PERRY COUNTY MEMORIAL HOSPITAL
NPI: 1407158678
· PERRYVILLE, MO 63775
· Land Ambulance
· NPI assigned 11/22/2010
$399K
Total Medicaid Paid
Provider Details
| Authorized Official | ELLIS, MICHAEL (CFO) |
| Parent Organization | PERRY COUNTY HEALTH SYSTEM DBA PERRY COUNTY MEMORIAL HOSPITAL |
| NPI Enumeration Date | 11/22/2010 |
Related Entities
Other providers sharing the same authorized official: ELLIS, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
956 |
$128K |
| 2019 |
689 |
$61K |
| 2020 |
654 |
$25K |
| 2021 |
924 |
$40K |
| 2022 |
942 |
$67K |
| 2023 |
860 |
$78K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
3,240 |
2,139 |
$198K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,148 |
904 |
$137K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
621 |
505 |
$63K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
16 |
14 |
$480.80 |