SAM TRANSPORTATION.LLC
NPI: 1164956322
· GLEN ALLEN, VA 23059
· Non-emergency Medical Transport (VAN)
· NPI assigned 04/14/2017
$3.13M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
11,739 |
$305K |
| 2019 |
13,025 |
$370K |
| 2020 |
4,963 |
$188K |
| 2021 |
9,254 |
$555K |
| 2022 |
8,980 |
$749K |
| 2023 |
9,063 |
$860K |
| 2024 |
2,183 |
$102K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A0130 |
Non-emergency transportation: wheelchair van |
41,109 |
4,131 |
$2.19M |
| T2003 |
Non-emergency transportation; encounter/trip |
10,434 |
850 |
$622K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
5,035 |
199 |
$287K |
| S0215 |
Non-emergency transportation; mileage, per mile |
2,629 |
456 |
$29K |