ICONIC MEDICAL TRANSPORTATION
NPI: 1942783162
· ZACHARY, LA 70791
· Non-emergency Medical Transport (VAN)
· NPI assigned 09/13/2018
Provider Details
| Authorized Official | WOMACK, RENATA (OWNER) |
| NPI Enumeration Date | 09/13/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
358 |
$4K |
| 2019 |
1,109 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
777 |
146 |
$9K |
| S0215 |
Non-emergency transportation; mileage, per mile |
647 |
120 |
$6K |
| A0130 |
Non-emergency transportation: wheelchair van |
43 |
12 |
$859.00 |