NPI: 1598792160 · WEST DES MOINES, IA 50266 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,180 | $23K |
| 2022 | 118 | $2K |
| 2023 | 63 | $949.21 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 195 | 195 | $7K | |
| 0001A | 217 | 217 | $7K | |
| 0004A | 96 | 96 | $4K | |
| 0012A | 47 | 47 | $2K | |
| 0011A | 47 | 47 | $1K | |
| 0064A | 36 | 36 | $1K | |
| 90686 | 71 | 71 | $971.85 | |
| 0071A | 16 | 16 | $640.00 | |
| 0124A | 19 | 19 | $600.00 | |
| K1034 | Covid test self-admn/collect | 13 | 12 | $576.00 |
| 90480 | 14 | 14 | $520.00 | |
| 90471 | 69 | 69 | $213.78 | |
| 91300 | 362 | 338 | $0.00 | |
| 91312 | 19 | 19 | $0.00 | |
| 91307 | 16 | 16 | $0.00 | |
| 91301 | 124 | 124 | $0.00 |