 | 13 | $480.00 | |
| 90471 | 81 | 80 | $371.57 | |
| 91300 | 364 | 336 | $0.00 | |
| 91301 | 31 | 31 | $0.00 | |
| G0008 | Admin influenza virus vac | 16 | 16 | $0.00 |