VITALINE AMBULANCE LLC
NPI: 1063075943
· SAN JUAN, PR 00921
· Land Ambulance
· NPI assigned 04/17/2019
$249K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
306 |
$20K |
| 2023 |
1,219 |
$62K |
| 2024 |
2,144 |
$168K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
616 |
398 |
$140K |
| A0425 |
Ground mileage, per statute mile |
2,997 |
711 |
$95K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
56 |
29 |
$14K |