Medicaid Provider Spending

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

HEALTHSOURCE MEDICAL RESPONSE, LLC

NPI: 1932561248 · SEALY, TX 77474 · Ambulance · NPI assigned 03/25/2016

$96K
Total Medicaid Paid
2,433
Total Claims
1,108
Beneficiaries
3
Codes Billed
2019-09
First Month
2023-04
Last Month

Provider Details

Authorized OfficialOKORO, NDIDI (DIRECTOR)
NPI Enumeration Date03/25/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 16 $395.25
2020 634 $19K
2021 1,258 $51K
2022 378 $20K
2023 147 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0425 Ground mileage, per statute mile 1,647 798 $61K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 728 258 $30K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 58 52 $5K