NPI: 1760479554 · SPIRIT LAKE, IA 51360 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,261 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 480 | 26 | $3K | |
| 84100 | 41 | 24 | $0.00 | |
| 84520 | 72 | 24 | $0.00 | |
| 82374 | 26 | 24 | $0.00 | |
| 84155 | 26 | 24 | $0.00 | |
| 82310 | 49 | 24 | $0.00 | |
| J1644 | Inj heparin sodium per 1000u | 358 | 25 | $0.00 |
| 82565 | 26 | 24 | $0.00 | |
| 84295 | 26 | 24 | $0.00 | |
| 82040 | 41 | 24 | $0.00 | |
| 85027 | 26 | 24 | $0.00 | |
| 82435 | 26 | 24 | $0.00 | |
| 84075 | 26 | 24 | $0.00 | |
| 84132 | 38 | 24 | $0.00 |