Supplier
Lake Superior Medical Equipment INC
Lake Superior Medical Equipment INC was paid $1.23M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is T2029, Specialized medical equipment, not otherwise specified, waiver — 22% of everything it billed.
33Billing provider infoLAKE SUPERIOR MEDICAL EQUIPMENT INC
DULUTH, MN 55805
DULUTH, MN 55805
33aNPI1497759864assigned 06/13/2005
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1.23M
24GClaims18,528
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Minnesota
Rank by total paid#51 of 319
Median peer was paid$23K
This provider vs. median53×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | |
|---|---|---|---|
| 2018 | 2,151 | $48K | |
| 2019 | 1,813 | $83K | |
| 2020 | 2,027 | $78K | |
| 2021 | 2,159 | $106K | |
| 2022 | 1,896 | $133K | |
| 2023 | 2,808 | $269K | |
| 2024incomplete | 5,674 | $510K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2029 | Specialized medical equipment, not otherwise specified, waiver | 22% | 1,780 | 1,464 | $266K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 12% | 1,586 | 1,442 | $146K |
| A4927 | Gloves, non-sterile, per 100 | 11% | 4,808 | 4,668 | $137K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 11% | 1,281 | 1,208 | $132K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 7.3% | 1,123 | 1,030 | $90K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 7.2% | 742 | 712 | $89K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 5.9% | 404 | 370 | $73K |
| T4541 | Incontinence product, disposable underpad, large, each | 5.2% | 1,629 | 1,589 | $64K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 5.2% | 361 | 294 | $63K |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | 4.7% | 254 | 230 | $57K |
| E0601 | Continuous positive airway pressure (cpap) device | 1.8% | 509 | 496 | $22K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 1.6% | 388 | 380 | $20K |
15 more codes
| K0001 | Standard wheelchair | 1.3% | 687 | $16K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 1.3% | 108 | $16K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 573 | $10K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 123 | $8K |
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | <1% | 1,328 | $5K |
| A7035 | Headgear used with positive airway pressure device | <1% | 130 | $3K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 482 | $2K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 49 | $2K |
| E2201 | Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches | <1% | 54 | $2K |
| E1399 | Durable medical equipment, miscellaneous | <1% | 14 | $1K |
| A7030 | Full face mask used with positive airway pressure device, each | <1% | 12 | $1K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 24 | $812.91 |
| E0156 | Seat attachment, walker | <1% | 12 | $169.00 |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | <1% | 53 | $49.30 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 14 | $36.94 |
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.
From NPPES
Who's on the registration
Authorized officialWATTERS, KATHY (GENERAL MGR)
| Provider | Location | Paid |
|---|---|---|
| Lake Superior Medical Equipment, INC | Cloquet, MN | $1.14M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.