SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
NPI: 1700890134
· PRIOR LAKE, MN 55372
· Ambulance
· NPI assigned 07/28/2006
$101K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
26 |
$1K |
| 2021 |
12 |
$633.36 |
| 2022 |
247 |
$40K |
| 2023 |
331 |
$43K |
| 2024 |
164 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
127 |
118 |
$47K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
91 |
85 |
$29K |
| A0425 |
Ground mileage, per statute mile |
562 |
519 |
$25K |