NPI: 1871522839 · FOUNTAIN, CO 80817 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 45 | $847.65 |
| 2021 | 940 | $15K |
| 2022 | 657 | $42K |
| 2023 | 1,106 | $85K |
| 2024 | 309 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E1399 | Durable medical equipment mi | 1,612 | 1,392 | $138K |
| 0001A | 202 | 198 | $7K | |
| 0002A | 144 | 144 | $6K | |
| 90471 | 197 | 169 | $3K | |
| 0124A | 46 | 43 | $3K | |
| 90480 | 32 | 31 | $2K | |
| 90686 | 95 | 93 | $2K | |
| A4253 | Blood glucose/reagent strips | 61 | 51 | $1K |
| 0054A | 13 | 13 | $679.47 | |
| 0071A | 17 | 17 | $660.53 | |
| 90673 | 34 | 19 | $660.06 | |
| 91305 | 15 | 15 | $0.00 | |
| 91301 | 19 | 15 | $0.00 | |
| 91307 | 17 | 17 | $0.00 | |
| 91300 | 507 | 489 | $0.00 | |
| 91312 | 46 | 43 | $0.00 |