VA TRANSPORTATION
NPI: 1619353364
· FOX POINT, WI 53217
· Non-emergency Medical Transport (VAN)
· NPI assigned 08/05/2015
$505K
Total Medicaid Paid
Provider Details
| Authorized Official | AZIMOV, VIKTOR (PRESIDENT) |
| NPI Enumeration Date | 08/05/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
22,065 |
$505K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
13,691 |
1,386 |
$277K |
| S0209 |
Wheelchair van, mileage, per mile |
4,185 |
513 |
$144K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,189 |
513 |
$84K |