Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1508284043

1508284043 was paid $312K by Medicaid between Jan 2018 and Jun 2021, across 8 billing codes. Its largest line is A0427, emergency ambulance ride, advanced life support — 49% of everything it billed.

33Billing provider info1508284043
33aNPI1508284043
33bProvider type—
28Total paid$312K
24GClaims15,932
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2021
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20185,270$83K
20193,755$59K
20205,242$118K
20211,665$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A0427 Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 49% 1,674 1,337 $154K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 36% 5,683 1,851 $113K
A0425 Ground mileage, per statute mile 11% 7,185 3,213 $33K
A0429 Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) 2.1% 155 145 $6K
A0380 Bls mileage (per mile) 1.5% 547 232 $5K
A0398 Als routine disposable supplies <1% 499 193 $249.64
A0382 Bls routine disposable supplies 0% 170 74 $0.00
A0392 Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) 0% 19 13 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.