NPI: 1578734315 · MONTICELLO, IA 52310 · 332BX2000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 114 | $5K |
| 2019 | 221 | $9K |
| 2020 | 123 | $673.98 |
| 2021 | 53 | $337.33 |
| 2023 | 15 | $104.24 |
| 2024 | 113 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0601 | Cont airway pressure device | 222 | 199 | $15K |
| E1390 | Oxygen concentrator | 30 | 24 | $2K |
| T4535 | Disposable liner/shield/pad | 58 | 50 | $2K |
| A7038 | Pos airway pressure filter | 248 | 234 | $2K |
| E0562 | Humidifier heated used w pap | 25 | 24 | $1K |
| A4927 | Non-sterile gloves | 25 | 12 | $180.55 |
| A7037 | Pos airway pressure tubing | 31 | 28 | $87.72 |