Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ILDEFONSO SANTIAGO AYALA

NPI: 1457300741 · CABO ROJO, PR 00623 · Land Ambulance · NPI assigned 05/06/2006

$7K
Total Medicaid Paid
311
Total Claims
142
Beneficiaries
3
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialSANTIAGO AYALA, ILDEFONSO (OWNER)
NPI Enumeration Date05/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 87 $4K
2019 176 $2K
2020 48 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0425 Ground mileage, per statute mile 281 117 $5K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 14 12 $2K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 16 13 $705.00