NPI: 1730390519 · GREAT FALLS, MT 59405 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,057 | $13K |
| 2019 | 913 | $12K |
| 2020 | 883 | $15K |
| 2021 | 854 | $17K |
| 2022 | 328 | $6K |
| 2023 | 103 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 2,847 | 2,395 | $46K |
| A4215 | Sterile needle | 340 | 310 | $17K |
| A4239 | Non-adju cgm supply allow | 17 | 12 | $2K |
| A4259 | Lancets per box | 865 | 779 | $1K |
| E0607 | Blood glucose monitor home | 13 | 12 | $306.88 |
| A4206 | 1 cc sterile syringe&needle | 13 | 13 | $243.53 |
| 0001A | 23 | 21 | $0.00 | |
| 0002A | 20 | 18 | $0.00 |