NPI: 1821024373 · WATERLOO, IA 50703 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $374.00 |
| 2019 | 304 | $7K |
| 2020 | 335 | $10K |
| 2021 | 872 | $22K |
| 2022 | 523 | $13K |
| 2023 | 632 | $25K |
| 2024 | 144 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,433 | 1,308 | $42K |
| A4239 | Non-adju cgm supply allow | 165 | 149 | $15K |
| A4215 | Sterile needle | 469 | 439 | $10K |
| K0553 | Ther cgm supply allowance | 58 | 52 | $6K |
| 0002A | 82 | 81 | $3K | |
| 0001A | 93 | 92 | $3K | |
| A4259 | Lancets per box | 281 | 268 | $897.09 |
| 0004A | 15 | 15 | $440.00 | |
| 0064A | 15 | 15 | $440.00 | |
| 90686 | 18 | 18 | $134.60 | |
| 90471 | 18 | 18 | $66.17 | |
| 91300 | 164 | 149 | $0.00 | |
| 91301 | 12 | 12 | $0.00 |