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NPI A086642300
A086642300
A086642300 was paid $1.01M by Medicaid between Jan 2018 and Sep 2019, across 5 billing codes. Its largest line is S0215, Non-emergency transportation; mileage, per mile — 68% of everything it billed.
33Billing provider infoA086642300
33aNPIA086642300
33bProvider type—
28Total paid$1.01M
24GClaims31,723
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2019
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 | |
|---|---|---|---|
| 2018 | 19,021 | $603K | |
| 2019 | 12,702 | $406K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0215 | Non-emergency transportation; mileage, per mile | 68% | 18,389 | 3,651 | $691K |
| A0100 | Non-emergency taxi ride to a medical appointmentNon-emergency transportation; taxi | 23% | 10,290 | 3,648 | $233K |
| A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | 7.8% | 2,913 | 1,473 | $79K |
| A0180 | Non-emergency transportation: ancillary: lodging-recipient | <1% | 54 | 26 | $5K |
| A0190 | Non-emergency transportation: ancillary: meals-recipient | <1% | 77 | 42 | $2K |
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.