NPI: 1639184948 · DES MOINES, IA 50317 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19 | $89.44 |
| 2019 | 511 | $8K |
| 2020 | 858 | $16K |
| 2021 | 2,647 | $46K |
| 2022 | 1,122 | $19K |
| 2023 | 366 | $7K |
| 2024 | 13 | $299.13 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 2,420 | 1,987 | $51K |
| 0001A | 484 | 472 | $14K | |
| 0002A | 352 | 343 | $11K | |
| 0071A | 129 | 128 | $4K | |
| 0072A | 107 | 107 | $4K | |
| A4215 | Sterile needle | 226 | 188 | $3K |
| 0003A | 59 | 59 | $2K | |
| A4259 | Lancets per box | 597 | 527 | $1K |
| A4206 | 1 cc sterile syringe&needle | 105 | 87 | $1K |
| 0004A | 41 | 41 | $1K | |
| 0054A | 40 | 40 | $1K | |
| 0124A | 34 | 31 | $680.00 | |
| 0051A | 24 | 24 | $560.00 | |
| 0052A | 20 | 20 | $520.00 | |
| E0607 | Blood glucose monitor home | 14 | 13 | $169.92 |
| 91307 | 152 | 141 | $0.00 | |
| 91305 | 76 | 73 | $0.00 | |
| 91300 | 656 | 598 | $0.00 |