NPI: 1740478452 · NEWTON, IA 50208 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 353 | $8K |
| 2020 | 432 | $10K |
| 2021 | 1,805 | $33K |
| 2022 | 683 | $22K |
| 2023 | 690 | $36K |
| 2024 | 408 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,735 | 1,603 | $46K |
| A4239 | Non-adju cgm supply allow | 178 | 161 | $23K |
| A4215 | Sterile needle | 632 | 605 | $11K |
| K1034 | Covid test self-admn/collect | 129 | 129 | $11K |
| 0012A | 139 | 139 | $5K | |
| 0011A | 156 | 156 | $4K | |
| 0001A | 95 | 95 | $4K | |
| 0002A | 84 | 84 | $3K | |
| K0553 | Ther cgm supply allowance | 13 | 12 | $3K |
| 0064A | 58 | 56 | $2K | |
| 90686 | 85 | 84 | $1K | |
| 0004A | 29 | 29 | $1K | |
| A4259 | Lancets per box | 334 | 322 | $1K |
| 0003A | 27 | 27 | $1K | |
| 0071A | 15 | 15 | $600.00 | |
| 90480 | 12 | 12 | $480.00 | |
| 90471 | 85 | 84 | $427.56 | |
| 0134A | 12 | 12 | $400.00 | |
| S8490 | 100 insulin syringes | 17 | 13 | $362.40 |
| 91300 | 243 | 234 | $0.00 | |
| 91313 | 12 | 12 | $0.00 | |
| 91301 | 266 | 264 | $0.00 | |
| 91307 | 15 | 15 | $0.00 |