NPI: 1720014244 · KEOKUK, IA 52632 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 306 | $5K |
| 2020 | 215 | $5K |
| 2021 | 771 | $14K |
| 2022 | 354 | $8K |
| 2023 | 240 | $8K |
| 2024 | 227 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,172 | 1,104 | $23K |
| 0012A | 133 | 133 | $5K | |
| 0011A | 154 | 154 | $4K | |
| A4239 | Non-adju cgm supply allow | 37 | 36 | $4K |
| 0064A | 85 | 85 | $3K | |
| A4215 | Sterile needle | 196 | 182 | $3K |
| K0553 | Ther cgm supply allowance | 13 | 13 | $2K |
| 90686 | 15 | 15 | $245.00 | |
| 90471 | 15 | 15 | $71.26 | |
| A4259 | Lancets per box | 13 | 12 | $21.73 |
| 91301 | 280 | 274 | $0.00 |