TIDEWATER EXPRESS TRANSPORTATION, LLC
NPI: 1083173744
· SUFFOLK, VA 23435
· Non-emergency Medical Transport (VAN)
· NPI assigned 03/13/2019
$336K
Total Medicaid Paid
Provider Details
| Authorized Official | WALTON, JARIEL (CEO) |
| NPI Enumeration Date | 03/13/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
13,050 |
$336K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
8,327 |
298 |
$182K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,723 |
235 |
$155K |