Medicaid Provider Spending

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

CITY OF LAKE GENEVA

NPI: 1760438246 · LAKE GENEVA, WI 53147 · Land Ambulance · NPI assigned 05/26/2006

$65K
Total Medicaid Paid
584
Total Claims
515
Beneficiaries
5
Codes Billed
2018-09
First Month
2024-06
Last Month

Provider Details

Authorized OfficialDYKSTRA, DIANA (CITY CLERK)
NPI Enumeration Date05/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $1K
2019 40 $3K
2020 12 $2K
2021 78 $7K
2022 122 $14K
2023 234 $30K
2024 85 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 221 194 $34K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 195 174 $28K
A0390 Als mileage (per mile) 28 25 $1K
A0380 Bls mileage (per mile) 34 25 $819.92
A0425 Ground mileage, per statute mile 106 97 $355.45