Medicaid Provider Spending

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

UPPER SAN JUAN HEALTH SERVICE DISTRICT

NPI: 1780727065 · PAGOSA SPRINGS, CO 81147 · Non-emergency Medical Transport (VAN) · NPI assigned 02/15/2007

Deactivated NPI · This NPI was deactivated on 12/20/2011. Reactivated 03/08/2012.
$71K
Total Medicaid Paid
1,283
Total Claims
1,001
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWEBB, RHONDA (CEO, CMO)
NPI Enumeration Date02/15/2007

Related Entities

Other providers sharing the same authorized official: WEBB, RHONDA

ProviderCityStateTotal Paid
UPPER SAN JUAN HEALTH SERVICE DISTRICT PAGOSA SPRINGS CO $3.65M
UPPER SAN JUAN HEALTH SERVICE DISTRICT PAGOSA SPRINGS CO $1.73M
UPPER SAN JUAN HEALTH SERVICE DISTRICT PAGOSA SPRINGS CO $590K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 213 $5K
2019 240 $9K
2020 174 $8K
2021 210 $5K
2022 199 $7K
2023 145 $14K
2024 102 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0425 Ground mileage, per statute mile 1,256 976 $68K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 12 12 $2K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 15 13 $1K