TIBBIE RAE'S TRANSPORTATION LLC
NPI: 1033812508
· COLORADO SPRINGS, CO 80938
· Non-emergency Medical Transport (VAN)
· NPI assigned 03/23/2023
$846K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, ANDREW (CEO) |
| NPI Enumeration Date | 03/23/2023 |
Related Entities
Other providers sharing the same authorized official: SMITH, ANDREW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
4,451 |
$846K |
| 2024 |
352 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A0434 |
Specialty care transport (sct) |
966 |
333 |
$673K |
| A0425 |
Ground mileage, per statute mile |
2,211 |
841 |
$109K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,213 |
514 |
$52K |
| A0130 |
Non-emergency transportation: wheelchair van |
207 |
117 |
$9K |
| S0209 |
Wheelchair van, mileage, per mile |
206 |
117 |
$2K |