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NPI 1073014940 · Louisville, KY · Land Ambulance
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Anchorage Middletown Fire & Ems is a land ambulance provider located in Louisville, Kentucky. This profile covers 4 Medicare and 5 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 | Anchorage Middletown Fire & Ems |
| Address | 108 Urton Ln |
| City | Louisville |
| State | KY |
| ZIP | 40223 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 26, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.4M |
| Medicaid | $1.1M |
ANCHORAGE MIDDLETOWN FIRE & EMS operates as a land ambulance service: the top billed CPT/HCPCS codes are ambulance transport and mileage line items (A0427, A0429, A0425), which points to an operations profile centered on emergency transport rather than ancillary non-transport services. Medicare billing shows A0427 billed 2.7K claims at $367 avg paid/claim for $1M revenue and A0429 billed 762 claims at $307 avg paid/claim for $233.9K, while Medicaid billing shows A0427 with 8.5K claims at $75 avg paid/claim for $633.9K and A0429 with 3.8K claims at $60 avg paid/claim for $228.2K — reinforcing that the enterprise’s activity is dominated by ALS and BLS emergency transports.
Medicare revenue concentration is highly focused: the precomputed top-three codes account for 98.3% of the provider’s total Medicare revenue, with A0427 alone representing $1M (70.0% of its Medicare revenue). This concentration indicates that a small set of transport-related services drives virtually all Medicare receipts for this NPI rather than a diversified Medicare service mix.
Medicaid revenue is similarly concentrated: the precomputed top-three Medicaid codes account for 99.0% of total Medicaid revenue, with A0427 ($633.9K, 58.5%), A0429 ($228.2K, 21.1%), and A0425 ($209.5K, 19.4%) together comprising nearly the entire Medicaid portfolio. This implies that Medicaid reimbursements follow the same operational pattern as Medicare, with ALS/BLS transports and mileage supplying the dominant share of payments.
Payer mix shows both payers materially present but Medicare is larger in lifetime receipts: total Medicare revenue is $1.4M versus total Medicaid revenue of $1.1M. The presence of substantial revenue from both payers means this provider is not single-payer dependent, but Medicare represents the larger single source of lifetime federal/state program revenue.
National competitive standing on Medicare for the primary transport code is relatively strong by percentile: A0427 ranks #248 of 6841 providers nationally (96th percentile; typical, unremarkable volume for this code). Other Medicare transport codes also sit high in national percentiles (A0429 at #730 of 7808, 91th percentile; A0425 at #860 of 8934, 90th percentile), which positions the provider as a higher-percentile but operationally typical-volume participant for these service lines.
State-level competitive standing on Medicaid shows above-median activity but not dominance: A0427 ranks #30 of 176 in-state (83th percentile; typical, unremarkable volume), A0429 ranks #36 of 169 (79th percentile; typical, unremarkable volume), and A0425 ranks #49 of 189 (74th percentile; typical, unremarkable volume). These in-state ranks indicate the provider is an active regional EMS operator with higher-than-average activity on core transport codes, yet it is one of many comparable ambulance services in the state.
Operational intensity is evident from high mileage claim counts paired with low per-claim payments: Medicare A0425 shows 24.4K claims at $7 avg paid/claim for $170.7K revenue, and Medicaid A0425 shows 12.3K claims at $17 avg paid/claim for $209.5K revenue. This pattern signals frequent transports with mileage recorded as a low-dollar, high-volume revenue stream that still contributes meaningfully to total payer receipts.
The provider’s NPI tenure is relatively recent compared with long-standing institutions: NPI enumerated (registered) 2018-02-26 (~8 years ago), yet lifetime aggregated receipts of $1.4M Medicare and $1.1M Medicaid show rapid build-up of billing activity since enumeration. The combination of recent enumeration and concentrated transport billing suggests a focused EMS operation that achieved substantive payer engagement within its years of activity.
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) | 2,730 | $370 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 760 | $310 | $233.9K |
| A0425 | Ground mileage, per statute mile | 24,390 | $10 | $170.7K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $520 | $24.6K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8,450 | $80 | $633.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,800 | $60 | $228.2K |
| A0425 | Ground mileage, per statute mile | 12,330 | $20 | $209.5K |
| A0998 | Ambulance response and treatment, no transport | 130 | $70 | $8.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 260 | $10 | $2.4K |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
5 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) | 30 | 180 | 3,250 | $60 | $321.8K |
| A0425 | Ground mileage, per statute mile | 49 | 190 | 5,590 | $20 | $225.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 36 | 170 | 1,580 | $50 | $186K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 50 | 90 | 530 | $10 | $7.4K |
| A0998 | Ambulance response and treatment, no transport | 8 | 20 | 90 | $20 | $7.2K |
Other providers in the same ZIP code as Anchorage Middletown Fire & Ems, ranked by combined Medicare and Medicaid revenue.
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