SIMPLE NON-EMERGENCY MEDICAL TRANSPORTATION LLC
NPI: 1023797891
· COLORADO SPRINGS, CO 80903
· Private Vehicle
· NPI assigned 07/17/2023
$693K
Total Medicaid Paid
Provider Details
| Authorized Official | HAILE, HENOK (OWNER) |
| NPI Enumeration Date | 07/17/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,584 |
$693K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
793 |
99 |
$650K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
791 |
98 |
$42K |