Dahlstrom, Melissa

Dahlstrom, Melissa was paid $29K by Medicaid between Sep 2023 and Jun 2024, across 2 billing codes. Its largest line is S0209, Wheelchair van, mileage, per mile — 80% of everything it billed.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2023	484	$24K
2024incomplete	120	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S0209	Wheelchair van, mileage, per mile	80%	389	57	$23K
A0130	Non-emergency transportation: wheelchair van	20%	215	45	$6K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.