THE DIVINE WJC, LLC
NPI: 1962154351
· HOUSTON, TX 77090
· Secured Medical Transport (VAN)
· NPI assigned 01/26/2022
$385K
Total Medicaid Paid
1,721
Beneficiary Records
Provider Details
| Authorized Official | PETE, WAUNDLYAN (OWNER) |
| Parent Organization | THE DIVINE WJC LLC |
| NPI Enumeration Date | 01/26/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
3,314 |
$164K |
| 2024 |
4,698 |
$221K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
8,012 |
1,721 |
$385K |