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    OpenPayerNPI Medicare & MedicaidUtica Ambulance Service, Inc.
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    Utica Ambulance Service, Inc. — Billing Profile & Reimbursement Data

    NPI 1043253370 · Utica, NY · Land Ambulance

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    Utica Ambulance Service, Inc. is a land ambulance provider located in Utica, New York. This profile covers 7 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)

    FieldValue
    Entity TypeOrganization
    OrganizationUtica Ambulance Service, Inc.
    Address410 Catherine St
    CityUtica
    StateNY
    ZIP13501
    TaxonomyLand Ambulance
    NPI EnumeratedJune 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$5.6M
    Medicare$1M

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)1,030$320$328.6K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)760$380$288K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)1,040$200$211.5K
    A0425Ground mileage, per statute mile19,290$10$135.1K
    A0434Specialty care transport (sct)40$660$23K
    A0433Advanced life support, level 2 (als 2)20$550$10.5K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)20$250$5.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A042822100160$230$442.2K
    A042927490120$370$178K
    A042731410100$420$129.6K
    A0434163040$770$120.3K
    A0425425102,390$10$61.2K
    A0426597050$270$32.8K
    A0433235020$620$26.7K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)14,340$160$2.2M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)11,680$180$2.1M
    A0428Ambulance service, basic life support, non-emergency transport, (bls)6,400$110$697.2K
    A0425Ground mileage, per statute mile32,560$20$618.7K
    A0170Transportation ancillary: parking fees, tolls, other2,240$1$2.2K
    A0398Als routine disposable supplies80$1$80
    A0382Bls routine disposable supplies10$0$0

    Medicaid: Competitive Analysis & Benchmarks

    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 CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0428Ambulance service, basic life support, non-emergency transport, (bls)25902,220$120$1.7M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)28420950$170$1.6M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)24310830$200$1.1M
    A0425Ground mileage, per statute mile274801,360$20$191.3K
    A0170Transportation ancillary: parking fees, tolls, other55250540$10$30.5K
    A0382Bls routine disposable supplies210410$20$6.9K
    A0398Als routine disposable supplies11050$1$240

    Nearby Providers

    Other providers in the same ZIP code as Utica Ambulance Service, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Resource Center For Independent LivingNYHome Health Agency$0$163M
    Cnyhhn IncNYCase Management Agency$0$76M
    St Elizabeth Medical CenterNYGeneral Acute Care Hospital$0$27.6M
    Kids Oneida, Inc.NYCommunity/Behavioral Health Agency$0$25.2M
    Syed ZamanNYAnatomic Pathology & Clinical Pathology Physician$1.5M$180
    Daniel BergNYCardiovascular Disease Physician$472.1K$23.3K
    Michael SassowerNYInterventional Cardiology Physician$408.1K$40.8K
    Prabhat VarmaNYInterventional Cardiology Physician$369.1K$37.7K
    Ashok PatelNYInterventional Cardiology Physician$354.2K$42.6K
    Thor MarkwoodNYClinical Cardiac Electrophysiology Physician$304.1K$22.4K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Utica Ambulance Service, Inc. — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Utica Ambulance Service, Inc. — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York