SAMARITAN TRANSPORT, LLC
NPI: 1649885542
· CALUMET, MN 55716
· Non-emergency Medical Transport (VAN)
· NPI assigned 09/09/2020
$816K
Total Medicaid Paid
9,252
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
5,968 |
$99K |
| 2022 |
12,007 |
$202K |
| 2023 |
13,181 |
$248K |
| 2024 |
13,920 |
$268K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| S0209 |
Wheelchair van, mileage, per mile |
12,493 |
2,728 |
$280K |
| A0130 |
Non-emergency transportation: wheelchair van |
12,467 |
2,730 |
$237K |
| S0215 |
Non-emergency transportation; mileage, per mile |
10,116 |
1,886 |
$166K |
| T2003 |
Non-emergency transportation; encounter/trip |
9,902 |
1,878 |
$133K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
98 |
30 |
$0.00 |