SOUTH MEDICAL RESPONSE
NPI: 1700520202
· MAYAGUEZ, PR 00680
· Ambulance
· NPI assigned 04/21/2022
$144K
Total Medicaid Paid
Provider Details
| Authorized Official | CRUZ, MANUEL (PRESIDENT) |
| NPI Enumeration Date | 04/21/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
333 |
$40K |
| 2024 |
771 |
$104K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
408 |
265 |
$111K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
60 |
41 |
$20K |
| A0425 |
Ground mileage, per statute mile |
636 |
412 |
$14K |