MOORE, SAM
NPI: 1306477518
· POUGHKEEPSIE, NY 12601
· Driver
· NPI assigned 01/28/2020
$311K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
281 |
$31K |
| 2023 |
2,471 |
$256K |
| 2024 |
172 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0209 |
Wheelchair van, mileage, per mile |
471 |
298 |
$176K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,009 |
506 |
$78K |
| A0130 |
Non-emergency transportation: wheelchair van |
462 |
291 |
$41K |
| A0100 |
Non-emergency transportation; taxi |
982 |
507 |
$15K |