NPI: 1174261010 · SAVANNA, OK 74565 · Land Ambulance · NPI assigned 05/20/2022
| Authorized Official | SANFORD, JERALD (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 05/20/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 82 | $8K |
| 2023 | 1,054 | $130K |
| 2024 | 1,143 | $154K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 1,309 | 1,159 | $178K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 709 | 646 | $58K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 130 | 123 | $32K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 101 | 98 | $20K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | 30 | $4K |