ELEGANT TRANSPORTATION GROUP
NPI: 1669061784
· ANAHEIM, CA 92808
· Non-emergency Medical Transport (VAN)
· NPI assigned 01/13/2021
$442K
Total Medicaid Paid
Provider Details
| Authorized Official | MANSOUR, MOHAMED (OWNER/SECRETARY) |
| NPI Enumeration Date | 01/13/2021 |
Related Entities
Other providers sharing the same authorized official: MANSOUR, MOHAMED
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
109 |
$18K |
| 2022 |
1,342 |
$204K |
| 2023 |
2,526 |
$183K |
| 2024 |
1,354 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
Non-emergency transportation; stretcher van |
3,877 |
555 |
$413K |
| A0380 |
Bls mileage (per mile) |
437 |
134 |
$20K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
952 |
157 |
$7K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
65 |
53 |
$2K |