NPI: 1770697153 · JEFFERSON, WI 53549 · Land Ambulance · NPI assigned 08/19/2006
| Authorized Official | REINEN, SUSAN (EMS DIRECTOR) |
| NPI Enumeration Date | 08/19/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 250 | $9K |
| 2019 | 197 | $8K |
| 2020 | 148 | $7K |
| 2021 | 93 | $6K |
| 2022 | 170 | $21K |
| 2023 | 58 | $13K |
| 2024 | 295 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 585 | 502 | $69K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 182 | 154 | $10K |
| A0390 | Als mileage (per mile) | 118 | 83 | $1K |
| A0998 | Ambulance response and treatment, no transport | 14 | 13 | $897.00 |
| A0425 | Ground mileage, per statute mile | 312 | 275 | $313.02 |