SACRED MOUNTAIN MEDICAL SERVICES INC
NPI: 1447288436
· TUBA CITY, AZ 86045
· 3416L0300X
$8.60M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,651 |
$1.58M |
| 2019 |
5,457 |
$1.66M |
| 2020 |
5,168 |
$1.51M |
| 2021 |
2,935 |
$1.11M |
| 2022 |
2,259 |
$866K |
| 2023 |
3,130 |
$1.28M |
| 2024 |
1,373 |
$595K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage |
8,747 |
8,219 |
$3.69M |
| A0429 |
Bls-emergency |
4,530 |
4,334 |
$2.53M |
| A0427 |
Als1-emergency |
3,965 |
3,832 |
$2.12M |
| A0398 |
Als routine disposble suppls |
2,994 |
2,889 |
$98K |
| A0420 |
Ambulance waiting 1/2 hr |
675 |
657 |
$70K |
| A0382 |
Basic support routine suppls |
3,605 |
3,459 |
$62K |
| A0422 |
Ambulance 02 life sustaining |
1,355 |
1,312 |
$20K |
| S0215 |
Nonemerg transp mileage |
45 |
24 |
$11K |
| A0998 |
Ambulance response/treatment |
12 |
12 |
$8K |
| A0120 |
Noner transport mini-bus |
45 |
24 |
$647.03 |