NPI: 1609881911 · CEDAR RAPIDS, IA 52402 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 149 | $3K |
| 2020 | 370 | $7K |
| 2021 | 1,149 | $22K |
| 2022 | 496 | $8K |
| 2023 | 49 | $744.21 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 671 | 575 | $15K |
| 0001A | 221 | 219 | $7K | |
| 0002A | 184 | 181 | $6K | |
| 0071A | 135 | 135 | $5K | |
| 0072A | 118 | 118 | $4K | |
| 0004A | 79 | 79 | $3K | |
| 0124A | 58 | 58 | $1K | |
| A4259 | Lancets per box | 136 | 123 | $402.50 |
| 87635 | 16 | 13 | $359.17 | |
| 0011A | 17 | 17 | $200.00 | |
| G2023 | Specimen collect covid-19 | 20 | 16 | $187.68 |
| 0012A | 14 | 14 | $160.00 | |
| 91312 | 31 | 31 | $0.00 | |
| 91300 | 319 | 300 | $0.00 | |
| 91307 | 161 | 147 | $0.00 | |
| 91305 | 12 | 12 | $0.00 | |
| 91301 | 21 | 21 | $0.00 |