Medicaid Provider Spending

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

LA CLINICA DEL PUEBLO DE RIO ARRIBA

NPI: 1215129291 · TIERRA AMARILLA, NM 87575 · Land Ambulance · NPI assigned 08/14/2007

$15K
Total Medicaid Paid
96
Total Claims
85
Beneficiaries
2
Codes Billed
2020-10
First Month
2022-10
Last Month

Provider Details

Authorized OfficialGURULE, PAULA (INTERIM EXECUTIVE DIRECTOR)
NPI Enumeration Date08/14/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $2K
2021 45 $6K
2022 39 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0425 Ground mileage, per statute mile 68 61 $9K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 28 24 $7K