Supplier
Lake Superior Medical Equipment, INC
Lake Superior Medical Equipment, INC was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is T4527, Adult sized disposable incontinence product, protective underwear/pull-on, large size, each — 15% of everything it billed.
33Billing provider infoLAKE SUPERIOR MEDICAL EQUIPMENT, INC
CLOQUET, MN 55720
CLOQUET, MN 55720
33aNPI1881038875assigned 04/22/2013
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1.14M
24GClaims15,079
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Minnesota
Rank by total paid#55 of 319
Median peer was paid$23K
This provider vs. median49×
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 | 15 | $0.00 | |
| 2020 | 141 | $10K | |
| 2021 | 272 | $19K | |
| 2022 | 3,068 | $251K | |
| 2023 | 8,449 | $644K | |
| 2024incomplete | 3,134 | $213K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 15% | 1,648 | 1,520 | $171K |
| T2029 | Specialized medical equipment, not otherwise specified, waiver | 15% | 1,200 | 1,047 | $167K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 12% | 1,152 | 1,056 | $141K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 12% | 1,884 | 1,702 | $135K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 8.7% | 1,046 | 991 | $99K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 6.0% | 361 | 343 | $69K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 4.1% | 700 | 690 | $47K |
| T4541 | Incontinence product, disposable underpad, large, each | 3.6% | 966 | 938 | $41K |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | 3.5% | 204 | 198 | $40K |
| K0001 | Standard wheelchair | 3.3% | 1,400 | 1,372 | $37K |
| A4927 | Gloves, non-sterile, per 100 | 2.9% | 923 | 898 | $33K |
| 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 | 2.4% | 216 | 182 | $27K |
23 more codes
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 2.3% | 159 | $27K |
| E0601 | Continuous positive airway pressure (cpap) device | 2.3% | 537 | $26K |
| E2201 | Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches | <1% | 354 | $10K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | <1% | 71 | $9K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 438 | $8K |
| E0570 | Nebulizer, with compressor | <1% | 493 | $8K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | <1% | 26 | $7K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 123 | $7K |
| B9998 | Noc for enteral supplies | <1% | 114 | $6K |
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | <1% | 123 | $6K |
| A4322 | Irrigation syringe, bulb or piston, each | <1% | 31 | $3K |
| A7035 | Headgear used with positive airway pressure device | <1% | 130 | $3K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 494 | $2K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 39 | $2K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 57 | $2K |
| A7030 | Full face mask used with positive airway pressure device, each | <1% | 12 | $1K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 12 | $1K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 33 | $1K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 24 | $927.74 |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 26 | $495.11 |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | <1% | 31 | $438.73 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 24 | $93.26 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 28 | $20.77 |
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 MANAGER)
Parent organizationLAKE SUPERIOR MEDICAL EQUIPMENT, INC
| Provider | Location | Paid |
|---|---|---|
| Lake Superior Medical Equipment INC | Duluth, MN | $1.23M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.