MOONLIGHT TRANSPORTATION, INC.
NPI: 1174159867
· SUFFOLK, VA 23435
· Non-emergency Medical Transport (VAN)
· NPI assigned 03/13/2020
$503K
Total Medicaid Paid
Provider Details
| Authorized Official | TATAYE, YVES (SENIOR PARTNER, CFO) |
| NPI Enumeration Date | 03/13/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,208 |
$26K |
| 2021 |
2,712 |
$70K |
| 2022 |
1,200 |
$103K |
| 2023 |
2,463 |
$182K |
| 2024 |
1,673 |
$121K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
3,701 |
777 |
$329K |
| T2003 |
Non-emergency transportation; encounter/trip |
5,555 |
950 |
$174K |