NPI: 1942239454 · COUNCIL BLUFFS, IA 51501 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 840 | $16K |
| 2020 | 1,053 | $23K |
| 2021 | 4,810 | $110K |
| 2022 | 2,234 | $80K |
| 2023 | 1,801 | $67K |
| 2024 | 1,184 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 3,561 | 3,369 | $84K |
| K0553 | Ther cgm supply allowance | 483 | 431 | $64K |
| A4239 | Non-adju cgm supply allow | 324 | 319 | $34K |
| A4215 | Sterile needle | 1,686 | 1,575 | $27K |
| 0001A | 727 | 722 | $25K | |
| 0002A | 667 | 660 | $24K | |
| 91320 | 103 | 103 | $12K | |
| 0004A | 287 | 286 | $11K | |
| S8490 | 100 insulin syringes | 346 | 302 | $7K |
| 90686 | 307 | 307 | $5K | |
| 90480 | 136 | 136 | $4K | |
| A4259 | Lancets per box | 1,247 | 1,232 | $4K |
| 0124A | 88 | 88 | $3K | |
| A9276 | Disposable sensor, cgm sys | 47 | 42 | $3K |
| 0071A | 47 | 47 | $2K | |
| 91322 | 12 | 12 | $2K | |
| 0064A | 47 | 46 | $2K | |
| 0003A | 43 | 42 | $1K | |
| 90471 | 291 | 290 | $1K | |
| 0072A | 13 | 13 | $520.00 | |
| 0031A | 12 | 12 | $400.00 | |
| E0607 | Blood glucose monitor home | 13 | 13 | $390.87 |
| 90656 | 13 | 13 | $135.90 | |
| 91300 | 1,173 | 1,048 | $0.00 | |
| 91312 | 82 | 82 | $0.00 | |
| 91301 | 50 | 50 | $0.00 | |
| 91307 | 90 | 83 | $0.00 | |
| 91303 | 27 | 27 | $0.00 |