LAKE CITY #813

NPI: 1720121411 · LAKE CITY, MN 55041 · Local Education Agency (LEA) · NPI assigned 02/14/2007

$293K

Total Medicaid Paid

14,703

Total Claims

1,220

Beneficiaries

Codes Billed

2018-01

First Month

2023-06

Last Month

Provider Details

Authorized Official	ADAMS, AMY (DIRECTOR OF SPECIAL EDUCATION)
NPI Enumeration Date	02/14/2007

Other providers sharing the same authorized official: ADAMS, AMY

Provider	City	State	Total Paid
PLAINVIEW-ELGIN-MILLVILLE COMMUNITY SCHOOL	PLAINVIEW	MN	$265K
WABASHA-KELLOGG #811	WABASHA	MN	$238K
COUNTYS OF WINONA & OLMSTED	ST. CHARLES	MN	$202K
WINONA COUNTY IND SCHOOL DIST 857	LEWISTON	MN	$185K
HY-VEE INC	OMAHA	NE	$0.00
DOVER-EYOTA 533	EYOTA	MN	$0.00
CHATFIELD PUBLIC SCHOOL ISD #227	CHATFIELD	MN	$0.00
WILLOW BROOK ASSISTED LIVING	BILLINGS	MT	$0.00
LAKESIDE MEDICAL IMAGING LLC	ALGONQUIN	IL	$0.00
PREFERRED IMAGING AT THE MEDICAL CENTER, LTD	CEDAR HILL	TX	$0.00
HARWOOD IMAGING LLC	HURST	TX	$0.00
POST OAK IMAGING LLC	CORINTH	TX	$0.00
PROGRESS AND GROWTH CENTER, LLC	VERGENNES	VT	$0.00
MIDMICHIGAN HEALTH SERVICES	ROSCOMMON	MI	$0.00
VITAL WOUND SOLUTIONS LLC	EVANS	GA	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
T1018	School-based individualized education program (iep) services, bundled	14,703	1,220	$293K