GREAT DIVIDE AMBULANCE SERVICE
NPI: 1689787715
· CABLE, WI 54821
· Ambulance
· NPI assigned 08/15/2006
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | BLOOM, ROY (SERVICE DIRECTOR) |
| NPI Enumeration Date | 08/15/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
207 |
$27K |
| 2019 |
250 |
$6K |
| 2020 |
436 |
$20K |
| 2021 |
360 |
$50K |
| 2022 |
15 |
$4K |
| 2023 |
14 |
$51.71 |
| 2024 |
54 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0390 |
Als mileage (per mile) |
182 |
151 |
$59K |
| A0433 |
Advanced life support, level 2 (als 2) |
504 |
444 |
$50K |
| A0425 |
Ground mileage, per statute mile |
633 |
575 |
$5K |
| A0434 |
Specialty care transport (sct) |
17 |
12 |
$2K |