NPI: 1871508119 · PUEBLO, CO 81001 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,255 | $101K |
| 2019 | 3,019 | $68K |
| 2020 | 3,613 | $63K |
| 2021 | 11,220 | $157K |
| 2022 | 5,209 | $101K |
| 2023 | 3,210 | $68K |
| 2024 | 1,748 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 10,941 | 9,494 | $225K |
| A4215 | Sterile needle | 3,890 | 3,638 | $137K |
| 0001A | 1,895 | 1,251 | $44K | |
| 0002A | 1,597 | 1,030 | $40K | |
| E1399 | Durable medical equipment mi | 466 | 377 | $23K |
| A4259 | Lancets per box | 3,682 | 3,449 | $21K |
| E0607 | Blood glucose monitor home | 791 | 770 | $20K |
| 0071A | 350 | 182 | $10K | |
| S8490 | 100 insulin syringes | 480 | 442 | $10K |
| 91320 | 88 | 82 | $9K | |
| 0072A | 290 | 161 | $9K | |
| 90471 | 540 | 526 | $8K | |
| 0004A | 333 | 170 | $7K | |
| 0054A | 115 | 113 | $6K | |
| 0052A | 87 | 86 | $5K | |
| 0051A | 69 | 68 | $4K | |
| 90480 | 90 | 89 | $4K | |
| A4627 | Spacer bag/reservoir | 114 | 113 | $4K |
| 90674 | 177 | 177 | $4K | |
| 0124A | 34 | 34 | $2K | |
| 90686 | 176 | 165 | $2K | |
| 90656 | 47 | 47 | $983.40 | |
| 0003A | 23 | 12 | $494.16 | |
| 90472 | 13 | 13 | $11.70 | |
| 91305 | 328 | 318 | $0.00 | |
| 91307 | 669 | 341 | $0.00 | |
| 91300 | 3,955 | 2,369 | $0.00 | |
| 91312 | 34 | 34 | $0.00 |