SECOND HOME LLC
NPI: 1679115281
· COLORADO SPRINGS, CO 80910
· Non-emergency Medical Transport (VAN)
· NPI assigned 10/15/2019
$390K
Total Medicaid Paid
Provider Details
| Authorized Official | KRYLOV, GURGEN (OWNER) |
| Parent Organization | SECOND HOME LLC |
| NPI Enumeration Date | 10/15/2019 |
Related Entities
Other providers sharing the same authorized official: KRYLOV, GURGEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
70 |
$2K |
| 2021 |
1,253 |
$41K |
| 2022 |
1,478 |
$72K |
| 2023 |
1,619 |
$120K |
| 2024 |
1,800 |
$154K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
3,081 |
842 |
$209K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,081 |
841 |
$179K |
| A0130 |
Non-emergency transportation: wheelchair van |
29 |
14 |
$2K |
| S0209 |
Wheelchair van, mileage, per mile |
29 |
14 |
$371.52 |