NPI: 1154511962 · PINE RIDGE, SD 57770 · 341600000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,146 | $749K |
| 2019 | 5,417 | $542K |
| 2020 | 3,951 | $293K |
| 2021 | 3,262 | $245K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0429 | Bls-emergency | 2,679 | 2,162 | $507K |
| A0425 | Ground mileage | 4,885 | 3,709 | $465K |
| S0215 | Nonemerg transp mileage | 3,810 | 2,113 | $423K |
| A0428 | Bls | 1,016 | 863 | $131K |
| A0426 | Als 1 | 803 | 671 | $126K |
| A0427 | Als1-emergency | 699 | 550 | $113K |
| A0380 | Basic life support mileage | 279 | 248 | $28K |
| A0120 | Noner transport mini-bus | 5,102 | 2,221 | $21K |
| A0394 | Als iv drug therapy supplies | 330 | 309 | $12K |
| A0422 | Ambulance 02 life sustaining | 173 | 152 | $3K |