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NPI 1033486584 · Hackensack, NJ · Land Ambulance
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Elite Care Ambulance Inc is a land ambulance provider located in Hackensack, New Jersey. This profile covers 3 Medicare and 3 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 | Elite Care Ambulance Inc |
| Address | 52 Hackensack Ave |
| City | Hackensack |
| State | NJ |
| ZIP | 07601 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 29, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3M |
| Medicaid | $1.1M |
ELITE CARE AMBULANCE INC’s billing mix is concentrated on basic life-support ground ambulance services: its top reported codes are A0428 (BLS non-emergency transport), A0425 (ground mileage), and A0429 (BLS emergency transport), which together account for core operational activity across both payers and reflect a land ambulance business model focused on BLS transports rather than advanced life support services. The code descriptions and claim mix indicate routine transport and mileage as the primary service lines.
Revenue concentration is very high: the precomputed top-3 codes account for 100.0% of this provider’s total Medicare revenue and 100.0% of its total Medicaid revenue, signaling extreme dependence on a narrow set of transport and mileage codes for all reported payer revenue streams. This level of concentration implies revenue sensitivity to reimbursement or utilization changes for those specific codes.
Medicare is the larger payer by reported dollars: total Medicare revenue is $3M versus total Medicaid revenue of $1.1M, so the provider generates substantially more revenue from Medicare than from Medicaid. Both payer datasets are present, so this is not a single-payer operation but Medicare appears to be the primary revenue source.
A0428 is the dominant revenue driver for Medicare billing: it generated $2.4M (82.6% of this provider's total Medicare revenue) from 13K claims at an average paid/claim of $187, and the provider ranks #29 of 2772 nationally (99th percentile; extreme outlier). That national standing marks ELITE CARE AMBULANCE as an unusually large BLS non-emergency Medicare biller for this code relative to peers.
On the Medicaid side A0428 likewise dominates: 57.9K claims produced $868.1K (76.0% of this provider's total Medicaid revenue) at an average paid/claim of $15, and the provider ranks #2 of 86 in-state (99th percentile; extreme outlier). This statewide position suggests near-top market share for BLS non-emergency Medicaid transports within New Jersey.
Other codes show differing competitive signals: Medicare A0425 had 53.3K claims and $266.6K (9.0% of Medicare revenue) and ranks #353 of 8934 (96th percentile; typical, unremarkable volume for this code), while Medicare A0429 accounted for $246.9K (8.4% of Medicare revenue) at 648 claims and ranks #868 of 7808 (89th percentile; typical, unremarkable). For Medicaid, A0429 contributed $151.2K (13.2% of Medicaid revenue) from 4.7K claims and ranks #68 of 264 (75th percentile; typical, unremarkable), whereas Medicaid A0425 shows 61.6K claims and $123.3K (10.8% of Medicaid revenue) ranking #26 of 426 (94th percentile; notably above typical state volume).
Claim volume and payer-level payment rates highlight operational scale and payer differences: A0428 volumes are large on both payers (13K Medicare claims and 57.9K Medicaid claims) while average paid/claim for A0428 is $187 on Medicare versus $15 on Medicaid, illustrating substantial differences in payer reimbursement per transport for the same code. High claim counts combined with low per-claim Medicaid rates suggest the provider relies on volume to generate Medicaid revenue while Medicare payments drive a larger share of dollars.
The provider has an established presence with an NPI enumerated 2011-11-29 (~15 years ago), and the combination of long tenure plus extremely high ranks on A0428 (nationally and in-state) indicates a sustained, specialized operation in BLS non-emergency ambulance services. Given the narrow code concentration, the business appears operationally stable but exposed to shifts in reimbursement or utilization for its principal transport and mileage codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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.
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 68 | 260 | 1,770 | $110 | $683K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 90 | 2,490 | $20 | $164.4K |
| A0425 | Ground mileage, per statute mile | 26 | 430 | 3,700 | $10 | $106.9K |
Other providers in the same ZIP code as Elite Care Ambulance Inc, ranked by combined Medicare and Medicaid revenue.
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