BLACK JACK FIRE PROTECTION DIST
NPI: 1043091176
· FLORISSANT, MO 63034
· Land Ambulance
· NPI assigned 10/13/2023
$148K
Total Medicaid Paid
Provider Details
| Authorized Official | KERCKHOFF, ANDREW (DEPUTY CHIEF MEDICAL OFFICER) |
| NPI Enumeration Date | 10/13/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
1,596 |
$148K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
377 |
337 |
$67K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
352 |
287 |
$57K |
| A0425 |
Ground mileage, per statute mile |
867 |
735 |
$24K |