WHITE LAKE AMBULANCE SERVICE
NPI: 1225033855
· MONTAGUE, MI 49437
· Land Ambulance
· NPI assigned 06/20/2005
$250K
Total Medicaid Paid
Provider Details
| Authorized Official | DEGEN, JONATHON (DIRECTOR) |
| NPI Enumeration Date | 06/20/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
108 |
$10K |
| 2019 |
174 |
$16K |
| 2020 |
168 |
$14K |
| 2021 |
304 |
$28K |
| 2022 |
423 |
$76K |
| 2023 |
385 |
$60K |
| 2024 |
298 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
531 |
500 |
$134K |
| A0425 |
Ground mileage, per statute mile |
1,303 |
1,186 |
$113K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
26 |
25 |
$3K |