COSTILLA COUNTY AMBULANCE DISTRICT
NPI: 1699912592
· SAN LUIS, CO 81152
· Land Ambulance
· NPI assigned 01/14/2009
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | VIGIL, SHERRI (ASSISTANT DIRECTOR) |
| NPI Enumeration Date | 01/14/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
186 |
$10K |
| 2019 |
115 |
$6K |
| 2020 |
169 |
$10K |
| 2021 |
108 |
$7K |
| 2022 |
248 |
$22K |
| 2023 |
229 |
$31K |
| 2024 |
203 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
978 |
839 |
$77K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
200 |
160 |
$21K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
80 |
68 |
$9K |