Medicaid Provider Spending

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

1089 LLC

NPI: 1619660156 · FAIRFAX, VA 22032 · Transportation Broker · NPI assigned 05/31/2023

$18K
Total Medicaid Paid
333
Total Claims
77
Beneficiary Records
1
Codes Billed
2024-05
First Month
2024-08
Last Month

Provider Details

Authorized OfficialKEBEW, YEZIHALEM (OWNER)
NPI Enumeration Date05/31/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 333 $18K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
T2003 Non-emergency transportation; encounter/trip 333 77 $18K