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NPI 1073516118 · Howell, MI · Land Ambulance
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Livingston County Treasurer is a land ambulance provider located in Howell, Michigan. This profile covers 7 Medicare and 7 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 | Livingston County Treasurer |
| Address | 1911 Tooley Rd |
| City | Howell |
| State | MI |
| ZIP | 48855 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 23, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.4M |
| Medicare | $2.2M |
Business/service-line profile: This NPI is classified as Land Ambulance and its billing mix is dominated by emergency and transport services — the top Medicare and Medicaid revenue drivers are A0427 (advanced life support, emergency transport), A0425 (ground mileage), and A0429 (basic life support, emergency transport). The presence of A0434 (specialty care transport) and A0998 (response and treatment, no transport) in the top lists indicates capability for higher-acuity transfers and non-transport responses in addition to routine emergency transports.
Medicare revenue concentration: The provider reports $2.2M in total Medicare revenue and its top three Medicare codes (A0427, A0425, A0429) account for 90.3% of that Medicare revenue, indicating extreme concentration in a small set of transport-related services rather than a diversified Medicare billing portfolio.
Payer mix and scale: This entity’s Medicaid revenue ($5.4M) is materially larger than its Medicare revenue ($2.2M), so Medicaid comprises the larger share of its public-payer activity and likely drives operational priorities and cash flow more than Medicare.
National competitive standing on Medicare emergency codes: For Medicare, A0427 ranks #229 of 6841 providers nationally (97th percentile) and A0425 ranks #205 of 8934 providers nationally (98th percentile) and are labeled as notably above typical national volume, which positions this provider as a high-volume national biller for those specific ambulance services; A0429 ranks #463 of 7808 providers nationally (94th percentile) and is described as typical, unremarkable volume for that code.
State competitive standing on Medicaid codes: In-state Medicaid ranks show A0427 at #22 of 163 providers (87th percentile), A0425 at #29 of 199 (86th percentile), and A0429 at #38 of 153 (76th percentile), each labeled as typical, unremarkable volume; these placements indicate a strong but not dominant in-state presence for core transport services.
Operational signals from claim counts and unit payments: The provider reports very high ground-mileage claim counts (82.7K Medicare claims for A0425 and 18.9K Medicaid claims for A0425) and meaningful claim volumes for A0427 (2.9K Medicare claims, 9.5K Medicaid claims), suggesting extensive mileage-based transport activity consistent with county-wide or long-distance ambulance coverage. Average paid-per-claim differs by payer (for example, A0427 is $377 Medicare vs $216 Medicaid; A0425 is $7 Medicare vs $96 Medicaid), which highlights material per-claim payment differences across payers that will affect revenue composition and unit economics.
Tenure and operational continuity: The provider’s NPI was enumerated on 2005-05-23 (~21 years ago), indicating long-standing enrollment and an established billing history that supports the multi-year volumes and role in both Medicare and Medicaid ambulance services.
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) | 2,920 | $380 | $1.1M |
| A0425 | Ground mileage, per statute mile | 82,740 | $10 | $579.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,080 | $320 | $341.7K |
| A0434 | Specialty care transport (sct) | 130 | $650 | $83.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 380 | $200 | $74.6K |
| A0433 | Advanced life support, level 2 (als 2) | 60 | $550 | $33.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 100 | $240 | $24.5K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9,510 | $220 | $2.1M |
| A0425 | Ground mileage, per statute mile | 18,850 | $100 | $1.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,640 | $150 | $686K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,240 | $150 | $476.7K |
| A0998 | Ambulance response and treatment, no transport | 1,260 | $200 | $257K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 300 | $180 | $53.2K |
| A0433 | Advanced life support, level 2 (als 2) | 60 | $300 | $16.6K |
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
7 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) | 22 | 160 | 1,880 | $230 | $1.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 27 | 70 | 1,790 | $130 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 38 | 150 | 1,570 | $150 | $951.3K |
| A0425 | Ground mileage, per statute mile | 29 | 200 | 2,950 | $50 | $648.5K |
| A0998 | Ambulance response and treatment, no transport | 23 | 50 | 1,100 | $180 | $553.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 28 | 50 | 540 | $220 | $285.3K |
| A0433 | Advanced life support, level 2 (als 2) | 8 | 10 | 140 | $270 | $108.9K |
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