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NPI 1053475905 · Livermore, CA · Ambulance
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North Star Emergency Services, Inc. is a ambulance provider located in Livermore, California. This profile covers 6 Medicare and 16 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 | North Star Emergency Services, Inc. |
| Address | 3174 Constitution Dr |
| City | Livermore |
| State | CA |
| ZIP | 94551 |
| Taxonomy | Ambulance |
| NPI Enumerated | December 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $21.2M |
| Medicare | $6.7M |
NORTH STAR EMERGENCY SERVICES, INC. is an ambulance-focused operator by taxonomy and claims mix, with dominant revenues tied to basic life support transports, ground mileage, and some specialty care transport. Its reported totals are Total Medicare revenue: $6.7M and Total Medicaid revenue: $21.2M, and the top Medicare and Medicaid codes are clinical ambulance transports and mileage codes (A0428, A0425, A0429, A0434), indicating primary operations are point-to-point ground transport including both emergency and non-emergency BLS and higher-acuity specialty movements.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 86.9% of its Medicare revenue, driven primarily by A0428 ($3.7M, 54.7%), A0425 ($1.6M, 23.9%), and A0429 ($554.4K, 8.3%). Two of those codes show unusually large national volume for this provider — A0428 is an extreme outlier at the national level and A0425 is likewise labeled an extreme outlier — which explains the heavy Medicare concentration in a narrow set of transport services.
On the Medicaid side the top 3 codes account for 78.8% of Medicaid revenue, led by A0425 ($6.7M, 31.5%), A0429 ($5.5M, 26.1%), and A0428 ($4.5M, 21.2%). Those three codes together drive the majority of Medicaid receipts and reflect a similar operational focus on mileage and BLS emergency/non-emergency transports, while a material specialty component is also present through A0434.
Payer mix is Medicaid-dominant: reported Medicaid revenue ($21.2M) substantially exceeds Medicare revenue ($6.7M), so this provider operates primarily as a Medicaid-funded ambulance vendor in scale. Analysts should treat Medicaid utilization patterns and state-level competitive dynamics as the primary commercial lens when assessing this entity’s business exposure and contracting posture.
The provider is a national-scale outlier on a subset of Medicare codes, which positions it as a major volume player for those services: A0428 ranks #19 of 2772 providers nationally (99th percentile; extreme outlier) and A0425 ranks #34 of 8934 providers nationally (100th percentile; extreme outlier). By contrast other Medicare codes such as A0429 and A0427 are described as typical or unremarkable in national volume, indicating the provider’s national dominance is concentrated in specific BLS and mileage lines rather than across the full ambulance code set.
State-level competitive standing on Medicaid shows both leadership and concentrated specialties. Notably, A0225 (neonatal transport) ranks #1 of 13 providers in-state (100th percentile; extreme outlier) and contributes $979.8K (4.6%) to Medicaid revenue, signaling the provider is uniquely active in neonatal emergency transport within the state; A0428 also ranks high in-state (#10 of 187, 95th percentile; notably above typical), reinforcing a strong regional position in BLS non-emergency volume.
The provider reports high relative volume for specialty care transport as well: A0434 appears in the top Medicare and Medicaid lists with $467.6K (7.0% of Medicare revenue) and $1.2M (5.7% of Medicaid revenue) respectively, and it ranks notably above typical nationally for Medicare (97th percentile) and is a top state performer for Medicaid (rank #4 of 64, 95th percentile). This mix suggests the operation supports a non-trivial SCT line in addition to standard BLS/ALS point-to-point transports.
NORTH STAR’s NPI tenure indicates long-standing operations — NPI enumerated 2006-12-21 (~20 years ago) — which, combined with the concentrated revenue profile (top 3 Medicare = 86.9%; top 3 Medicaid = 78.8%), suggests an established, specialized service footprint that would benefit from focused payer review. Given the heavy concentration in a few codes and several labeled extreme outliers at national and state levels, payers and network managers should monitor utilization trends for A0428, A0425, A0225, and A0434 to assess capacity, pricing, and contracting implications rather than treating the provider as a broadly diversified ambulance vendor.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 15,340 | $240 | $3.7M |
| A0425 | Ground mileage, per statute mile | 229,100 | $10 | $1.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,460 | $380 | $554.4K |
| A0434 | Specialty care transport (sct) | 580 | $800 | $467.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 700 | $460 | $325.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 300 | $290 | $88.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 74,370 | $90 | $6.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 24,260 | $230 | $5.5M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 38,810 | $120 | $4.5M |
| A0434 | Specialty care transport (sct) | 5,590 | $220 | $1.2M |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 1,510 | $650 | $979.8K |
| A0999 | Unlisted ambulance service | 940 | $730 | $684.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,040 | $240 | $498.2K |
| T2005 | Non-emergency transportation; stretcher van | 15,500 | $30 | $403.1K |
| A0380 | Bls mileage (per mile) | 16,610 | $10 | $232.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,490 | $140 | $212.6K |
Showing 1–10 of 16
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 138 | 250 | 2,420 | $220 | $3.7M |
| T2005 | Non-emergency transportation; stretcher van | 16 | 130 | 1,560 | $140 | $1.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 27 | 390 | 1,270 | $220 | $1.5M |
| A0130 | Non-emergency transportation: wheelchair van | 231 | 350 | 8,830 | $30 | $1.2M |
| A0380 | Bls mileage (per mile) | 107 | 310 | 7,380 | $40 | $1.1M |
| A0425 | Ground mileage, per statute mile | 32 | 580 | 3,120 | $30 | $963.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | 190 | 2,470 | $80 | $674.3K |
| A0434 | Specialty care transport (sct) | 4 | 60 | 700 | $350 | $672.4K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 642 | 760 | 1,930 | $20 | $196K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 16 | 80 | 280 | $130 | $148.2K |
Showing 1–10 of 16
Other providers in the same ZIP code as North Star Emergency Services, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Sutter Shared Lab, LLC | CA | Clinical Medical Laboratory | $2.4M | $37.7K |
| Maruska Sanchez | CA | Nurse Practitioner | $996.6K | $0 |
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