GRACEFUL PURSUIT, LLC
NPI: 1326545195
· DENHAM SPRINGS, LA 70726
· Non-emergency Medical Transport (VAN)
· NPI assigned 04/09/2018
$848.85
Total Medicaid Paid
Provider Details
| Authorized Official | CAINE, NADIRAH (OWNER) |
| NPI Enumeration Date | 04/09/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
114 |
$848.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
75 |
33 |
$699.74 |
| S0215 |
Non-emergency transportation; mileage, per mile |
39 |
16 |
$149.11 |