BSA HOSPITAL, LLC

NPI: 1417456583 · CANYON, TX 79015 · Land Ambulance · NPI assigned 02/05/2018

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more

$110K

Total Medicaid Paid

1,112

Total Claims

990

Beneficiaries

Codes Billed

2019-12

First Month

2024-07

Last Month

Provider Details

Authorized Official	PETROVICH, STEPHEN (VICE PRESIDENT)
NPI Enumeration Date	02/05/2018

Other providers sharing the same authorized official: PETROVICH, STEPHEN

Provider	City	State	Total Paid
LOVELACE HEALTH SYSTEM, LLC	ALBUQUERQUE	NM	$57.71M
LOVELACE HEALTH SYSTEM LLC	ALBUQUERQUE	NM	$45.27M
SOUTHWEST MEDICAL ASSOCIATES, LLC	ALBUQUERQUE	NM	$41.40M
LOVELACE HEALTH SYSTEM, LLC	ALBUQUERQUE	NM	$31.24M
LOVELACE HEALTH SYSTEM LLC	ROSWELL	NM	$20.13M
JACKSONVILLE HOSPITAL LLC	JACKSONVILLE	TX	$9.41M
HENDERSON HOSPITAL, LLC	HENDERSON	TX	$8.52M
ATHENS HOSPITAL, LLC	ATHENS	TX	$8.32M
ETMC PHYSICIAN GROUP INC.	TYLER	TX	$8.03M
TYLER REGIONAL HOSPITAL LLC	TYLER	TX	$7.94M
LOVELACE UNM REHABILITATION HOSPITAL LLC	ALBUQUERQUE	NM	$6.30M
POCATELLO HOSPITAL LLC	POCATELLO	ID	$6.11M
JACKSONVILLE HOSPITAL LLC	JACKSONVILLE	TX	$5.93M
AHS PRYOR HOSPITAL, LLC	PRYOR	OK	$5.61M
BSA HOSPITAL LLC	AMARILLO	TX	$4.96M
PITTSBURG HOSPITAL LLC	PITTSBURG	TX	$4.83M
AHS CLAREMORE REGIONAL HOSPITAL, LLC.	CLAREMORE	OK	$4.81M
AHS HENRYETTA HOSPITAL LLC	HENRYETTA	OK	$4.27M
PITTSBURG HOSPITAL LLC	PITTSBURG	TX	$3.98M
TOPEKA HOSPITAL, LLC	TOPEKA	KS	$3.94M

Code	Description	Claims	Beneficiaries	Total Paid
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	301	262	$62K
A0425	Ground mileage, per statute mile	770	689	$45K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	15	15	$3K
A0398	Als routine disposable supplies	26	24	$324.33