NPI: 1952586976 · SHENANDOAH, IA 51601 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 16 | $311.62 |
| 2021 | 655 | $13K |
| 2022 | 80 | $1K |
| 2023 | 112 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 163 | 163 | $6K | |
| 0001A | 169 | 169 | $5K | |
| A4253 | Blood glucose/reagent strips | 104 | 100 | $3K |
| K1034 | Covid test self-admn/collect | 23 | 22 | $2K |
| 0004A | 45 | 45 | $2K | |
| A4239 | Non-adju cgm supply allow | 14 | 12 | $988.52 |
| 90480 | 13 | 13 | $520.00 | |
| 0064A | 12 | 12 | $440.00 | |
| 90686 | 12 | 12 | $210.00 | |
| 90471 | 13 | 13 | $61.43 | |
| 91301 | 12 | 12 | $0.00 | |
| 91300 | 283 | 258 | $0.00 |