Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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A990525100

A990525100 was paid $1.12M by Medicaid between Jan 2018 and Oct 2019, across 4 billing codes. Its largest line is A0130, Non-emergency transportation: wheelchair van — 54% of everything it billed.

33Billing provider infoA990525100
33aNPIA990525100
33bProvider type—
28Total paid$1.12M
24GClaims112,977
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2019
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201868,873$425K
201944,104$695K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A0130 Non-emergency transportation: wheelchair van 54% 49,600 7,932 $600K
S0209 Wheelchair van, mileage, per mile 40% 48,521 7,679 $445K
T2003 Non-emergency transportation, per tripNon-emergency transportation; encounter/trip 3.5% 7,341 910 $39K
S0215 Non-emergency transportation; mileage, per mile 3.2% 7,515 922 $36K

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.