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SHOSHONE COUNTY AMBULANCE SERVICE DISTRICT
SHOSHONE COUNTY AMBULANCE SERVICE DISTRICT
NPI: 1174130074
· OSBURN, ID 83849
· Ambulance
· NPI assigned 09/25/2020
$206K
Total Medicaid Paid
Provider Details
| Authorized Official | BRANTZ, JERRY (SECRETARY/TREASURER - BOARD MEMBER) |
| NPI Enumeration Date | 09/25/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
217 |
$19K |
| 2022 |
1,039 |
$101K |
| 2023 |
558 |
$45K |
| 2024 |
424 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
602 |
518 |
$88K |
| A0425 |
Ground mileage, per statute mile |
1,327 |
1,027 |
$64K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
309 |
274 |
$53K |