NPI: 1871529537 · CENTERVILLE, IA 52544 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 101 | $366.15 |
| 2019 | 190 | $3K |
| 2020 | 197 | $6K |
| 2021 | 808 | $15K |
| 2022 | 465 | $11K |
| 2023 | 404 | $8K |
| 2024 | 363 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,440 | 1,340 | $33K |
| 0012A | 97 | 97 | $3K | |
| 0011A | 124 | 124 | $3K | |
| A4215 | Sterile needle | 145 | 141 | $3K |
| 0064A | 70 | 70 | $2K | |
| K1034 | Covid test self-admn/collect | 25 | 24 | $2K |
| 90686 | 64 | 63 | $1K | |
| A4259 | Lancets per box | 200 | 195 | $855.98 |
| A4239 | Non-adju cgm supply allow | 12 | 12 | $848.50 |
| 90480 | 12 | 12 | $480.00 | |
| E0570 | Nebulizer with compression | 12 | 12 | $376.52 |
| 90471 | 66 | 63 | $325.76 | |
| 91301 | 212 | 202 | $0.00 | |
| G0008 | Admin influenza virus vac | 18 | 18 | $0.00 |
| 91300 | 31 | 31 | $0.00 |