Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CITY OF SAN MARINO

NPI: 1003815507 · SAN MARINO, CA 91108 · Land Ambulance · NPI assigned 07/18/2005

$8K
Total Medicaid Paid
127
Total Claims
124
Beneficiaries
2
Codes Billed
2018-04
First Month
2023-12
Last Month

Provider Details

Authorized OfficialDONDANVILLE, MARK (FIRE CHIEF)
NPI Enumeration Date07/18/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $117.11
2022 14 $58.31
2023 100 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 13 13 $7K
A0425 Ground mileage, per statute mile 114 111 $935.12