GOOD SAMARITAN TRANSPORTATION
NPI: 1801062963
· PLYMOUTH, MN 55441
· Non-emergency Medical Transport (VAN)
· NPI assigned 05/07/2008
$616K
Total Medicaid Paid
Provider Details
| Authorized Official | VANG, J (MANAGER) |
| NPI Enumeration Date | 05/07/2008 |
Related Entities
Other providers sharing the same authorized official: VANG, J
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 |
Non-emergency transportation; taxi |
31,561 |
10,114 |
$499K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
11,376 |
4,060 |
$116K |
| S0215 |
Non-emergency transportation; mileage, per mile |
75 |
12 |
$539.22 |
| S0209 |
Wheelchair van, mileage, per mile |
105 |
37 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
105 |
37 |
$0.00 |