COASTAL CAROLINA CPR LLC.
NPI: 1598422909
· HOLLY RIDGE, NC 28445
· Land Ambulance
· NPI assigned 11/19/2021
$479.80
Total Medicaid Paid
Provider Details
| Authorized Official | TRIPP, NICHOLAS (DIRECTOR) |
| NPI Enumeration Date | 11/19/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
75 |
$479.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
41 |
25 |
$409.05 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
34 |
20 |
$70.75 |