NPI: 1568451342 · MANHATTAN, KS 66502 · 333600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 57 | $257.68 |
| 2019 | 116 | $0.00 |
| 2020 | 150 | $0.00 |
| 2021 | 334 | $298.59 |
| 2022 | 187 | $237.64 |
| 2023 | 264 | $0.00 |
| 2024 | 260 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 74 | 51 | $311.78 |
| 90674 | 339 | 310 | $275.33 | |
| 0011A | 40 | 29 | $102.75 | |
| 0012A | 16 | 16 | $42.45 | |
| 0004A | 46 | 46 | $40.00 | |
| 91301 | 26 | 16 | $21.60 | |
| G0008 | Admin influenza virus vac | 426 | 424 | $0.00 |
| 90480 | 131 | 131 | $0.00 | |
| 90694 | 19 | 19 | $0.00 | |
| 0064A | 12 | 12 | $0.00 | |
| 91322 | 133 | 132 | $0.00 | |
| 90661 | 55 | 55 | $0.00 | |
| 0003A | 19 | 19 | $0.00 | |
| 90653 | 13 | 13 | $0.00 | |
| 90756 | 19 | 19 | $0.00 |