NPI: 1740337278 · DAVENPORT, IA 52807 · 332BP3500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 234 | $56K |
| 2019 | 110 | $16K |
| 2020 | 191 | $34K |
| 2021 | 265 | $41K |
| 2022 | 250 | $37K |
| 2023 | 275 | $31K |
| 2024 | 848 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4035 | Enteral feed supp pump per d | 1,673 | 801 | $220K |
| B4150 | Ef complet w/intact nutrient | 218 | 114 | $13K |
| B9998 | Enteral supp not otherwise c | 152 | 144 | $8K |
| A4221 | Supp non-insulin inf cath/wk | 102 | 52 | $2K |
| B4160 | Ef ped caloric dense>/=0.7kc | 16 | 12 | $2K |
| B4034 | Enter feed supkit syr by day | 12 | 12 | $992.94 |