GOOD SAMARITAN TRANSPORTATION
NPI: 1801062963
· PLYMOUTH, MN 55441
· 343900000X
$616K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
210 |
$0.00 |
| 2019 |
13,249 |
$209K |
| 2020 |
16,949 |
$236K |
| 2021 |
12,392 |
$165K |
| 2022 |
422 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A0100 |
Nonemergency transport taxi |
31,561 |
10,114 |
$499K |
| A0080 |
Noninterest escort in non er |
11,376 |
4,060 |
$116K |
| S0215 |
Nonemerg transp mileage |
75 |
12 |
$539.22 |
| S0209 |
Wc van mileage per mi |
105 |
37 |
$0.00 |
| A0130 |
Noner transport wheelch van |
105 |
37 |
$0.00 |