SUPER MEDICAL TRANSPORTATION LLC
NPI: 1861001950
· MECHANICSVILLE, VA 23111
· Non-emergency Medical Transport (VAN)
· NPI assigned 07/24/2020
$176K
Total Medicaid Paid
Provider Details
| Authorized Official | KASSA, SEYOUM (OWNER/MANAGER) |
| NPI Enumeration Date | 07/24/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,115 |
$33K |
| 2022 |
2,442 |
$48K |
| 2023 |
2,250 |
$56K |
| 2024 |
556 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
2,746 |
489 |
$100K |
| T2003 |
Non-emergency transportation; encounter/trip |
2,887 |
550 |
$69K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
730 |
211 |
$7K |