FORMAN AMBULANCE SERVICE
NPI: 1700871910
· MANITO, IL 61546
· Air Ambulance
· NPI assigned 09/14/2005
Provider Details
| Authorized Official | BORTELL, SHERON (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 09/14/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
29 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
15 |
14 |
$7K |
| A0425 |
Ground mileage, per statute mile |
14 |
13 |
$2K |