NPI: 1861404139 · MT JULIET, TN 37122 · 3336I0012X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $0.00 |
| 2020 | 13 | $0.00 |
| 2021 | 111 | $0.00 |
| 2022 | 137 | $93.69 |
| 2023 | 522 | $24.99 |
| 2024 | 482 | $85K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A9279 | Monitoring feature/devicenoc | 123 | 115 | $85K |
| J3490 | Drugs unclassified injection | 38 | 24 | $258.34 |
| A4253 | Blood glucose/reagent strips | 423 | 369 | $144.72 |
| Q0513 | Disp fee inhal drugs/30 days | 64 | 64 | $85.80 |
| A4259 | Lancets per box | 34 | 29 | $2.85 |
| J7613 | Albuterol non-comp unit | 32 | 24 | $2.32 |
| E1399 | Durable medical equipment mi | 436 | 56 | $0.00 |
| 90686 | 27 | 25 | $0.00 | |
| J7620 | Albuterol ipratrop non-comp | 12 | 12 | $0.00 |
| 99457 | 12 | 12 | $0.00 | |
| 90656 | 41 | 41 | $0.00 | |
| 91320 | 35 | 35 | $0.00 |