STATEWWIDE AMBULETTE SER., INC.
NPI: 1891989281
· MOUNT VERNON, NY 10552
· Non-emergency Medical Transport (VAN)
· NPI assigned 08/29/2007
$283K
Total Medicaid Paid
Provider Details
| Authorized Official | HEBEL, ALAN (PRESIDENT) |
| NPI Enumeration Date | 08/29/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,772 |
$115K |
| 2019 |
2,165 |
$139K |
| 2020 |
441 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
3,408 |
1,056 |
$212K |
| S0209 |
Wheelchair van, mileage, per mile |
970 |
265 |
$72K |