NPI: 1962418558 · BURLINGTON, IA 52601 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 156 | $3K |
| 2020 | 393 | $8K |
| 2021 | 1,196 | $7K |
| 2022 | 669 | $7K |
| 2023 | 194 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 1,121 | 942 | $25K |
| 0001A | 203 | 201 | $841.94 | |
| 0002A | 153 | 152 | $760.00 | |
| A4259 | Lancets per box | 313 | 285 | $704.36 |
| A4215 | Sterile needle | 31 | 28 | $466.00 |
| 0071A | 68 | 64 | $284.00 | |
| T5999 | Supply, nos | 48 | 47 | $276.89 |
| 0072A | 43 | 34 | $120.00 | |
| 0004A | 34 | 31 | $120.00 | |
| 91307 | 133 | 102 | $2.00 | |
| 91300 | 461 | 410 | $0.00 |