Ralls County Ambulance District

Ralls County Ambulance District was paid $136K by Medicaid between Jul 2018 and Jun 2024, across 2 billing codes. Its largest line is A0425, Ground mileage, per statute mile — 87% of everything it billed.

33Billing provider infoRALLS COUNTY AMBULANCE DISTRICT
HANNIBAL, MO 63401

33aNPI1528150745assigned 09/28/2006

33bProvider typeLand Ambulance

28Total paid$136K

24GClaims564

24DCodes billed2

24AFirst – last monthJul 2018 – Jun 2024

Compared with peers

Next to other Land Ambulance providers in Missouri

Rank by total paid#96 of 118

Median peer was paid$822K

This provider vs. median0.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	30	$6K
2019	12	$563.25
2020	77	$14K
2021	127	$35K
2022	149	$40K
2023	46	$6K
2024incomplete	123	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A0425	Ground mileage, per statute mile	87%	505	437	$118K
A0427	Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	13%	59	51	$18K

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.

From NPPES

Who's on the registration

Authorized officialNEMES, JOHN (ADMINISTRATOR)

Same official

Other billing entities under NEMES, JOHN

Full network →

Provider	Location	Paid
Marion County Ambulance	Hannibal, MO	$4.41M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.