Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DYNASTY EMERGENCY MEDICAL SERVICE CORP

NPI: 1376249524 · TRUJILLO ALTO, PR 00976 · Land Ambulance · NPI assigned 01/31/2023

$84K
Total Medicaid Paid
570
Total Claims
342
Beneficiaries
2
Codes Billed
2023-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRIVERA MOLINA, JAVIER (PRESIDENT)
NPI Enumeration Date01/31/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 129 $19K
2024 441 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 260 158 $73K
A0425 Ground mileage, per statute mile 310 184 $11K