STARZOM, LLC
NPI: 1588138184
· ROCHESTER, NY 14608
· Transportation Broker
· NPI assigned 01/16/2019
$488.95
Total Medicaid Paid
Provider Details
| Authorized Official | MOHAMED, LUL (SINGLE MEMBER) |
| NPI Enumeration Date | 01/16/2019 |
Related Entities
Other providers sharing the same authorized official: MOHAMED, LUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
29 |
$488.95 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
14 |
12 |
$411.90 |
| A0100 |
Non-emergency transportation; taxi |
15 |
13 |
$77.05 |