NPI: 1891730222 · FAIRFIELD, IA 52556 · 3336L0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 30 | $54.37 |
| 2019 | 310 | $7K |
| 2020 | 359 | $8K |
| 2021 | 1,079 | $25K |
| 2022 | 353 | $10K |
| 2023 | 302 | $6K |
| 2024 | 307 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,619 | 1,485 | $38K |
| 0002A | 208 | 206 | $8K | |
| 0001A | 208 | 207 | $8K | |
| K1034 | Covid test self-admn/collect | 118 | 115 | $6K |
| 0004A | 39 | 39 | $2K | |
| A4259 | Lancets per box | 179 | 173 | $528.88 |
| 0124A | 12 | 12 | $480.00 | |
| S8490 | 100 insulin syringes | 15 | 13 | $185.95 |
| A4215 | Sterile needle | 12 | 12 | $2.36 |
| 91300 | 318 | 293 | $0.00 | |
| 91312 | 12 | 12 | $0.00 |