FAYETTE COUNTY
NPI: 1215958863
· LA GRANGE, TX 78945
· Ambulance
· NPI assigned 07/21/2006
$348K
Total Medicaid Paid
Provider Details
| Authorized Official | VANDEVER, JOSHUA (EMS DIRECTOR) |
| NPI Enumeration Date | 07/21/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
336 |
$25K |
| 2019 |
270 |
$21K |
| 2020 |
550 |
$45K |
| 2021 |
793 |
$71K |
| 2022 |
733 |
$91K |
| 2023 |
493 |
$67K |
| 2024 |
213 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
2,034 |
1,595 |
$161K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,110 |
915 |
$157K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
187 |
175 |
$29K |
| A0398 |
Als routine disposable supplies |
57 |
49 |
$1K |