LIFEQUEST
NPI: 1417079047
· MITCHELL, SD 57301
· Developmentally Disabled Services Day Training Agency
· NPI assigned 04/04/2007
$466K
Total Medicaid Paid
Provider Details
| Authorized Official | KILSTROM, DARYL (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 04/04/2007 |
Related Entities
Other providers sharing the same authorized official: KILSTROM, DARYL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,588 |
$74K |
| 2019 |
1,659 |
$76K |
| 2020 |
805 |
$40K |
| 2021 |
1,157 |
$57K |
| 2022 |
1,613 |
$85K |
| 2023 |
1,300 |
$62K |
| 2024 |
1,293 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
8,926 |
2,778 |
$437K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
489 |
329 |
$29K |