WESTERN TIDEWATER COMMUNITY MENTAL
NPI: 1164944740
· SUFFOLK, VA 23434
· Non-emergency Medical Transport (VAN)
· NPI assigned 07/14/2017
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | JUREWICZ, ANDREW (FINANCE DIRECTOR) |
| NPI Enumeration Date | 07/14/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,265 |
$59K |
| 2019 |
5,657 |
$46K |
| 2020 |
1,674 |
$13K |
| 2023 |
161 |
$919.01 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
13,596 |
621 |
$118K |
| T2003 |
Non-emergency transportation; encounter/trip |
161 |
12 |
$919.01 |