Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › BREAUX BRIDGE › XTRA MILE TRANSPORTATION LLC

XTRA MILE TRANSPORTATION LLC

NPI: 1306354840 · BREAUX BRIDGE, LA 70517 · Non-emergency Medical Transport (VAN) · NPI assigned 01/18/2018

$30K
Total Medicaid Paid
1,309
Total Claims
594
Beneficiaries
3
Codes Billed
2018-03
First Month
2018-11
Last Month

Provider Details

Authorized OfficialGUIDRY, SHARAIN (OWNER)
NPI Enumeration Date01/18/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,309 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2003 Non-emergency transportation; encounter/trip 761 355 $22K
S0215 Non-emergency transportation; mileage, per mile 434 181 $8K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 114 58 $0.00