Jordan, Raphael

Jordan, Raphael was paid $34K by Medicaid between Apr 2024 and Jul 2024, across 2 billing codes. Its largest line is S0215, Non-emergency transportation; mileage, per mile — 74% of everything it billed.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2024incomplete	294	$34K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S0215	Non-emergency transportation; mileage, per mile	74%	189	61	$25K
T2003	Non-emergency transportation, per tripNon-emergency transportation; encounter/trip	26%	105	57	$9K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.