LIFEQUEST
NPI: 1508988130
· MITCHELL, SD 57301
· Developmentally Disabled Services Day Training Agency
· NPI assigned 04/04/2007
$453K
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 |
1,394 |
$80K |
| 2019 |
1,229 |
$60K |
| 2020 |
801 |
$35K |
| 2021 |
898 |
$49K |
| 2022 |
979 |
$75K |
| 2023 |
944 |
$62K |
| 2024 |
1,271 |
$90K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
7,055 |
2,850 |
$404K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
461 |
311 |
$49K |