Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › FULTONVILLE › MONTGOMERY COUNTY

MONTGOMERY COUNTY

NPI: 1366122616 · FULTONVILLE, NY 12072 · Ambulance · NPI assigned 07/21/2023

$22K
Total Medicaid Paid
229
Total Claims
223
Beneficiaries
3
Codes Billed
2024-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, JUSTIN (SARGENT)
Parent OrganizationMONTGOMERY COUNTY
NPI Enumeration Date07/21/2023

Related Entities

Other providers sharing the same authorized official: SMITH, JUSTIN

ProviderCityStateTotal Paid
WINDHAM DRUG INC WILLIAMSBURG KY $38K
ADVANCE CARE MEDICAL TENNESSEE, INC. COLUMBIA TN $26K
TAS OF KENTUCKY LLC MAYFIELD KY $19K
ONEIDA OPTOMETRIC, PLLC ONEIDA NY $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 229 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 54 53 $14K
A0425 Ground mileage, per statute mile 162 158 $6K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 13 12 $2K