NPI: 1689602666 · IOWA CITY, IA 52245 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $1K |
| 2019 | 12 | $2K |
| 2020 | 12 | $772.14 |
| 2021 | 395 | $10K |
| 2022 | 71 | $1K |
| 2023 | 45 | $818.85 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 80 | 80 | $3K | |
| T4534 | Youth size pull-on | 36 | 36 | $3K |
| E0570 | Nebulizer with compression | 24 | 24 | $3K |
| 0001A | 84 | 84 | $3K | |
| 0064A | 43 | 43 | $2K | |
| 0004A | 43 | 43 | $2K | |
| 0124A | 20 | 20 | $680.00 | |
| 90480 | 13 | 13 | $480.00 | |
| 90686 | 16 | 16 | $262.50 | |
| 90471 | 16 | 16 | $76.35 | |
| 91301 | 44 | 44 | $0.00 | |
| 91300 | 109 | 102 | $0.00 | |
| 91312 | 19 | 19 | $0.00 |