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NPI 1053554824 · Millersville, MD · Ambulance
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Anne Arundel County is a ambulance provider located in Millersville, Maryland. This profile covers 4 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 | Anne Arundel County |
| Address | 8501 Veterans Hwy |
| City | Millersville |
| State | MD |
| ZIP | 21108 |
| Taxonomy | Ambulance |
| NPI Enumerated | April 9, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $7.5M |
| Medicare | $6.7M |
ANNE ARUNDEL COUNTY’s claims mix is dominated by emergency ambulance services: its top Medicare codes are A0427 (ALS 1 emergency), A0429 (BLS emergency) and A0425 (ground mileage), and its top Medicaid codes are the same three. Medicare reporting shows A0427 at 8.1K claims ($3.5M, 51.7%), A0429 at 6.7K claims ($2.4M, 35.4%) and A0425 at 110K claims ($769.7K, 11.5%), while Medicaid shows A0427 at 73.3K claims ($5.9M, 79.7%) and A0425 at 48K claims ($1.5M, 20.0%). This mix indicates the operation is configured primarily for emergency transport (ALS/BLS) with substantial billed ground mileage rather than non-emergency or ancillary ambulance services.
Revenue concentration is extremely high across payers: the top 3 Medicare codes by revenue account for 98.5% of this provider's total Medicare revenue, and the top 3 Medicaid codes by revenue account for 100.0% of its total Medicaid revenue. That level of concentration means a very small set of service lines (A0427, A0429, A0425) drive almost all documented public-payer revenue for this entity, increasing sensitivity to coding, utilization, or rate changes affecting those codes.
Payer scale and mix show Medicaid is slightly larger than Medicare for this provider: total Medicare revenue is $6.7M versus total Medicaid revenue of $7.5M. The near parity in scale — with Medicaid marginally higher — implies the provider’s financial exposure is balanced across both major public payers rather than dominated by a single program.
National competitive standing for Medicare emergency transport lines is pronounced: A0427 ranks #58 of 6841 providers (99th percentile; extreme outlier) and A0429 ranks #34 of 7808 providers (100th percentile; extreme outlier), while A0425 ranks #121 of 8934 (99th percentile; extreme outlier). Those percentile ranks characterize ANNE ARUNDEL COUNTY as a major national volume outlier for emergency ambulance transports and billed mileage, far above typical national provider volumes for the same codes.
State-level competitive standing in Medicaid is also strong for advanced life support: A0427 ranks #5 of 88 in-state (95th percentile; notably above typical state volume), indicating this provider is a leading Medicaid ALS emergency transporter in Maryland. By contrast, A0425’s in-state rank #6 of 79 (94th percentile; typical, unremarkable volume) and A0429’s rank #6 of 45 (89th percentile; typical, unremarkable volume) suggest mileage and BLS-emergency volumes are high but not as extremely dominant as A0427 within the state context.
Average paid-per-claim patterns show Medicaid reimbursement is markedly lower per encounter than Medicare for the same services: Medicare average paid per claim for A0427 is $426 versus Medicaid $81, and Medicare average for A0429 is $357 versus Medicaid $3. These disparities imply that, even when volume is concentrated with Medicaid (e.g., A0427 at $5.9M on 73.3K claims), Medicare continues to provide materially higher revenue per emergency transport claim.
Operational scale and longevity are aligned: the NPI was enumerated 2009-04-09 (~17 years ago), and lifetime reported public-payer revenue totals are substantial at $6.7M (Medicare) and $7.5M (Medicaid). Long tenure combined with consistently high volumes on emergency transport codes suggests an established, operationally mature ambulance service focused on high-frequency emergency response.
Because the top three codes drive nearly all revenue, policy or reimbursement changes affecting A0427, A0429, or A0425 would have outsized financial impact on this provider. Given A0427’s dominant share on Medicaid (79.7%) and strong national outlier status on Medicare, any rate, coverage, or utilization shifts for ALS emergency transport should be a primary focus for payer/provider analysts assessing revenue risk and contract negotiations.
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) | 8,150 | $430 | $3.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,660 | $360 | $2.4M |
| A0425 | Ground mileage, per statute mile | 109,960 | $10 | $769.7K |
| A0433 | Advanced life support, level 2 (als 2) | 170 | $580 | $101.1K |
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.
3 rows
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
3 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) | 5 | 90 | 1,050 | $90 | $996.5K |
| A0425 | Ground mileage, per statute mile | 6 | 80 | 1,580 | $30 | $407.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6 | 50 | 620 | $10 | $27.9K |
Other providers in the same ZIP code as Anne Arundel County, ranked by combined Medicare and Medicaid revenue.
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