COUNTY OF HICKMAN OFFICE OF COUNTY EXECUTIVE
NPI: 1649251299
· CENTERVILLE, TN 37033
· Land Ambulance
· NPI assigned 11/10/2005
$850K
Total Medicaid Paid
Provider Details
| Authorized Official | VAN METRE, DESTINY (PROVIDER ENROLLMENT) |
| Parent Organization | COUNTY OF HICKMAN OFFICE OF COUNTY EXEC |
| NPI Enumeration Date | 11/10/2005 |
Related Entities
Other providers sharing the same authorized official: VAN METRE, DESTINY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,295 |
$82K |
| 2019 |
2,669 |
$89K |
| 2020 |
2,633 |
$172K |
| 2021 |
2,134 |
$150K |
| 2022 |
2,183 |
$126K |
| 2023 |
2,425 |
$131K |
| 2024 |
1,631 |
$101K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,993 |
3,899 |
$542K |
| A0425 |
Ground mileage, per statute mile |
8,769 |
5,276 |
$226K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,101 |
742 |
$80K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
51 |
28 |
$1K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
56 |
38 |
$498.19 |