Medicaid Provider Spending

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

1800MEDIVAN, INC

NPI: 1659979292 · VICTORVILLE, CA 92392 · Non-emergency Medical Transport (VAN) · NPI assigned 10/15/2020

$96K
Total Medicaid Paid
1,994
Total Claims
203
Beneficiaries
3
Codes Billed
2024-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHAMBARDZUMYAN, YURI (OWNER)
NPI Enumeration Date10/15/2020

Related Entities

Other providers sharing the same authorized official: HAMBARDZUMYAN, YURI

ProviderCityStateTotal Paid
SOUTH COAST MEDICAL TRANSPORTATION, INC. GLENDALE CA $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,994 $96K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0130 Non-emergency transportation: wheelchair van 849 76 $52K
S0209 Wheelchair van, mileage, per mile 1,131 114 $44K
A0998 Ambulance response and treatment, no transport 14 13 $647.50