FORMAN AMBULANCE SERVICE
Air Ambulance · MANITO, IL
Organization Active NPI 1700871910
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 67 | 1,884.2 | $57,972 | $49,740 | $39,365 |
| 2023 | 67 | 2,004 | $60,940 | $51,278 | $40,856 |
| 2022 | 88 | 2,905.8 | $90,959 | $72,204 | $57,421 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 1,796.2 | $7 | $6 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 88 | $415 | $327 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | ✓ | 1660298 | IL |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.