JACKSON DELIVERY SERVICE LLC
NPI: 1386168557
· FREDERICKSBURG, VA 22407
· Non-emergency Medical Transport (VAN)
· NPI assigned 07/31/2017
$2.21M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
9,666 |
$372K |
| 2019 |
13,299 |
$434K |
| 2020 |
5,896 |
$157K |
| 2021 |
5,393 |
$252K |
| 2022 |
9,355 |
$435K |
| 2023 |
8,166 |
$276K |
| 2024 |
7,400 |
$286K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2003 |
Non-emergency transportation; encounter/trip |
41,338 |
3,771 |
$1.31M |
| A0130 |
Non-emergency transportation: wheelchair van |
17,837 |
1,886 |
$903K |