Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LEONELAND ETTIENNE MEDICAL RESPONSE

NPI: 1184154718 · LARES, PR 00669 · Ambulance · NPI assigned 06/15/2017

$7K
Total Medicaid Paid
218
Total Claims
206
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialTORRES, ETTIENNE (PRESIDENTE/CEO)
NPI Enumeration Date06/15/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 218 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 108 102 $6K
A0425 Ground mileage, per statute mile 110 104 $2K