Simple Medicaid Ride LLC

Simple Medicaid Ride LLC was paid $203K by Medicaid between Aug 2023 and Sep 2023, across 2 billing codes. Its largest line is A0425, Ground mileage, per statute mile — 91% of everything it billed.

33Billing provider infoSIMPLE MEDICAID RIDE LLC
PUEBLO, CO 81001

33aNPI1811699028assigned 03/21/2023

33bProvider typeNon-emergency Medical Transport (VAN)

28Total paid$203K

24GClaims477

24DCodes billed2

24AFirst – last monthAug 2023 – Sep 2023

Compared with peers

Next to other Non-emergency Medical Transport (VAN) providers in Colorado

Rank by total paid#59 of 111

Median peer was paid$281K

This provider vs. median0.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2023	477	$203K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A0425	Ground mileage, per statute mile	91%	239	88	$186K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	8.8%	238	88	$18K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialKIDANE, SISAY (OWNER)