SDS AGENCY INC
NPI: 1609590249
· ELK GROVE, CA 95758
· Non-emergency Medical Transport (VAN)
· NPI assigned 09/28/2022
$134K
Total Medicaid Paid
Provider Details
| Authorized Official | MURAD, DOHA (CEO) |
| NPI Enumeration Date | 09/28/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
787 |
$35K |
| 2024 |
2,662 |
$100K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
2,763 |
330 |
$82K |
| A0390 |
Als mileage (per mile) |
686 |
171 |
$52K |