Cowlitz County Fire District 6

Cowlitz County Fire District 6 was paid $805K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is A0999, Unlisted ambulance service — 66% of everything it billed.

33Billing provider infoCOWLITZ COUNTY FIRE DISTRICT 6
CASTLE ROCK, WA 98611

33aNPI1194815589assigned 10/13/2006

33bProvider typeLand Ambulance

28Total paid$805K

24GClaims4,694

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Land Ambulance providers in Washington

Rank by total paid#66 of 142

Median peer was paid$676K

This provider vs. median1.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	557	$47K
2019	826	$148K
2020	613	$150K
2021	770	$169K
2022	762	$159K
2023	718	$100K
2024incomplete	448	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A0999	Unlisted ambulance service	66%	871	806	$534K
A0425	Ground mileage, per statute mile	17%	2,305	2,018	$138K
A0429	Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency)	9.8%	960	855	$79K
A0427	Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	6.7%	558	502	$54K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLEMONDS, WILLIAM (FIRE CHIEF)