Medicaid Provider Spending

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

VITAL CARE AMBULANCE LLC

NPI: 1487312542 · SAN JUAN, PR 00922 · Non-emergency Medical Transport (VAN) · NPI assigned 12/06/2021

$205K
Total Medicaid Paid
1,385
Total Claims
1,096
Beneficiaries
3
Codes Billed
2022-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCORDOVA, GLORIAN (PRESIDENTE)
NPI Enumeration Date12/06/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 42 $747.50
2023 495 $64K
2024 848 $140K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 505 393 $159K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 101 98 $29K
A0425 Ground mileage, per statute mile 779 605 $17K