SANTO DOMINGO TRIBE
NPI: 1679766489
· SANTO DOMINGO PUEBLO, NM 87052
· Land Ambulance
· NPI assigned 08/24/2007
$606K
Total Medicaid Paid
Provider Details
| Authorized Official | WILLIAMS, MATT (EMS DIRECTOR) |
| NPI Enumeration Date | 08/24/2007 |
Related Entities
Other providers sharing the same authorized official: WILLIAMS, MATT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
524 |
$57K |
| 2019 |
726 |
$84K |
| 2020 |
529 |
$54K |
| 2021 |
520 |
$67K |
| 2022 |
704 |
$99K |
| 2023 |
650 |
$148K |
| 2024 |
291 |
$97K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,017 |
933 |
$285K |
| A0425 |
Ground mileage, per statute mile |
2,239 |
1,999 |
$164K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
674 |
611 |
$156K |
| A0998 |
Ambulance response and treatment, no transport |
14 |
12 |
$900.00 |