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Provider 1043313513

NPI: 1043313513Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.0M

$16,995,759

Total Claims

42K

Beneficiaries

35K

1.2 claims/patient

Avg Cost/Claim

$402

Monthly Spending Trend

Yearly Spending

2018
$858K
+8%
2019
$925K
-19%
2020
$752K
+370%
2021
$3.5M
+18%
2022
$4.2M
-8%
2023
$3.9M
-25%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (A0431 (Ambulance service, conventional air, transport, one way)) accounts for 75% of total spending.

A0431Top 10%

Ambulance service, conventional air, transport, one way

$12.7M

4,308 claims · 74.6%

Your Cost: $2,943.99/claim|Median: $1,650.68
1.8× median
A0426Normal range

Ambulance service, ALS, non-emergency transport, level 1

$1.0M

8,157 claims · 6.0%

Your Cost: $124.98/claim|Median: $104.69
1.2× median
A0436Normal range

ALS mileage, per mile, level 2

$872K

3,783 claims · 5.1%

Your Cost: $230.63/claim|Median: $705.08
0.3× median
A0427Top 5%

Ambulance, ALS emergency transport Level 1

$767K

1,421 claims · 4.5%

Your Cost: $540.01/claim|Median: $164.22
3.3× median
A0425Normal range

Ground mileage, per statute mile

$759K

17K claims · 4.5%

Your Cost: $44.62/claim|Median: $23.36
1.9× median
A0428Top 25%

Ambulance service, BLS, non-emergency transport

$748K

6,846 claims · 4.4%

Your Cost: $109.26/claim|Median: $58.05
1.9× median
A0433Normal range

$87K

414 claims · 0.5%

Your Cost: $209.74/claim|Median: $207.46
1.0× median
A0430Normal range

ALS mileage, per mile, fixed wing

$44K

32 claims · 0.3%

Your Cost: $1,383.52/claim|Median: $1,588.22
0.9× median
A0434Normal range

Ambulance, specialty care transport

$15K

274 claims · 0.1%

Your Cost: $55.39/claim|Median: $252.36
0.2× median
99199Normal range

Unlisted special service, procedure, or report

$135

26 claims · 0.0%

Your Cost: $5.19/claim|Median: $5.39
1.0× median