Medicaid Provider Spending

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

COASTAL AMBULANCE LLC

NPI: 1013284603 · WALTERBORO, SC 29488 · Land Ambulance · NPI assigned 11/26/2011

$15K
Total Medicaid Paid
3,093
Total Claims
2,056
Beneficiaries
3
Codes Billed
2022-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMETKA, VLASTIMIL (OWNER/MEDICAL DIRECTOR)
NPI Enumeration Date11/26/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 79 $404.68
2023 1,698 $6K
2024 1,316 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 1,404 919 $12K
A0425 Ground mileage, per statute mile 1,652 1,100 $3K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 37 37 $886.68