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NPI 1013967769 · Aiea, HI · Ambulance
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International Life Support Inc is a ambulance provider located in Aiea, Hawaii. This profile covers 7 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | International Life Support Inc |
| Address | 99-1379 Koaha Pl |
| City | Aiea |
| State | HI |
| ZIP | 96701 |
| Taxonomy | Ambulance |
| NPI Enumerated | May 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.6M |
| Medicare | $1.2M |
Provider profile and tenure: INTERNATIONAL LIFE SUPPORT INC is an ambulance services operator based in AIEA, HI with an NPI enumerated on 2006-05-11 (~20 years ago), indicating roughly two decades of enrollment in federal programs. The longevity suggests an established operating presence in its market rather than a recent entrant, which is relevant when evaluating historical billing and network relationships across Medicare and Medicaid.
Payer mix and scale: Medicaid revenue ($8.6M) substantially exceeds Medicare revenue ($1.2M), so the provider’s business is effectively Medicaid-dominant in scale. Analysts should treat Medicaid patterns as the primary driver of overall volume and financial exposure while using Medicare data to inspect higher-paid emergency transports and national benchmarking.
Top service lines and operational model: Revenue and code mix are consistent with a ground ambulance operator that performs both emergency and non-emergency transports. The provider’s top fee-for-service activities for both payers center on A0429 (BLS emergency), A0427 (ALS 1 emergency), and A0425 (ground mileage), with smaller contributions from specialty care (A0434) and ALS 2 (A0433), indicating mixed emergency/medical-transport capabilities rather than a single specialized niche.
Revenue concentration by code: The provider’s revenue is highly concentrated in a few transport codes — the top three Medicare codes account for 67.6% of Medicare revenue and the top three Medicaid codes account for 70.0% of Medicaid revenue. For both payers, those top-three drivers are A0429, A0427, and A0425, so changes in utilization, reimbursement, or contract terms for those codes would materially affect overall revenue.
Medicare competitive standing and outliers: For Medicare, the largest revenue code A0429 (28.5% of Medicare revenue) and the next two top codes A0427 (20.4%) and A0425 (18.7%) are described as typical, unremarkable volume for those codes at the national level, indicating the provider is generally a modest/typical national participant on its core ambulance lines. One exception is A0426 (advanced life support, non-emergency, level 1), which contributes $170.4K (14.1% of Medicare revenue) and is noted as notably above typical national volume, flagging relatively elevated reporting on that non-emergency ALS tier versus national peers.
Medicaid competitive standing in-state: Within Hawaii Medicaid, the provider reports heavy volume on A0429 (30.1% of Medicaid revenue) and A0425 (19.0% of Medicaid revenue) and is the reported leader for A0428 (BLS non-emergency) at 18.6% of Medicaid revenue where it ranks #1 of 2 providers in-state (100th percentile; typical, unremarkable volume). Overall, state ranks indicate the provider is a leading in-state supplier for some non-emergency BLS and mileage services while volumes for emergency ALS (A0427) are present but more modest relative to the small in-state peer set.
Payment levels and unit economics across payers: The same transport codes receive materially different average paid-per-claim amounts between Medicare and Medicaid in the dataset — for example, A0429 shows $371 avg paid/claim on Medicare versus $189 avg paid/claim on Medicaid, and A0427 shows $444 on Medicare versus $230 on Medicaid. These payer-specific payment differentials imply that revenue sensitivity to payer mix is important: shifts from Medicaid to Medicare (or vice versa) will change revenue without necessarily changing trip counts.
State-unique reporting and limited peer comparisons: Several Medicaid codes appear to have no state peer volume comparison available (ranked #1 of 1 with the note “no state peer volume comparison available”), including A0426, A0999, A0422, A0434, and A0225, which indicates the provider is the sole reporter in the available Medicaid dataset for those codes. For analysts, those sole-reporter items warrant attention as they can reflect local service coverage gaps or coding buckets that other in-state providers do not appear to bill in the available Medicaid extracts.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 930 | $370 | $343.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 560 | $440 | $246.4K |
| A0425 | Ground mileage, per statute mile | 28,110 | $10 | $224.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 750 | $230 | $172.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 610 | $280 | $170.4K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $650 | $24.5K |
| A0434 | Specialty care transport (sct) | 30 | $760 | $23.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13,650 | $190 | $2.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7,800 | $230 | $1.8M |
| A0425 | Ground mileage, per statute mile | 45,390 | $40 | $1.6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 17,740 | $90 | $1.6M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 6,260 | $140 | $883.2K |
| A0999 | Unlisted ambulance service | 15,280 | $1 | $45.8K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 3,980 | $1 | $15.9K |
| A0433 | Advanced life support, level 2 (als 2) | 80 | $180 | $14.2K |
| A0434 | Specialty care transport (sct) | 70 | $160 | $10.6K |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 50 | $110 | $4.9K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Hawaii median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3 | 10 | 15,740 | $210 | $7.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 10 | 10,410 | $180 | $2.6M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 10 | 6,260 | $140 | $885.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 10 | 10,320 | $80 | $794.6K |
| A0425 | Ground mileage, per statute mile | 2 | 10 | 38,640 | $10 | $704.9K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 10 | 460 | $180 | $76.5K |
| A0999 | Unlisted ambulance service | 1 | 10 | 15,280 | $1 | $42K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 10 | 3,980 | $1 | $17.1K |
| A0434 | Specialty care transport (sct) | 1 | 10 | 70 | $160 | $10.6K |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 1 | 10 | 50 | $100 | $4.9K |
Showing 1–10 of 12
Other providers in the same ZIP code as International Life Support Inc, ranked by combined Medicare and Medicaid revenue.
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