NPI: 1841205192 · FORT MORGAN, CO 80701 · 333600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 355 | $16K |
| 2019 | 412 | $11K |
| 2020 | 467 | $9K |
| 2021 | 1,208 | $16K |
| 2022 | 478 | $7K |
| 2023 | 239 | $3K |
| 2024 | 69 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,734 | 1,550 | $45K |
| A4215 | Sterile needle | 111 | 106 | $5K |
| 0011A | 129 | 82 | $4K | |
| 0012A | 120 | 76 | $3K | |
| 0001A | 86 | 72 | $2K | |
| 90471 | 132 | 129 | $1K | |
| A4259 | Lancets per box | 133 | 127 | $1K |
| 0124A | 16 | 16 | $988.32 | |
| 0002A | 37 | 26 | $806.45 | |
| 0064A | 25 | 14 | $576.52 | |
| 0004A | 20 | 12 | $452.98 | |
| 90674 | 14 | 14 | $363.72 | |
| 90686 | 41 | 41 | $215.64 | |
| 91301 | 280 | 169 | $0.00 | |
| 91306 | 25 | 14 | $0.00 | |
| 91300 | 309 | 230 | $0.00 | |
| 91312 | 16 | 16 | $0.00 |