NPI: 1811084056 · WATERLOO, IA 50702 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 233 | $389.97 |
| 2019 | 128 | $2K |
| 2020 | 121 | $3K |
| 2021 | 739 | $17K |
| 2022 | 389 | $7K |
| 2023 | 485 | $36K |
| 2024 | 431 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4239 | Non-adju cgm supply allow | 428 | 368 | $81K |
| A4253 | Blood glucose/reagent strips | 983 | 918 | $16K |
| A4215 | Sterile needle | 324 | 286 | $6K |
| 0001A | 142 | 141 | $5K | |
| 0002A | 75 | 75 | $3K | |
| 90674 | 66 | 61 | $2K | |
| 0031A | 40 | 40 | $1K | |
| 0011A | 43 | 42 | $1K | |
| 0071A | 29 | 27 | $1K | |
| 0072A | 21 | 21 | $840.00 | |
| 0012A | 20 | 20 | $760.00 | |
| 0051A | 13 | 13 | $480.00 | |
| 90480 | 17 | 13 | $419.98 | |
| 0124A | 18 | 18 | $280.00 | |
| 90694 | 14 | 12 | $215.04 | |
| 90471 | 83 | 70 | $142.52 | |
| A4259 | Lancets per box | 13 | 12 | $1.32 |
| 91301 | 36 | 36 | $0.00 | |
| 91303 | 15 | 15 | $0.00 | |
| 91300 | 146 | 124 | $0.00 |