Medicaid Provider Spending

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

NPI: 1861551731 · CHATTANOOGA, TN 37406 · Land Ambulance · NPI assigned 12/07/2006

$4K
Total Medicaid Paid
273
Total Claims
65
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialHENDERLIGHT, JIMMY (MANAGING MEMBER)
NPI Enumeration Date12/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 273 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 88 20 $2K
A0130 Non-emergency transportation: wheelchair van 67 18 $1K
A0425 Ground mileage, per statute mile 118 27 $80.68