MIGUEL A MONTALVO SR
NPI: 1598279945
· SAN SEBASTIAN, PR 00685
· Ambulance
· NPI assigned 11/21/2017
$693.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30 |
$693.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
15 |
12 |
$495.00 |
| A0425 |
Ground mileage, per statute mile |
15 |
12 |
$198.00 |