LAKES MEDI-VAN INC.
NPI: 1467593251
· DETROIT LAKES, MN 56501
· Non-emergency Medical Transport (VAN)
· NPI assigned 02/12/2007
$1.58M
Total Medicaid Paid
Provider Details
| Authorized Official | NUSTAD, JEFFREY (OWNER, PRESIDENT) |
| NPI Enumeration Date | 02/12/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
22,202 |
$114K |
| 2019 |
21,848 |
$516K |
| 2020 |
14,328 |
$461K |
| 2021 |
14,960 |
$493K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
18,404 |
3,917 |
$533K |
| S0209 |
Wheelchair van, mileage, per mile |
18,535 |
3,610 |
$524K |
| A0130 |
Non-emergency transportation: wheelchair van |
18,345 |
3,610 |
$343K |
| T2003 |
Non-emergency transportation; encounter/trip |
17,033 |
3,715 |
$184K |
| A0100 |
Non-emergency transportation; taxi |
1,021 |
165 |
$0.00 |