SHOSHONE BANNOCK TRIBES, INC.
NPI: 1790810661
· FORT HALL, ID 83203
· Land Ambulance
· NPI assigned 02/22/2007
$183K
Total Medicaid Paid
Provider Details
| Authorized Official | NAVO, VAL (FIRE CHIEF) |
| Parent Organization | SHOSHONE BANNOCK TRIBES |
| NPI Enumeration Date | 02/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
88 |
$162.41 |
| 2019 |
33 |
$61.35 |
| 2021 |
139 |
$22K |
| 2022 |
274 |
$50K |
| 2023 |
487 |
$94K |
| 2024 |
72 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
474 |
405 |
$140K |
| A0425 |
Ground mileage, per statute mile |
603 |
510 |
$42K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
16 |
12 |
$61.35 |