NPI: 1760418941 · DES MOINES, IA 50310 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $61.76 |
| 2019 | 847 | $14K |
| 2020 | 914 | $21K |
| 2021 | 3,239 | $68K |
| 2022 | 1,343 | $21K |
| 2023 | 1,062 | $16K |
| 2024 | 662 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 3,064 | 2,789 | $76K |
| A4215 | Sterile needle | 876 | 815 | $18K |
| 0002A | 282 | 281 | $11K | |
| 0011A | 292 | 291 | $10K | |
| 0012A | 251 | 251 | $10K | |
| 0001A | 256 | 255 | $9K | |
| A4259 | Lancets per box | 1,601 | 1,474 | $5K |
| 0004A | 78 | 77 | $3K | |
| 0064A | 67 | 67 | $2K | |
| 90686 | 73 | 73 | $2K | |
| K1034 | Covid test self-admn/collect | 26 | 26 | $2K |
| E0607 | Blood glucose monitor home | 51 | 51 | $1K |
| 0124A | 30 | 30 | $1K | |
| 90471 | 74 | 74 | $371.57 | |
| S8490 | 100 insulin syringes | 12 | 12 | $370.08 |
| 91300 | 520 | 484 | $0.00 | |
| 91312 | 30 | 30 | $0.00 | |
| 91301 | 498 | 486 | $0.00 |