SPIRIT LAKE TRIBE
NPI: 1740387059
· FORT TOTTEN, ND 58335
· Land Ambulance
· NPI assigned 09/20/2006
$2.68M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,073 |
$321K |
| 2019 |
1,221 |
$292K |
| 2020 |
1,139 |
$312K |
| 2021 |
1,490 |
$422K |
| 2022 |
1,551 |
$494K |
| 2023 |
1,510 |
$518K |
| 2024 |
948 |
$325K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,378 |
1,921 |
$977K |
| A0425 |
Ground mileage, per statute mile |
4,812 |
3,582 |
$912K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,742 |
1,403 |
$794K |