PACIFIC LIMO LLC
NPI: 1184093593
· DENVER, CO 80231
· Non-emergency Medical Transport (VAN)
· NPI assigned 09/16/2015
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
132 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
43 |
25 |
$5K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
39 |
24 |
$2K |
| A0130 |
Non-emergency transportation: wheelchair van |
25 |
15 |
$2K |
| S0209 |
Wheelchair van, mileage, per mile |
25 |
15 |
$397.86 |