NPI: 1720013279 · WATERTOWN, MN 55388 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/12/2006
| Authorized Official | ROSDAHL, ROSEMARY (CHIEF MANAGER) |
| NPI Enumeration Date | 07/12/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29 | $0.00 |
| 2019 | 31 | $0.00 |
| 2021 | 75 | $0.00 |
| 2022 | 53 | $107.85 |
| 2023 | 52 | $0.00 |
| 2024 | 15 | $83.18 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 15 | 12 | $83.18 |
| 90686 | 42 | 42 | $68.94 | |
| G0008 | Administration of influenza virus vaccine | 90 | 90 | $38.91 |
| 0011A | 13 | 13 | $0.00 | |
| 0012A | 12 | 12 | $0.00 | |
| 0134A | 13 | 13 | $0.00 | |
| 90480 | 17 | 17 | $0.00 | |
| 0013A | 36 | 36 | $0.00 | |
| 91322 | 17 | 17 | $0.00 |