ELICIA HOMECARE SERVICES LLC
NPI: 1215639877
· BROOKLYN PARK, MN 55428
· Private Vehicle
· NPI assigned 03/20/2023
$481K
Total Medicaid Paid
Provider Details
| Authorized Official | KANNEH, ANGELLE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 03/20/2023 |
Related Entities
Other providers sharing the same authorized official: KANNEH, ANGELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,269 |
$481K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
603 |
126 |
$448K |
| S0215 |
Non-emergency transportation; mileage, per mile |
666 |
133 |
$33K |