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NPI 1033343389 · Brooklyn, NY · Ambulance
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Chevra Hatzalah is a ambulance provider located in Brooklyn, New York. This profile covers 4 Medicare and 7 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 | Chevra Hatzalah |
| Address | 1070 Mcdonald Ave. |
| City | Brooklyn |
| State | NY |
| ZIP | 11230 |
| Taxonomy | Ambulance |
| NPI Enumerated | May 14, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $13.8M |
| Medicare | $4M |
Payer mix and tenure: CHEVRA HATZALAH reports Total Medicare revenue: $4M and Total Medicaid revenue: $13.8M, indicating materially larger Medicaid billing activity in absolute terms. The NPI was enumerated 2009-05-14 (~17 years ago), so this is an established operator with a multi-year presence in both Medicare and Medicaid markets. The magnitude difference suggests strategic reliance on Medicaid volume for overall revenue generation.
Service-line profile: Revenue and code mix show this provider is a ground ambulance operator focused on emergency transports, with A0427 (ALS1), A0429 (BLS-emergency) and A0425 (ground mileage) dominating both payers. A0427 and A0429 are emergency life-support transports while A0425 captures mileage, which together indicate a trip-centric, high-frequency emergency response operation rather than a non-emergency or specialty transport service. This profile points to operational models built around rapid-response and frequent short-to-medium ground transports.
Medicare revenue concentration: The top three Medicare codes account for 98.6% of this provider's total Medicare revenue, driven by A0427 ($2M, 50.1% of this provider's total Medicare revenue), A0429 ($1.7M, 42.2%) and A0425 ($252K, 6.3%). That extreme concentration on three emergency transport/mileage codes implies limited Medicare diversification and a heavy dependence on standard ALS/BLS emergency ground services for Medicare receipts. Such concentration can focus payer review and contracting attention on those specific service lines.
Medicaid revenue concentration: The top three Medicaid codes account for 97.8% of this provider's total Medicaid revenue, led by A0429 ($8M, 58.0%), A0427 ($4.7M, 34.0%) and A0425 ($801.1K, 5.8%). Like Medicare, Medicaid revenue is tightly concentrated in emergency transport and mileage codes, signaling dependence on routine emergency ground transports for the vast majority of state-billed revenue. High reliance on the same triad across payers reduces diversification and centralizes reimbursement risk in a few billing categories.
Medicare competitive standing: On Medicare volumes this provider is a major national participant for emergency transport codes—A0429 ranks #65 of 7808 providers nationally (99th percentile; extreme outlier) and A0427 ranks #154 of 6841 providers nationally (98th percentile; notably above typical volume). Those rankings identify CHEVRA HATZALAH as a top-volume national filer for BLS and ALS emergency transport, particularly pronounced for A0429 where it is an extreme outlier. For other Medicare codes such as A0425 and A0433 the provider sits at high but more typical percentiles (95th and 89th), reflecting concentrated leadership on the core transport codes rather than across all ancillary ambulance codes.
Medicaid (in-state) competitive standing: In New York state peer comparisons the provider is high-volume for the same core codes—A0429 ranks #13 of 423 in-state (97th percentile) and A0427 ranks #13 of 313 in-state (96th percentile), while A0425 ranks #16 of 483 in-state (97th percentile). These in-state ranks indicate the provider is among the larger ambulance billers regionally for emergency transports and mileage; A0420 (waiting time) ranking #2 of 6 in-state (80th percentile) also shows the provider participates in a small subset of peers that bill waiting time. Overall the Medicaid rankings confirm a prominent statewide footprint on core emergency transport services.
Operational volume signals: Claim counts reinforce high utilization: Medicare shows 4.3K claims for both A0427 and A0429 and 42K claims for A0425, while Medicaid shows 44.3K claims for A0429, 22K claims for A0427 and 66.8K claims for A0425. Those large claim volumes for both payers—especially mileage claim counts—demonstrate persistent, high-frequency trip activity and routine generation of mileage units as a substantial part of operational throughput. High claim counts across both payers are consistent with a busy, ground-ambulance emergency transport operation serving a large population base.
Implications for payers and partners: Because the top three codes capture 98.6% of Medicare revenue and 97.8% of Medicaid revenue, payers, network managers, and contracting teams will likely focus oversight, rate negotiation and utilization review on A0429, A0427 and A0425. The data labels for statistical standing—A0429 as an "extreme outlier" on Medicare and A0427 as "notably above typical"—underscore where benchmarking and targeted operational review would be most informative, while the consistently high in-state percentiles identify the provider as a major regional supplier of emergency ground transport.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,330 | $460 | $2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,330 | $390 | $1.7M |
| A0425 | Ground mileage, per statute mile | 41,990 | $10 | $252K |
| A0433 | Advanced life support, level 2 (als 2) | 90 | $670 | $56.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 44,320 | $180 | $8M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 21,970 | $210 | $4.7M |
| A0425 | Ground mileage, per statute mile | 66,760 | $10 | $801.1K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 690 | $330 | $230.4K |
| A0433 | Advanced life support, level 2 (als 2) | 230 | $200 | $46.2K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 200 | $160 | $30.6K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 10 | $1 | $10 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13 | 420 | 950 | $170 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 13 | 310 | 830 | $200 | $1.1M |
| A0425 | Ground mileage, per statute mile | 16 | 480 | 1,360 | $20 | $191.3K |
| A0433 | Advanced life support, level 2 (als 2) | 7 | 10 | 230 | $210 | $181.1K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 2 | 10 | 100 | $360 | $119K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 8 | 10 | 380 | $10 | $31.3K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 1 | 10 | 10 | $1 | $10 |
Other providers in the same ZIP code as Chevra Hatzalah, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Home Health Care Services Of Ny | NY | Home Health Agency | $0 | $589M |
| Quality Healthcare, Inc. | NY | Home Health Agency | $0 | $217.5M |
| Quality Family Care, LLC. | NY | Home Health Agency | $0 | $180.2M |
| Marks Homecare Cdpap, LLC | NY | In Home Supportive Care Agency | $0 | $164.9M |
| Summit Home Health Care | NY | Home Health Agency | $0 | $148.9M |
| Global Home Care Inc. | NY | Home Health Agency | $0 | $132M |
| Supportive Home Care LLC | NY | Home Health Agency | $0 | $116.7M |
| Future Care Health Services | NY | Home Health Agency | $0 | $105.7M |
| Homecare Services For Ind. Living | NY | Home Health Agency | $0 | $103.4M |
| Welcome Care Inc | NY | Home Health Agency | $0 | $98.8M |
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