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NPI 1023168382 · Brecksville, OH · Land Ambulance
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Physicians Ambulance Service Inc is a land ambulance provider located in Brecksville, Ohio. This profile covers 5 Medicare and 13 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 | Physicians Ambulance Service Inc |
| Address | 9200 Noble Park Dr |
| City | Brecksville |
| State | OH |
| ZIP | 44141 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | January 11, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.7M |
| Medicare | $3.5M |
This provider reports total Medicare revenue of $3.5M and total Medicaid revenue of $8.7M, indicating Medicaid is the larger payer relationship on file. The NPI was enumerated 2007-01-11 (~19 years ago), consistent with an established operation that has been billing both programs for many years.
Revenue concentration is high for both payers: the top 3 Medicare codes account for 94.1% of Medicare revenue and the top 3 Medicaid codes account for 84.9% of Medicaid revenue. That degree of concentration suggests the business is heavily dependent on a small set of transport services rather than a broad mix of clinical billings.
The code mix shows an operation centered on ground ambulance non-emergency transports and mileage: A0428 (BLS non-emergency) is the single largest Medicare code with $1.9M (53.7% of Medicare revenue) and also leads Medicaid with $3.9M (45.1% of Medicaid revenue). High shares for A0428 combined with large A0425 mileage volumes indicate routine point-to-point transfers and scheduled transports are core activities.
Mileage is a major revenue driver across payers: A0425 (ground mileage) contributes $922.6K (26.6% of Medicare revenue) and $2.2M (24.8% of Medicaid revenue), with state and national rank listings labeling this volume an "extreme outlier." These rankings (Medicare: #92 of 8934, 99th percentile; Medicaid in-state: #9 of 675, 99th percentile) position the provider as an unusually high-volume mile-based transport vendor relative to peers.
Advanced-life-support non-emergency transport (A0426) is also a disproportionate source of revenue, contributing $479.1K (13.8%) to Medicare and $1.3M (15.0%) to Medicaid, and is described as an "extreme outlier" in both national and in-state comparisons. Nationally A0426 ranks #8 of 1568 (100th percentile) for Medicare and in-state it ranks #2 of 76 (99th percentile) for Medicaid, indicating the provider is a major regional/national performer for ALS non-emergency work.
Emergency transports represent a much smaller portion of billed revenue: Medicare A0429 and A0427 together account for roughly 5.9% of Medicare revenue (A0429 $103K, 3.0%; A0427 $100.9K, 2.9%) and similar single-digit shares for Medicaid (A0429 $414K, 4.7%; A0427 $384.1K, 4.4%). These lower shares suggest the provider’s operational focus is on scheduled or non-emergency transports rather than emergent 911 response.
Competitive standing differs by payer and code: for Medicare the provider ranks highly on core codes (A0428 at #55 of 2772, 98th percentile; A0426 at #8 of 1568, 100th percentile) signaling above-typical national volume for its main services. In Medicaid the provider is similarly dominant for key codes (A0428 #5 of 126, 97th percentile; A0426 #2 of 76, 99th percentile), indicating it is a top in-state supplier of both BLS non-emergency and ALS non-emergency transports.
Several Medicaid-listed supply and mileage codes show claims with $0 average paid/claim and $0 revenue (for example 93041, A0398, A0422, A0382 and A0888), which may reflect non-covered billing, bundled reimbursement practices, or reporting artifacts. Analysts should treat these zero-paid codes as potential offsets or non-revenue billing lines when modeling net Medicaid reimbursement for this provider.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9,380 | $200 | $1.9M |
| A0425 | Ground mileage, per statute mile | 131,800 | $10 | $922.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,010 | $240 | $479.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 330 | $320 | $103K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 270 | $380 | $100.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 56,330 | $70 | $3.9M |
| A0425 | Ground mileage, per statute mile | 83,340 | $30 | $2.2M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 14,120 | $90 | $1.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,790 | $60 | $414K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,320 | $90 | $384.1K |
| A0434 | Specialty care transport (sct) | 1,690 | $150 | $248.3K |
| A0130 | Non-emergency transportation: wheelchair van | 10,500 | $20 | $210K |
| S0209 | Wheelchair van, mileage, per mile | 10,450 | $10 | $62.7K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 110 | $0 | $0 |
| A0382 | Bls routine disposable supplies | 620 | $0 | $0 |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 130 | 3,720 | $50 | $544.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 72 | 510 | 1,080 | $120 | $365.4K |
| A0434 | Specialty care transport (sct) | 7 | 20 | 660 | $190 | $317.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 36 | 480 | 880 | $90 | $260K |
| A0130 | Non-emergency transportation: wheelchair van | 38 | 150 | 3,580 | $20 | $208K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 80 | 380 | $80 | $132.1K |
| A0425 | Ground mileage, per statute mile | 9 | 680 | 2,020 | $10 | $98.4K |
| S0209 | Wheelchair van, mileage, per mile | 37 | 150 | 3,580 | $10 | $73.5K |
| A0398 | Als routine disposable supplies | 4 | 10 | 230 | $120 | $72.4K |
| A0382 | Bls routine disposable supplies | 2 | 10 | 290 | $1 | $6.3K |
Showing 1–10 of 13
Other providers in the same ZIP code as Physicians Ambulance Service Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Accomodative Surgery Center, L.L.C. | OH | Ambulatory Surgical Clinic/Center | $1.3M | $810.8K |
| Arif Usmani | OH | Anatomic Pathology & Clinical Pathology Physician | $233.9K | $0 |
| Rachel Davis | OH | Ophthalmic Plastic and Reconstructive Surgery Physician | $151.7K | $0 |
| Daniel Pierre | OH | Ophthalmology Physician | $129.4K | $0 |
| Cynthia Huang | OH | Dermatology Physician | $90.4K | $0 |
| Zahid Shah | OH | Diagnostic Radiology Physician | $16.6K | $0 |
| Ashley Major | OH | Family Nurse Practitioner | $3.6K | $0 |
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