Forman Ambulance Service

Forman Ambulance Service was paid $8K by Medicaid between May 2023 and May 2023, across 2 billing codes. Its largest line is A0429, emergency ambulance ride, basic life support — 82% of everything it billed.

33Billing provider infoFORMAN AMBULANCE SERVICE
MANITO, IL 61546

33aNPI1700871910assigned 09/14/2005

33bProvider typeAir Ambulance

28Total paid$8K

24GClaims29

24DCodes billed2

24AFirst – last monthMay 2023 – May 2023

Compared with peers

Next to other Air Ambulance providers in Illinois

Rank by total paid#15 of 15

Median peer was paid$344K

This provider vs. median0.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2023	29	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A0429	Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency)	82%	15	14	$7K
A0425	Ground mileage, per statute mile	18%	14	13	$2K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBORTELL, SHERON (AUTHORIZED OFFICIAL)