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INTERIM HEALTHCARE OF LAKE SUPERIOR, INC.
INTERIM HEALTHCARE OF LAKE SUPERIOR, INC.
NPI: 1417950874
· DULUTH, MN 55802
· Home Health Agency
· NPI assigned 05/31/2005
$751K
Total Medicaid Paid
Provider Details
| Authorized Official | JARVI, KARI (CONTROLLER) |
| NPI Enumeration Date | 05/31/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,271 |
$221K |
| 2019 |
4,308 |
$275K |
| 2020 |
3,030 |
$180K |
| 2021 |
1,724 |
$70K |
| 2022 |
131 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H2032 |
Activity therapy, per 15 minutes |
4,542 |
486 |
$398K |
| S5130 |
Homemaker service, nos; per 15 minutes |
8,599 |
1,571 |
$336K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
141 |
37 |
$12K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
182 |
180 |
$6K |