PUEBLO OF JEMEZ
NPI: 1609913961
· JEMEZ PUEBLO, NM 87024
· Land Ambulance
· NPI assigned 01/30/2007
$140K
Total Medicaid Paid
Provider Details
| Authorized Official | ROSALES, NOHEMY (BUSINESS OFFICE MANAGER) |
| NPI Enumeration Date | 01/30/2007 |
Related Entities
Other providers sharing the same authorized official: ROSALES, NOHEMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
160 |
$19K |
| 2019 |
202 |
$24K |
| 2020 |
263 |
$31K |
| 2021 |
165 |
$15K |
| 2022 |
160 |
$17K |
| 2023 |
87 |
$14K |
| 2024 |
82 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
977 |
890 |
$103K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
82 |
78 |
$21K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
60 |
52 |
$16K |