PINE MEDICAL CENTER
NPI: 1154852937
· SANDSTONE, MN 55072
· Ambulance
· NPI assigned 03/23/2017
$354K
Total Medicaid Paid
Provider Details
| Authorized Official | HEDRIX, MICHAEL (ADMINISTRATOR) |
| Parent Organization | ST MARY'S DULUTH CLINIC HEALTH SYSTEM |
| NPI Enumeration Date | 03/23/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
298 |
$65K |
| 2019 |
1,070 |
$206K |
| 2020 |
411 |
$83K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
1,207 |
967 |
$175K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
436 |
369 |
$138K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
136 |
124 |
$41K |