MN ($3.65M) KS ($1.03M) VA ($697K) TX ($673K) FL ($323K) IN ($215K) LA ($80K) CA ($13K) TN ($295.45) AZ ($0.00)
| Code | Description | Total Paid |
|---|---|---|
| T2039 | Vehicle modifications, waiver; per service | $3.86M |
| S5165 | Home modifications; per service | $1.03M |
| T2003 | Non-emergency transportation; encounter/trip | $738K |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | $462K |
| E1399 | Durable medical equipment, miscellaneous | $203K |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | $115K |
| K0108 | Wheelchair component or accessory, not otherwise specified | $95K |
| E0482 | Cough stimulating device, alternating positive and negative airway pressure | $34K |
| S0215 | Non-emergency transportation; mileage, per mile | $30K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $30K |
| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | ASSOCIATED PARTNERSHIP LTD | SAVAGE, MN | 230 | $3.65M |
| 2 | THRIVE HOMES LLC | LEAWOOD, KS | 200 | $1.03M |
| 3 | HERRERA, JOSE | FAIRFAX, VA | 30,204 | $691K |
| 4 | SAIL HEALTHCARE LLC | SAN ANTONIO, TX | 3,607 | $673K |
| 5 | NATIONAL SEATING & MOBILITY, INC. | FORT MYERS, FL | 789 | $323K |
| 6 | SUPERIOR VAN & MOBILITY | INDIANAPOLIS, IN | 96 | $215K |
| 7 | TURNER, DAVID | FERRIDAY, LA | 2,737 | $58K |
| 8 | WELLS, ANNIE | SHREVEPORT, LA | 959 | $17K |
| 9 | POWER WHEELS MEDICAL SUPPLY LLC | LANCASTER, CA | 128 | $13K |
| 10 | COOK, BERNADETTE | LAWRENCEVILLE, VA | 263 | $6K |
| 11 | LOUISIANA SPECIAL NEEDS CONSULTANTS LLC | OPELOUSAS, LA | 41 | $3K |
| 12 | WILLIAMS, NATASHA | KILLONA, LA | 36 | $2K |
| 13 | DREHER, SIMONE | NEWPORT NEWS, VA | 25 | $408.24 |
| 14 | WADE, TASHA | MEMPHIS, TN | 84 | $295.45 |
| 15 | WITTE, CRISSE | TUCSON, AZ | 3,051 | $0.00 |
| 16 | FRONTVIEW PROVIDER SERVICES INC | IRVING, TX | 1,351 | $0.00 |
| 17 | VICTORY FIVE HEALTHCARE INC | IRVING, TX | 4,042 | $0.00 |
| 18 | LEDFORD, JUDY | CLEVELAND, TN | 1,524 | $0.00 |