NPI: 1073250114 · VINCENNES, IN 47591 · Land Ambulance · NPI assigned 05/19/2022
| Authorized Official | MCLIN, ROBERT (CEO) |
| NPI Enumeration Date | 05/19/2022 |
Other providers sharing the same authorized official: MCLIN, ROBERT
| Provider | City | State | Total Paid |
|---|---|---|---|
| GOOD SAMARITAN HOSPITAL | VINCENNES | IN | $229K |
| GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC | WASHINGTON | IN | $99K |
| GOOD SAMARITAN HOSPITAL | VINCENNES | IN | $7K |
| GOOD SAMARITAN HOSPITAL | VINCENNES | IN | $1K |
| GOOD SAMARITAN HOSPITAL | VINCENNES | IN | $0.00 |
| SAMARITAN CENTER | VINCENNES | IN | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,735 | $155K |
| 2023 | 4,318 | $607K |
| 2024 | 3,455 | $561K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,259 | 1,701 | $465K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,725 | 1,497 | $452K |
| A0425 | Ground mileage, per statute mile | 4,886 | 3,430 | $342K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 626 | 524 | $63K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 12 | 12 | $1K |