NPI: 1699780932 · PUEBLO, CO 81005 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,558 | $107K |
| 2019 | 2,446 | $60K |
| 2020 | 2,936 | $59K |
| 2021 | 5,763 | $95K |
| 2022 | 2,727 | $57K |
| 2023 | 1,647 | $37K |
| 2024 | 1,180 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 7,808 | 7,012 | $202K |
| A4215 | Sterile needle | 2,968 | 2,737 | $129K |
| 0001A | 1,012 | 659 | $26K | |
| 0002A | 795 | 516 | $21K | |
| E1399 | Durable medical equipment mi | 365 | 270 | $20K |
| A4259 | Lancets per box | 2,534 | 2,385 | $18K |
| E0607 | Blood glucose monitor home | 375 | 356 | $8K |
| S8490 | 100 insulin syringes | 165 | 155 | $4K |
| 91320 | 34 | 33 | $4K | |
| 0052A | 44 | 43 | $3K | |
| 90471 | 263 | 254 | $2K | |
| 0003A | 109 | 59 | $2K | |
| 90480 | 34 | 33 | $2K | |
| 0053A | 30 | 29 | $1K | |
| 90686 | 194 | 191 | $1K | |
| 90674 | 49 | 49 | $890.56 | |
| 0124A | 13 | 13 | $803.01 | |
| 0051A | 12 | 12 | $679.47 | |
| 90656 | 13 | 13 | $290.55 | |
| 91305 | 222 | 215 | $0.00 | |
| 91307 | 40 | 36 | $0.00 | |
| 91300 | 2,165 | 1,325 | $0.00 | |
| 91312 | 13 | 13 | $0.00 |