NPI: 1902382336 · WALPAHU, HI 96797 · Non-emergency Medical Transport (VAN) · NPI assigned 07/18/2018
| Authorized Official | MENDOZA, ROSALINA (OWNER) |
| NPI Enumeration Date | 07/18/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,138 | $0.00 |
| 2019 | 6,662 | $0.00 |
| 2020 | 447 | $0.00 |
| 2021 | 4,369 | $0.00 |
| 2022 | 1,348 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0130 | Non-emergency transportation: wheelchair van | 9,439 | 1,109 | $0.00 |
| S0209 | Wheelchair van, mileage, per mile | 174 | 115 | $0.00 |
| T2003 | Non-emergency transportation; encounter/trip | 549 | 309 | $0.00 |
| S0215 | Non-emergency transportation; mileage, per mile | 549 | 309 | $0.00 |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 8,253 | 1,618 | $0.00 |