GUTIERREZ, ROY NOEL
NPI: 1194374280
· MILILANI, HI 96789
· Non-emergency Medical Transport (VAN)
· NPI assigned 09/10/2019
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
8,328 |
$0.00 |
| 2020 |
10,212 |
$0.00 |
| 2021 |
9,913 |
$0.00 |
| 2022 |
9,934 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
16,339 |
2,546 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
22,048 |
2,470 |
$0.00 |