SOUTHERN CLAY COUNTY VOLUNTEERS
NPI: 1417201088
· LIZEMORE, WV 25125
· Land Ambulance
· NPI assigned 11/05/2012
$205K
Total Medicaid Paid
1,072
Beneficiary Records
Provider Details
| Authorized Official | FOSTER, MITZIE (DIRECTOR) |
| NPI Enumeration Date | 11/05/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
604 |
$91K |
| 2019 |
208 |
$40K |
| 2020 |
143 |
$25K |
| 2021 |
336 |
$49K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| A0425 |
Ground mileage, per statute mile |
867 |
713 |
$141K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
240 |
208 |
$42K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
184 |
151 |
$22K |