OPTIMUMEDICINE LLC
NPI: 1578064002
· LAS VEGAS, NV 89119
· Air Ambulance
· NPI assigned 02/21/2018
$104K
Total Medicaid Paid
Provider Details
| Authorized Official | EISMA, DEVON (CEO) |
| NPI Enumeration Date | 02/21/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
94 |
$103K |
| 2024 |
26 |
$507.18 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0430 |
Ambulance service, conventional air services, transport, one way (fixed wing) |
18 |
12 |
$90K |
| A0425 |
Ground mileage, per statute mile |
102 |
59 |
$14K |