NPI: 1982630364 · PERRY, IA 50220 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 54 | $957.48 |
| 2020 | 138 | $3K |
| 2021 | 1,412 | $30K |
| 2022 | 415 | $10K |
| 2023 | 218 | $11K |
| 2024 | 49 | $328.93 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 663 | 612 | $14K |
| 0001A | 297 | 297 | $11K | |
| 0002A | 264 | 264 | $10K | |
| K1034 | Covid test self-admn/collect | 57 | 55 | $6K |
| K0553 | Ther cgm supply allowance | 75 | 65 | $5K |
| 0004A | 98 | 97 | $4K | |
| A4239 | Non-adju cgm supply allow | 27 | 26 | $2K |
| E0607 | Blood glucose monitor home | 51 | 50 | $1K |
| 0064A | 17 | 17 | $640.00 | |
| A4215 | Sterile needle | 50 | 50 | $584.36 |
| 0124A | 13 | 13 | $480.00 | |
| 90686 | 55 | 55 | $363.45 | |
| 90471 | 57 | 57 | $218.87 | |
| 91301 | 19 | 19 | $0.00 | |
| 91300 | 517 | 482 | $0.00 | |
| 91312 | 13 | 13 | $0.00 | |
| A4259 | Lancets per box | 13 | 13 | $0.00 |