CITY OF SHEBOYGAN
NPI: 1003090051
· SHEBOYGAN, WI 53081
· Land Ambulance
· NPI assigned 12/27/2007
$1.58M
Total Medicaid Paid
Provider Details
| Authorized Official | SULIK, DAVID (OPER MGR) |
| NPI Enumeration Date | 12/27/2007 |
Related Entities
Other providers sharing the same authorized official: SULIK, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,569 |
$152K |
| 2019 |
5,402 |
$159K |
| 2020 |
7,047 |
$148K |
| 2021 |
7,076 |
$198K |
| 2022 |
3,590 |
$334K |
| 2023 |
3,353 |
$380K |
| 2024 |
3,558 |
$209K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,963 |
6,335 |
$1.00M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,334 |
2,333 |
$354K |
| A0390 |
Als mileage (per mile) |
6,304 |
4,531 |
$94K |
| A0380 |
Bls mileage (per mile) |
2,428 |
1,704 |
$40K |
| A0398 |
Als routine disposable supplies |
4,326 |
2,979 |
$34K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
2,519 |
1,792 |
$33K |
| A0425 |
Ground mileage, per statute mile |
4,073 |
3,213 |
$15K |
| A0382 |
Bls routine disposable supplies |
1,356 |
917 |
$10K |
| J3490 |
Unclassified drugs |
1,292 |
929 |
$10.50 |