Medicaid Provider Spending

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

ELITE LOGICARE GROUP

NPI: 1831547769 · FAIRFAX, VA 22030 · Non-emergency Medical Transport (VAN) · NPI assigned 06/01/2016

$33K
Total Medicaid Paid
413
Total Claims
100
Beneficiaries
3
Codes Billed
2018-02
First Month
2018-08
Last Month

Provider Details

Authorized OfficialOUAYORO, LEONCINE (CFO)
NPI Enumeration Date06/01/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 413 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0130 Non-emergency transportation: wheelchair van 182 43 $19K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 158 26 $11K
S0215 Non-emergency transportation; mileage, per mile 73 31 $3K