COUNTY OF MOULTRIE
NPI: 1912926056
· SULLIVAN, IL 61951
· Air Ambulance
· NPI assigned 07/19/2006
$556K
Total Medicaid Paid
Provider Details
| Authorized Official | FAULKNER, KELLY (TREASURER S.F.P.D.) |
| NPI Enumeration Date | 07/19/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
637 |
$34K |
| 2019 |
845 |
$70K |
| 2020 |
462 |
$49K |
| 2021 |
421 |
$33K |
| 2022 |
386 |
$37K |
| 2023 |
537 |
$240K |
| 2024 |
172 |
$94K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,300 |
1,093 |
$382K |
| A0425 |
Ground mileage, per statute mile |
2,084 |
1,657 |
$147K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
76 |
63 |
$27K |