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NPI 1063529741 · Manchester, CT · Land Ambulance
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Ambulance Service Of Manchester, LLC is a land ambulance provider located in Manchester, Connecticut. This profile covers 7 Medicare and 10 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 | Ambulance Service Of Manchester, LLC |
| Address | 275 New State Rd |
| City | Manchester |
| State | CT |
| ZIP | 06042 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $20.4M |
| Medicare | $3.3M |
This provider is a dedicated land-ambulance operator: its Medicare top codes are A0427, A0428, and A0429 (advanced life support emergency, basic life support non‑emergency, and basic life support emergency respectively), and the Medicaid top codes are dominated by the same service lines. The code mix — heavy on A0429, A0428 and A0427 across both payers — indicates the operation focuses on ALS/BLS emergency and non‑emergency transport rather than non-ambulance services.
Revenue is highly concentrated in a handful of transport codes for both payers: the top 3 Medicare codes account for 76.1% of this provider's total Medicare revenue, and the top 3 Medicaid codes account for 86.4% of its total Medicaid revenue. This concentration underscores that a small set of ambulance transport services drive the bulk of the business and any changes to reimbursement or utilization for those codes would materially affect total revenue.
The provider is effectively Medicaid‑dominant by scale: lifetime Medicaid revenue is $20.4M versus lifetime Medicare revenue of $3.3M. Medicaid receipts thus represent the larger revenue stream on file, with the single Medicaid code A0429 alone accounting for $11.8M (57.6% of the provider’s Medicaid revenue).
Medicaid competitive standing is strong regionally for key codes: A0429 ranks #3 of 122 providers in-state (98th percentile) and A0425 ranks #3 of 128 in-state (98th percentile), both described as "notably above typical" state volume. Those high in-state ranks for emergency BLS transports and ground mileage indicate the provider is a major state player in volume for those specific Medicaid services.
Nationally, Medicare volumes for several codes are elevated relative to peers: A0429 ranks in the 97th percentile nationally and A0425 in the 98th percentile (both labeled "notably above typical" national volume), while A0427 and A0428 sit in the mid‑90s percentiles but are characterized as "typical, unremarkable" or standard volume in the provided labels. This pattern suggests the provider has above‑typical national activity for mileage and BLS emergency transports but otherwise a conventional Medicare footprint for other ambulance codes.
High mileage billing is a consistent feature across payers: A0425 appears with 81K claims and $566.7K revenue on Medicare and 84.9K claims and $1.5M revenue on Medicaid, indicating that ground mileage is a meaningful component of billed services. The large claim counts for A0425 imply frequent or long-distance transports are part of the operating profile rather than isolated events.
Claim-level detail highlights different utilization patterns between payers. On Medicaid, A0429 has 57.2K claims ($11.8M revenue, 57.6% of Medicaid revenue) and A0428 has 46K claims ($3.7M, 18.2%), whereas on Medicare A0428 and A0427 together account for substantial shares ($860.2K and $929.7K respectively) — this shows Medicaid volumes are far larger in claim counts and dollars for emergency BLS transports compared with Medicare.
The provider has long tenure in the NPI file, enumerated on 2006-08-25 (~20 years ago), which provides a multi‑year operating history to contextualize its sustained Medicaid dominance and its elevated state rankings for several ambulance service codes. That longevity, combined with the concentrated code mix, suggests operational specialization in ground ambulance transport services rather than a diversified set of healthcare offerings.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,160 | $430 | $929.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,910 | $220 | $860.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,920 | $360 | $697K |
| A0425 | Ground mileage, per statute mile | 80,950 | $10 | $566.6K |
| A0434 | Specialty care transport (sct) | 140 | $740 | $105.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 320 | $270 | $86.8K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $620 | $21.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 57,160 | $210 | $11.8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 46,030 | $80 | $3.7M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 23,610 | $90 | $2.1M |
| A0425 | Ground mileage, per statute mile | 84,940 | $20 | $1.5M |
| S0215 | Non-emergency transportation; mileage, per mile | 22,400 | $40 | $806.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,800 | $110 | $307.6K |
| A0432 | Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers | 970 | $130 | $125.3K |
| 4701Y | N/A | 400 | $10 | $5.6K |
| A0434 | Specialty care transport (sct) | 20 | $170 | $4K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 30 | $20 | $550 |
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 20 | 17,430 | $80 | $2.7M |
| S0215 | Non-emergency transportation; mileage, per mile | 5 | 20 | 10,360 | $20 | $2.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 120 | 1,930 | $180 | $1.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5 | 80 | 900 | $190 | $1.3M |
| A0432 | Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers | 12 | 20 | 1,490 | $110 | $321.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4 | 10 | 360 | $120 | $206.1K |
| A0425 | Ground mileage, per statute mile | 3 | 130 | 2,510 | $10 | $141.8K |
| A0434 | Specialty care transport (sct) | 3 | 10 | 1,550 | $20 | $24K |
| 4701Y | N/A | 6 | 10 | 390 | $20 | $8.1K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 2 | 10 | 40 | $20 | $790 |
Other providers in the same ZIP code as Ambulance Service Of Manchester, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Retina Consultants PC | CT | Ophthalmology Physician | $0 | $25.8M |
| Community Child Guidance Clinic, Inc. | CT | Adolescent and Children Mental Health Clinic/Center | $0 | $9.3M |
| Manchester Public Schools | CT | Local Education Agency (LEA) | $0 | $6.5M |
| Ron Margolis | CT | Ophthalmology Physician | $3.5M | $0 |
| Peter Judson | CT | Ophthalmology Physician | $2.6M | $0 |
| Jerry Neuwirth | CT | Ophthalmology Physician | $2.5M | $0 |
| Marion Stoj | CT | Ophthalmology Physician | $2.4M | $0 |
| Scott Walter | CT | Retina Specialist (Ophthalmology) Physician | $1.8M | $0 |
| Ronald Albert | CT | General Practice Dentistry | $0 | $1.3M |
| Greg Budoff | CT | Retina Specialist (Ophthalmology) Physician | $705.2K | $0 |
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