Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Puerto Rico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Puerto Rico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Puerto Rico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Elderly Transportation Services, LLC (NPI 1043406952)

Field	Value
Entity Type	Organization
Organization	Elderly Transportation Services, LLC
Address	Edif Alb Plaza Carr 199 Suite 16
City	Guaynabo
State	PR
ZIP	00969
Taxonomy	Transportation Broker
NPI Enumerated	September 25, 2007

Payer Source	Total Paid
Medicaid	$25.7M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operator: total Medicaid revenue on file is $25.7M and there is no Medicare billing on file. All analysis below should be read in the context of Medicaid-only billing activity.

The NPI was enumerated on 2007-09-25 (~19 years ago), indicating a long-tenured presence in the market; this longevity supports the scale of claims and revenues reported rather than representing a short-term entrant. The provider’s extended tenure is consistent with operating an established transportation service network.

Revenue is highly concentrated in a very small set of transportation codes: the top three Medicaid codes account for 98.4% of this provider’s Medicaid revenue, driven by A0110 ($21.5M, 83.4%), A0130 ($3.6M, 13.9%), and A0120 ($281.1K, 1.1%). This concentration indicates that a narrow set of non‑emergency transport services produce nearly all reported Medicaid dollars.

The code mix and volumes identify the business as a large non‑emergency medical transportation operator: A0110 (non-emergency transportation and bus) dominates with 523.3K claims and an average paid/claim of $41, and A0130 (wheelchair van) is the clear secondary service line with 74.7K claims and $48 avg paid/claim. A0120 (mini-bus/mountain area/other) is present but small by revenue and claims, consistent with a fleet that mixes large-bus and accessible-van capabilities.

Competitive standing is dominant for core services: A0110 ranks #1 of 19 providers in-state at the 100th percentile and is labeled an extreme outlier, indicating this provider is far above typical state volume for that code. A0130 also ranks #1 of 6 providers in-state at the 100th percentile and is described as notably above typical state volume, showing the provider is a major statewide supplier of wheelchair-van transport as well.

There are smaller but notable service lines outside the top three: A0428 (ambulance BLS non-emergency) generated $150.3K from 15K claims and ranks #2 of 52 providers in-state at the 98th percentile, labeled an extreme outlier; this suggests the provider also bills ambulance BLS at a rate much higher than typical peers despite the code representing a small share (0.6%) of total Medicaid revenue. By contrast, A0120 ranks #2 of 2 with a 0th percentile designation and is characterized as typical or unremarkable volume, confirming that some ancillary transport types remain minor.

Operational scale and claims intensity are concentrated: 523.3K claims for A0110 produce $21.5M in revenue at $41 avg paid/claim, while A0130’s 74.7K claims produce $3.6M at $48 avg paid/claim and A0120’s higher $100 avg paid/claim applies to only 2.8K claims. This profile suggests a high-frequency, lower-dollar per-claim model for bus transports and a lower-frequency, higher-per-claim model for specialized accessible transports.

For payers and contracting analysts, the combination of very high state rankings and concentrated revenue suggests this provider functions as a specialized, high-volume non‑emergency transportation broker in Puerto Rico. Contracting, utilization review, and rate negotiations should prioritize oversight of A0110 and A0130 volumes and reimbursement levels given their outsized contribution to the provider’s $25.7M Medicaid footprint.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0110	Non-emergency transportation and bus, intra or inter state carrier	523,330	$40	$21.5M
A0130	Non-emergency transportation: wheelchair van	74,710	$50	$3.6M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	2,810	$100	$281.1K
S0215	Non-emergency transportation; mileage, per mile	10,930	$20	$196.8K
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	15,030	$10	$150.3K
A0425	Ground mileage, per statute mile	4,730	$10	$66.3K
A0100	Non-emergency transportation; taxi	120	$30	$3.6K
A0200	Non-emergency transportation: ancillary: lodging escort	30	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

Claims Volume vs. Puerto Rico Distribution

Elderly Transportation Services, LLC — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0110	Non-emergency transportation and bus, intra or inter state carrier	1	20	4,700	$30	$1.5M
A0130	Non-emergency transportation: wheelchair van	1	10	9,280	$40	$747K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	2	10	3,230	$70	$215.3K
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	2	50	390	$60	$124.2K
A0100	Non-emergency transportation; taxi	6	10	180	$80	$103.6K
S0215	Non-emergency transportation; mileage, per mile	3	10	7,780	$10	$63.2K
A0425	Ground mileage, per statute mile	20	230	480	$30	$52.1K
A0200	Non-emergency transportation: ancillary: lodging escort	3	10	320	$0	$0

Nearby Providers

Other providers in the same ZIP code as Elderly Transportation Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rmc Orthopedic & Surgical, Inc.	PR	Prosthetic/Orthotic Supplier	$0	$7.5M
Surgical Solutions-j.a. Puerto Rico, Inc	PR	Durable Medical Equipment & Medical Supplies	$0	$7.1M
Bless Therapy Place Psc	PR	Hearing and Speech Clinic/Center	$0	$3.7M
Elderly Transportation Services Management LLC	PR	Transportation Broker	$0	$3.4M
Osvaldo Niebla Diaz	PR	General Practice Physician	$2.9K	$3.1M
Four Molar Psc	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$3M
Ccs Psc	PR	Cardiovascular Disease Physician	$0	$2.3M
Johnson & Johnson Medical Caribbean	PR	Prosthetic/Orthotic Supplier	$0	$2.2M
J.e.r.i. Cardiomed, P.s.c.	PR	Cardiovascular Disease Physician	$0	$1.1M
Rs Gastroenterology, LLC	PR	Gastroenterology Physician	$0	$896.6K

Elderly Transportation Services, LLC — Billing Profile & Reimbursement Data

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Elderly Transportation Services, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References