Medicaid Provider Spending

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

SIMON TRANSPORTATION LLC

NPI: 1457848277 · NORTH CHESTERFIELD, VA 23234 · Non-emergency Medical Transport (VAN) · NPI assigned 04/17/2018

$24K
Total Medicaid Paid
1,409
Total Claims
459
Beneficiaries
2
Codes Billed
2018-05
First Month
2020-06
Last Month

Provider Details

Authorized OfficialASSEFA, SIMON (BOSS)
NPI Enumeration Date04/17/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,174 $12K
2020 235 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0215 Non-emergency transportation; mileage, per mile 656 213 $20K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 753 246 $4K