WHITE MOUNTAIN APACHE
NPI: 1619148772
· WHITERIVER, AZ 85941
· Non-emergency Medical Transport (VAN)
· NPI assigned 03/17/2008
$3.90M
Total Medicaid Paid
Provider Details
| Authorized Official | CROMWELL, EMMIE (DIRECTOR) |
| Parent Organization | WHITE MOUNTAIN APACHE TRIBE |
| NPI Enumeration Date | 03/17/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14,286 |
$655K |
| 2019 |
17,661 |
$598K |
| 2020 |
18,401 |
$724K |
| 2021 |
23,987 |
$801K |
| 2022 |
16,722 |
$583K |
| 2023 |
10,389 |
$388K |
| 2024 |
4,060 |
$155K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
51,724 |
29,241 |
$3.26M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
51,701 |
29,226 |
$519K |
| S0209 |
Wheelchair van, mileage, per mile |
1,032 |
395 |
$99K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,049 |
396 |
$22K |