Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GOOD CUSTODIAN SERVICES, LLC

NPI: 1215428859 · WOODBRIDGE, VA 22193 · Non-emergency Medical Transport (VAN) · NPI assigned 05/18/2018

$98K
Total Medicaid Paid
6,465
Total Claims
300
Beneficiaries
4
Codes Billed
2019-05
First Month
2022-09
Last Month

Provider Details

Authorized OfficialDESMOND, PHILOMENA (MANAGER)
NPI Enumeration Date05/18/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 338 $6K
2020 62 $400.00
2021 1,758 $25K
2022 4,307 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2003 Non-emergency transportation; encounter/trip 6,065 192 $91K
A0100 Non-emergency transportation; taxi 298 45 $5K
S0215 Non-emergency transportation; mileage, per mile 40 34 $1K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 62 29 $400.00