NPI: 1740337427 · BLUE ISLAND, IL 60406 · 332BC3200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 663 | $22K |
| 2019 | 1,920 | $34K |
| 2020 | 1,881 | $36K |
| 2021 | 1,428 | $26K |
| 2022 | 1,151 | $24K |
| 2023 | 1,690 | $53K |
| 2024 | 1,713 | $91K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4239 | Non-adju cgm supply allow | 1,315 | 1,286 | $85K |
| A5500 | Diab shoe for density insert | 4,819 | 2,636 | $82K |
| A5514 | Mult den insert dir carv/cam | 2,197 | 1,107 | $60K |
| A5513 | Multi den insert custom mold | 2,004 | 1,161 | $55K |
| K0553 | Ther cgm supply allowance | 85 | 81 | $3K |
| A5512 | Multi den insert direct form | 26 | 13 | $404.04 |