Transport
Monarch Fire Protection District
Monarch Fire Protection District was paid $321K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is A0427, emergency ambulance ride, advanced life support — 43% of everything it billed.
33Billing provider infoMONARCH FIRE PROTECTION DISTRICT
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
33aNPI1033294491assigned 10/26/2006
33bProvider typeLand Ambulance
28Total paid$321K
24GClaims2,679
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Land Ambulance providers in Missouri
Rank by total paid#80 of 118
Median peer was paid$822K
This provider vs. median0.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 152 | $9K | |
| 2019 | 257 | $17K | |
| 2020 | 146 | $10K | |
| 2021 | 195 | $13K | |
| 2022 | 637 | $96K | |
| 2023 | 824 | $121K | |
| 2024incomplete | 468 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A0427 | Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 43% | 512 | 465 | $139K |
| A0429 | Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) | 35% | 461 | 407 | $111K |
| A0425 | Ground mileage, per statute mile | 22% | 1,706 | 1,487 | $72K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSMITH, NICHOLAS (CHIEF MEDICAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Nicholas L Smith Pharmacy LLC | Little Chute, WI | $43K |
| Raul Yzaguirre School for Success | Houston, TX | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.