Kettle Moraine Ambulance, LLC

Kettle Moraine Ambulance, LLC was paid $59K by Medicaid between Jan 2018 and Nov 2020, across 4 billing codes. Its largest line is A0428, Ambulance service, basic life support, non-emergency transport, (bls) — 86% of everything it billed.

33Billing provider infoKETTLE MORAINE AMBULANCE, LLC
WAUKESHA, WI 53188

33aNPI1750823522assigned 11/10/2016

33bProvider typeLand Ambulance

28Total paid$59K

24GClaims1,659

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Land Ambulance providers in Wisconsin

Rank by total paid#85 of 143

Median peer was paid$94K

This provider vs. median0.6×

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

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

Year	Claims	Paid
2018	565	$17K
2019	665	$29K
2020	429	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	86%	847	380	$50K
A0429	Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency)	9.2%	134	123	$5K
A0380	Bls mileage (per mile)	4.6%	111	39	$3K
A0425	Ground mileage, per statute mile	<1%	567	472	$85.61

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 officialROMANSHEK, RICHARD (OWNER)