Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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San Marcos-Hays County Emergency Medical Services Incorporated

San Marcos-Hays County Emergency Medical Services Incorporated was paid $1.45M by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is A0427, emergency ambulance ride, advanced life support — 59% of everything it billed.

33Billing provider infoSAN MARCOS-HAYS COUNTY EMERGENCY MEDICAL SERVICES INCORPORATED
SAN MARCOS, TX 78666
33aNPI1134279425assigned 01/11/2007
33bProvider typeLand Ambulance
28Total paid$1.45M
24GClaims16,711
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Land Ambulance providers in Texas

Rank by total paid#47 of 288
Median peer was paid$215K
This provider vs. median6.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SMITH, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20181,060$67K
2019847$51K
20201,285$91K
20213,603$342K
20224,041$368K
20233,540$315K
2024incomplete2,335$219K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A0427 Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 59% 4,701 4,240 $862K
A0425 Ground mileage, per statute mile 20% 7,097 6,164 $286K
A0429 Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) 17% 1,547 1,405 $247K
A0398 Als routine disposable supplies 3.0% 2,481 2,295 $43K
A0382 Bls routine disposable supplies <1% 786 761 $14K
A0422 Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation <1% 99 93 $1K

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, DAVID (CHIEF)
Same official

Other billing entities under SMITH, DAVID

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.