NPI: 1619960663 · SALT LAKE CITY, UT 84121 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 47 | $2K |
| 2023 | 1,666 | $435K |
| 2024 | 3,527 | $779K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0784 | Ext amb infusn pump insulin | 262 | 257 | $888K |
| A4230 | Infus insulin pump non needl | 2,176 | 2,117 | $243K |
| A4232 | Syringe w/needle insulin 3cc | 2,388 | 2,313 | $78K |
| A5120 | Skin barrier, wipe or swab | 199 | 198 | $2K |
| A4231 | Infusion insulin pump needle | 25 | 25 | $2K |
| A4456 | Adhesive remover, wipes | 162 | 159 | $2K |
| A6257 | Transparent film <= 16 sq in | 28 | 28 | $1K |