NPI: 1659307197 · URBANDALE, IA 50322 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 144 | $2K |
| 2020 | 268 | $6K |
| 2021 | 1,617 | $33K |
| 2022 | 440 | $7K |
| 2023 | 223 | $7K |
| 2024 | 44 | $870.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 745 | 682 | $16K |
| 0002A | 344 | 344 | $13K | |
| 0001A | 317 | 316 | $11K | |
| 0004A | 131 | 130 | $5K | |
| 91320 | 29 | 29 | $3K | |
| 0124A | 70 | 70 | $3K | |
| 90480 | 54 | 53 | $2K | |
| 90686 | 108 | 107 | $2K | |
| 0064A | 40 | 38 | $1K | |
| 0031A | 34 | 34 | $1K | |
| 90471 | 109 | 107 | $325.76 | |
| A4259 | Lancets per box | 12 | 12 | $1.42 |
| 91301 | 61 | 60 | $0.00 | |
| 91300 | 613 | 566 | $0.00 | |
| 91312 | 69 | 69 | $0.00 |