JACKSON, HOLLY
NPI: 1689156721
· SAINT LOUIS, MO 63136
· Non-emergency Medical Transport (VAN)
· NPI assigned 09/05/2018
$796K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
137 |
$39K |
| 2019 |
428 |
$153K |
| 2020 |
260 |
$101K |
| 2021 |
251 |
$120K |
| 2022 |
1,948 |
$180K |
| 2023 |
4,722 |
$128K |
| 2024 |
2,955 |
$75K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,316 |
1,307 |
$551K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
8,011 |
421 |
$194K |
| T2002 |
Non-emergency transportation; per diem |
1,349 |
61 |
$51K |
| 890401 |
|
25 |
25 |
$0.00 |