MONTEBON, HAZEL
NPI: 1639701089
· WAIPAHU, HI 96797
· Non-emergency Medical Transport (VAN)
· NPI assigned 02/04/2020
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
612 |
$0.00 |
| 2019 |
383 |
$0.00 |
| 2020 |
7,008 |
$0.00 |
| 2021 |
6,979 |
$0.00 |
| 2022 |
1,689 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
9,684 |
1,354 |
$0.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
6,987 |
1,920 |
$0.00 |