DELAWARE COUNTY MEMORIAL HOSPITAL
NPI: 1235208422
· MANCHESTER, IA 52057
· Land Ambulance
· NPI assigned 11/06/2006
$141K
Total Medicaid Paid
Provider Details
| Authorized Official | BUTIKOFER, LON (CEO) |
| NPI Enumeration Date | 11/06/2006 |
Related Entities
Other providers sharing the same authorized official: BUTIKOFER, LON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
32 |
$2K |
| 2019 |
34 |
$2K |
| 2020 |
99 |
$28K |
| 2021 |
195 |
$37K |
| 2022 |
158 |
$26K |
| 2023 |
186 |
$31K |
| 2024 |
80 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A0999 |
Unlisted ambulance service |
233 |
193 |
$103K |
| A0425 |
Ground mileage, per statute mile |
507 |
405 |
$33K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
44 |
39 |
$5K |