Medicaid Provider Spending

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

SOUTH PARK AMBULANCE DISTRICT

NPI: 1811091051 · FAIRPLAY, CO 80440 · Land Ambulance · NPI assigned 09/08/2006

$22K
Total Medicaid Paid
184
Total Claims
171
Beneficiaries
2
Codes Billed
2019-06
First Month
2023-12
Last Month

Provider Details

Authorized OfficialMATTSON, LISSA (CHIEF ADMINISTRATIVE OFFICER)
NPI Enumeration Date09/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 41 $3K
2020 17 $1K
2021 43 $3K
2022 41 $6K
2023 42 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0425 Ground mileage, per statute mile 172 159 $20K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 12 12 $2K