NPI: 1306841317 · MONTELLO, WI 53949 · Land Ambulance · NPI assigned 06/16/2005
| Authorized Official | HOUSLET, TIMOTHY (DIRECTOR OF EMS) |
| NPI Enumeration Date | 06/16/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 369 | $12K |
| 2019 | 251 | $14K |
| 2020 | 249 | $22K |
| 2021 | 349 | $30K |
| 2022 | 146 | $23K |
| 2023 | 158 | $38K |
| 2024 | 108 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 802 | 713 | $104K |
| A0390 | Als mileage (per mile) | 169 | 135 | $21K |
| A0998 | Ambulance response and treatment, no transport | 307 | 241 | $19K |
| A0398 | Als routine disposable supplies | 245 | 182 | $2K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 16 | 14 | $378.75 |
| A0425 | Ground mileage, per statute mile | 91 | 83 | $154.00 |