NPI: 1619064805
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 635 | $5K |
| 2019 | 1,314 | $19K |
| 2020 | 799 | $17K |
| 2021 | 178 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,670 | 1,403 | $29K |
| A4215 | Sterile needle | 546 | 414 | $10K |
| S8490 | 100 insulin syringes | 101 | 79 | $2K |
| A4259 | Lancets per box | 455 | 402 | $2K |
| 0002A | 16 | 16 | $600.00 | |
| 0001A | 15 | 15 | $560.00 | |
| E0607 | Blood glucose monitor home | 43 | 23 | $486.04 |
| 90686 | 33 | 33 | $479.88 | |
| G0008 | Admin influenza virus vac | 47 | 47 | $392.14 |