ST. LOUIS ANGELS LLC
NPI: 1497187702
· ROMA, TX 78584
· Land Ambulance
· NPI assigned 08/08/2013
$126K
Total Medicaid Paid
Provider Details
| Authorized Official | GUERRA, DAISY (ADMINISTRATOR) |
| NPI Enumeration Date | 08/08/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
260 |
$12K |
| 2024 |
989 |
$113K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
461 |
67 |
$69K |
| A0425 |
Ground mileage, per statute mile |
461 |
67 |
$51K |
| A0382 |
Bls routine disposable supplies |
327 |
54 |
$6K |