NORTH SANPETE AMBULANCE SERVICE
NPI: 1679689632
· MT PLEASANT, UT 84647
· Land Ambulance
· NPI assigned 08/22/2006
$208K
Total Medicaid Paid
Provider Details
| Authorized Official | RASMUSSEN, LEWIS (BOARD CHAIRMAN) |
| NPI Enumeration Date | 08/22/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
150 |
$0.00 |
| 2020 |
32 |
$0.00 |
| 2021 |
380 |
$52K |
| 2022 |
281 |
$53K |
| 2023 |
289 |
$51K |
| 2024 |
146 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
215 |
185 |
$185K |
| A0425 |
Ground mileage, per statute mile |
521 |
414 |
$23K |
| A0398 |
Als routine disposable supplies |
511 |
409 |
$210.63 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
31 |
25 |
$0.00 |