NPI: 1669569521 · DUBUQUE, IA 52001 · 3336L0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,713 | $43K |
| 2019 | 2,456 | $45K |
| 2020 | 2,542 | $57K |
| 2021 | 1,357 | $26K |
| 2022 | 539 | $5K |
| 2023 | 676 | $9K |
| 2024 | 294 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4535 | Disposable liner/shield/pad | 5,573 | 2,637 | $66K |
| T4524 | Adult size brief/diaper xl | 1,150 | 371 | $46K |
| T4526 | Adult size pull-on med | 1,286 | 657 | $32K |
| T4527 | Adult size pull-on lg | 533 | 270 | $18K |
| T4528 | Adult size pull-on xl | 410 | 172 | $14K |
| A4253 | Blood glucose/reagent strips | 992 | 702 | $8K |
| V5266 | Battery for hearing device | 166 | 156 | $5K |
| 0124A | 23 | 23 | $40.00 | |
| K1034 | Covid test self-admn/collect | 43 | 43 | $16.00 |
| G0008 | Admin influenza virus vac | 128 | 128 | $0.00 |
| 90480 | 57 | 57 | $0.00 | |
| 90686 | 20 | 20 | $0.00 | |
| 90662 | 96 | 96 | $0.00 | |
| 91320 | 57 | 57 | $0.00 | |
| 0054A | 22 | 22 | $0.00 | |
| 0013A | 21 | 21 | $0.00 |