Medicaid Provider Spending

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

IMMACULATE CARE TRANSPORTATION LLC

NPI: 1801429923 · SUFFOLK, VA 23435 · Non-emergency Medical Transport (VAN) · NPI assigned 02/17/2020

$6K
Total Medicaid Paid
169
Total Claims
13
Beneficiaries
1
Codes Billed
2021-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialCASTELLOW, INDIA (PRESIDENT)
NPI Enumeration Date02/17/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 169 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0130 Non-emergency transportation: wheelchair van 169 13 $6K