SIOUX EMPIRE MOBILITY SERVICES LLC
NPI: 1962141226
· HARRISBURG, SD 57032
· Non-emergency Medical Transport (VAN)
· NPI assigned 06/03/2022
$258K
Total Medicaid Paid
Provider Details
| Authorized Official | OLSON, NATHAN (OWNER) |
| NPI Enumeration Date | 06/03/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
605 |
$2K |
| 2023 |
3,046 |
$136K |
| 2024 |
1,987 |
$120K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
4,609 |
1,389 |
$151K |
| S0209 |
Wheelchair van, mileage, per mile |
1,029 |
298 |
$107K |