NPI: 1780610295 · INDIANOLA, IA 50125 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 71 | $1K |
| 2020 | 62 | $1K |
| 2021 | 1,091 | $23K |
| 2022 | 226 | $4K |
| 2023 | 190 | $7K |
| 2024 | 101 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 338 | 302 | $8K |
| 0002A | 195 | 194 | $7K | |
| 0001A | 172 | 171 | $6K | |
| 0012A | 93 | 93 | $4K | |
| 0011A | 110 | 110 | $3K | |
| 0004A | 60 | 60 | $2K | |
| 91322 | 16 | 16 | $2K | |
| 0064A | 39 | 39 | $1K | |
| 91320 | 14 | 14 | $1K | |
| 90480 | 41 | 41 | $1K | |
| 0124A | 34 | 34 | $1K | |
| K1034 | Covid test self-admn/collect | 13 | 13 | $986.96 |
| 90686 | 53 | 53 | $787.50 | |
| 90471 | 53 | 53 | $229.05 | |
| 91307 | 15 | 12 | $0.00 | |
| 91301 | 118 | 117 | $0.00 | |
| 91300 | 344 | 316 | $0.00 | |
| 91312 | 33 | 33 | $0.00 |