NPI: 1568407229 · DES MOINES, IA 50317 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 53 | $797.40 |
| 2019 | 740 | $12K |
| 2020 | 637 | $19K |
| 2021 | 3,972 | $89K |
| 2022 | 1,920 | $40K |
| 2023 | 1,104 | $33K |
| 2024 | 761 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 2,547 | 2,385 | $66K |
| 0001A | 794 | 794 | $28K | |
| 0002A | 699 | 698 | $26K | |
| A4215 | Sterile needle | 1,270 | 1,194 | $26K |
| K1034 | Covid test self-admn/collect | 218 | 218 | $16K |
| 0004A | 285 | 278 | $10K | |
| 91320 | 52 | 52 | $6K | |
| 0124A | 147 | 147 | $5K | |
| 0071A | 106 | 105 | $4K | |
| 0072A | 99 | 98 | $4K | |
| 0031A | 85 | 85 | $3K | |
| 90686 | 225 | 224 | $3K | |
| 90480 | 71 | 71 | $3K | |
| 0064A | 63 | 62 | $2K | |
| A4259 | Lancets per box | 596 | 564 | $2K |
| 90471 | 223 | 221 | $1K | |
| S8490 | 100 insulin syringes | 18 | 12 | $459.51 |
| 0054A | 12 | 12 | $440.00 | |
| 0134A | 12 | 12 | $400.00 | |
| 91307 | 208 | 204 | $0.00 | |
| 91303 | 46 | 46 | $0.00 | |
| 91305 | 17 | 15 | $0.00 | |
| 91301 | 99 | 98 | $0.00 | |
| 91312 | 141 | 141 | $0.00 | |
| 91300 | 1,154 | 1,064 | $0.00 |