STATE WIDE TRANSPORTERS
NPI: 1154892594
· NIAGARA FALLS, NY 14305
· Non-emergency Medical Transport (VAN)
· NPI assigned 12/11/2018
$492K
Total Medicaid Paid
Provider Details
| Authorized Official | ACOFF, LARRY (OWNER) |
| NPI Enumeration Date | 12/11/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,960 |
$90K |
| 2022 |
4,320 |
$124K |
| 2023 |
5,724 |
$208K |
| 2024 |
2,084 |
$71K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
5,720 |
1,456 |
$265K |
| A0100 |
Non-emergency transportation; taxi |
5,720 |
1,456 |
$80K |
| S0209 |
Wheelchair van, mileage, per mile |
1,824 |
467 |
$79K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,824 |
467 |
$68K |