Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ROY B PETTENGILL AMB ASSOC

NPI: 1750379293 · MARLBOROUGH, CT 06447 · Land Ambulance · NPI assigned 10/10/2005

$4K
Total Medicaid Paid
108
Total Claims
95
Beneficiaries
2
Codes Billed
2022-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialTARKA, LORI (PRESIDENT)
NPI Enumeration Date10/10/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 81 $3K
2023 27 $519.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 15 12 $2K
A0425 Ground mileage, per statute mile 93 83 $1K