Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Botetourt County Board of Supervisors

Botetourt County Board of Supervisors was paid $562K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is A0427, emergency ambulance ride, advanced life support — 46% of everything it billed.

33Billing provider infoBOTETOURT COUNTY BOARD OF SUPERVISORS
FINCASTLE, VA 24090
33aNPI1710090014assigned 08/17/2006
33bProvider typeAmbulance
28Total paid$562K
24GClaims11,247
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ambulance providers in Virginia

Rank by total paid#40 of 109
Median peer was paid$366K
This provider vs. median1.5×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,785$46K
20191,955$82K
20201,557$87K
20211,752$99K
20221,715$93K
20231,339$78K
2024incomplete1,144$76K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A0427 Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 46% 3,448 2,581 $260K
A0425 Ground mileage, per statute mile 28% 5,762 4,162 $158K
A0429 Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) 26% 2,037 1,556 $144K

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 officialFIRESTONE, DAVID (EMERGENCY SERVICES SPECIALIST)