Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Transport

1089 LLC

1089 LLC was paid $18K by Medicaid between May 2024 and Aug 2024, across 1 billing code. Its largest line is T2003, non-emergency transportation, per trip — 100% of everything it billed.

33Billing provider info1089 LLC
FAIRFAX, VA 22032
33aNPI1619660156assigned 05/31/2023
33bProvider typeTransportation Broker
28Total paid$18K
24GClaims333
24DCodes billed1
24AFirst – last monthMay 2024 – Aug 2024
Compared with peers

Next to other Transportation Broker providers in Virginia

Rank by total paid#10 of 14
Median peer was paid$42K
This provider vs. median0.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2024incomplete333$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2003 Non-emergency transportation, per tripNon-emergency transportation; encounter/trip 100% 333 77 $18K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialKEBEW, YEZIHALEM (OWNER)