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    T.L. Langford
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    The document contains billing information from various ambulance providers including Accu-Care EMS Inc, Advance Care EMS Inc, Allied Ambulance Service, and American Medical Response. The information includes provider name and address, billing modifiers describing the type of transport, location names and addresses, and total billed amounts for multiple service entries ranging from $113,613 to $295. Anthony Anazonwu is also listed with multiple transports between a hospital, dialysis facility, and residence for a total of over $43,000.

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    The document contains billing information from various ambulance providers including Accu-Care EMS Inc, Advance Care EMS Inc, Allied Ambulance Service, and American Medical Response. The information includes provider name and address, billing modifiers describing the type of transport, location names and addresses, and total billed amounts for multiple service entries ranging from $113,613 to $295. Anthony Anazonwu is also listed with multiple transports between a hospital, dialysis facility, and residence for a total of over $43,000.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    1K views1 page

    Sample Trip

    Uploaded by

    T.L. Langford
    The document contains billing information from various ambulance providers including Accu-Care EMS Inc, Advance Care EMS Inc, Allied Ambulance Service, and American Medical Response. The information includes provider name and address, billing modifiers describing the type of transport, location names and addresses, and total billed amounts for multiple service entries ranging from $113,613 to $295. Anthony Anazonwu is also listed with multiple transports between a hospital, dialysis facility, and residence for a total of over $43,000.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Provider Name

    Provider Street

    Modifier

    Modifier Description

    Srvs Location Name SPECTRUM CARE PARTIAL HOSPITAL SPECTRUM CARE PARTIAL HOSPITAL SPECTRUM CARE PARTIAL HOSPITAL

    Srvs Location Address

    Srvs Location City

    Total Billed Amount $ 594.00 $ 16,416.00 $ 17,604.00

    Tot Am

    ACCU-CARE EMS INC

    12166 ORMANDY

    HH

    HOSPITAL TO HOSPITAL HOSPITAL TO SKILLED NURSING FACILITY (SNF) SKILLED NURSING FACILITY (SNF) TO HOSPITAL RESIDENTIAL, DOMICILIARY, CUSTODIAL FACILITY TO HOSPITAL HOSPITAL TO RESIDENTIAL, DOMICILIARY, CUSTODIAL FACILITY

    6100 RICHMOND

    HOUSTON

    $ 239.6

    ACCU-CARE EMS INC

    12166 ORMANDY

    HN

    6100 RICHMOND

    HOUSTON

    $ 6,612

    ACCU-CARE EMS INC

    12166 ORMANDY

    NH

    6100 RICHMOND

    HOUSTON

    $ 7,091

    ADVANCE CARE EMS INC

    1710 S DAIRY ASHFORD ST

    EH

    SPECTRUM HOSPITAL

    6100 RICHMOND AVE

    HOUSTON

    $ 3,880.00

    $ 1,687

    ADVANCE CARE EMS INC ALLIED AMBULANCE SERVICE AMERICAN MEDICAL RESPONSE

    1710 S DAIRY ASHFORD ST

    HE

    SPECTRUM HOSPITAL

    6100 RICHMOND AVE 2005 BUSTAMANTE 1103 GRACE CENTER 6100 RICHMOND AVE 6100 RICHMOND AVE 6100 RICHMOND AVE

    HOUSTON

    $ 4,460.00 $ 295.00 $ 1,111.00 $ 113,613.00 $ 4,111.00 $ 114,655.00

    $ 1,939

    3634 CACTUS DR 3302 SEYMOUR HIGHWAY

    HR

    HOSPITAL TO RESIDENCE

    SPECIALTI HOSPITAL SPECIALTY HOSPITAL

    LAREDO WICHITA FALLS

    $ 169.6

    HH

    HOSPITAL TO HOSPITAL

    $ 624.7

    ANTHONY ANAZONWU

    9000 W BELLFORT

    HR

    HOSPITAL TO RESIDENCE NON-HOSPITAL BASED DIALYSIS FACILITY TO RESIDENCE

    SPECTRUM CARE PA

    HOUSTON

    $ 43,51

    ANTHONY ANAZONWU

    9000 W BELLFORT

    JR

    SPECTRUM CARE PA

    HOUSTON

    $ 1,577

    ANTHONY ANAZONWU

    9000 W BELLFORT

    RH

    RESIDENCE TO HOSPITAL

    SPECTRUM CARE PA

    HOUSTON

    $ 43,95

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