SULLIVAN COUNTY AMBULANCE DISTRICT
NPI: 1790781136
· MILAN, MO 63556
· Land Ambulance
· NPI assigned 06/21/2005
$246K
Total Medicaid Paid
Provider Details
| Authorized Official | KEUHN, MATTHEW (ADMINISTRATOR) |
| NPI Enumeration Date | 06/21/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15 |
$10K |
| 2021 |
80 |
$28K |
| 2022 |
203 |
$80K |
| 2023 |
380 |
$90K |
| 2024 |
128 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
675 |
549 |
$207K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
131 |
109 |
$39K |