PHYSICIANS AMBULANCE SERVICE OF INDIANA, LLC
NPI: 1073113759
· ANDERSON, IN 46011
· Land Ambulance
· NPI assigned 10/30/2020
$1.41M
Total Medicaid Paid
Provider Details
| Authorized Official | JACKSON, KENNETH (PRESIDENT MANAGING PARTNER) |
| NPI Enumeration Date | 10/30/2020 |
Related Entities
Other providers sharing the same authorized official: JACKSON, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
4,357 |
$124K |
| 2022 |
5,321 |
$213K |
| 2023 |
6,403 |
$586K |
| 2024 |
4,506 |
$482K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,970 |
5,421 |
$797K |
| A0425 |
Ground mileage, per statute mile |
10,499 |
5,860 |
$595K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
70 |
61 |
$12K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
48 |
37 |
$472.20 |