NPI: 1598282303 · MANKATO, MN 56001 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $48.26 |
| 2019 | 54 | $146.43 |
| 2020 | 689 | $15K |
| 2021 | 708 | $19K |
| 2022 | 278 | $2K |
| 2023 | 375 | $5K |
| 2024 | 57 | $688.48 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99606 | 593 | 398 | $14K | |
| 99607 | 155 | 152 | $11K | |
| 99605 | 141 | 141 | $7K | |
| 91322 | 85 | 85 | $3K | |
| 0013A | 144 | 144 | $2K | |
| 90480 | 106 | 106 | $1K | |
| 0124A | 75 | 73 | $810.00 | |
| A4253 | Blood glucose/reagent strips | 267 | 227 | $728.77 |
| 91320 | 21 | 21 | $493.24 | |
| 90686 | 32 | 32 | $452.77 | |
| 90694 | 54 | 53 | $412.50 | |
| 90471 | 30 | 30 | $308.50 | |
| 0011A | 69 | 69 | $98.50 | |
| 0012A | 69 | 69 | $65.35 | |
| A4259 | Lancets per box | 13 | 13 | $5.93 |
| 90682 | 13 | 13 | $0.00 | |
| 91312 | 30 | 28 | $0.00 | |
| 90662 | 12 | 12 | $0.00 | |
| G0008 | Admin influenza virus vac | 128 | 128 | $0.00 |
| 91301 | 92 | 92 | $0.00 | |
| 0064A | 46 | 46 | $0.00 |