GULLATTE, SAMMY
NPI: 1629478144
· PHOENIX, AZ 85013
· Non-emergency Medical Transport (VAN)
· NPI assigned 09/03/2014
$689K
Total Medicaid Paid
17,512
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,019 |
$255K |
| 2019 |
16,214 |
$128K |
| 2020 |
2,603 |
$25K |
| 2021 |
915 |
$17K |
| 2022 |
6,103 |
$104K |
| 2023 |
7,969 |
$159K |
| 2024 |
2,666 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| S0209 |
Wheelchair van, mileage, per mile |
22,541 |
8,498 |
$342K |
| A0130 |
Non-emergency transportation: wheelchair van |
23,318 |
8,672 |
$298K |
| T2005 |
Non-emergency transportation; stretcher van |
586 |
313 |
$48K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
44 |
29 |
$813.41 |