NPI: 1932114295 · PUEBLO WEST, CO 81007 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 292 | $15K |
| 2019 | 409 | $11K |
| 2020 | 714 | $12K |
| 2021 | 3,721 | $49K |
| 2022 | 890 | $13K |
| 2023 | 432 | $11K |
| 2024 | 212 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 2,039 | 1,841 | $51K |
| 0001A | 696 | 465 | $17K | |
| 0002A | 644 | 402 | $17K | |
| A4215 | Sterile needle | 139 | 125 | $6K |
| 90471 | 349 | 337 | $5K | |
| 0004A | 188 | 97 | $4K | |
| 91320 | 46 | 37 | $4K | |
| 0071A | 83 | 45 | $3K | |
| 90480 | 45 | 38 | $2K | |
| 90686 | 154 | 142 | $1K | |
| E1399 | Durable medical equipment mi | 48 | 24 | $1K |
| 0124A | 21 | 20 | $1K | |
| 90674 | 57 | 57 | $1K | |
| A4259 | Lancets per box | 90 | 81 | $716.73 |
| 0072A | 21 | 12 | $555.93 | |
| 90661 | 18 | 18 | $504.72 | |
| 90656 | 15 | 15 | $312.90 | |
| 91305 | 84 | 82 | $0.00 | |
| 91307 | 157 | 84 | $0.00 | |
| 91300 | 1,755 | 1,050 | $0.00 | |
| 91312 | 21 | 20 | $0.00 |