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NPI 1073931515 · Birmingham, AL · Land Ambulance
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Lifeguard Ambulance Service LLC is a land ambulance provider located in Birmingham, Alabama. This profile covers 6 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 | Lifeguard Ambulance Service LLC |
| Address | 128 W Park Dr |
| City | Birmingham |
| State | AL |
| ZIP | 35211 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | April 2, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.8M |
| Medicare | $1.3M |
LIFEGUARD AMBULANCE SERVICE LLC’s billing profile is dominated by three ambulance-related codes: A0425, A0427, and A0428 drive virtually all Medicare revenue (the top 3 Medicare codes by revenue account for 90.1% of this provider's total Medicare revenue) and the same trio drives Medicaid revenue as well (the top 3 Medicaid codes by revenue account for 89.9% of this provider's total Medicaid revenue). This concentration indicates the business is a focused land-ambulance operator that derives almost all payor reimbursement from mileage and basic/advanced life support transports rather than ancillary or facility-based services.
The provider’s payer mix is skewed toward Medicaid in absolute dollars: total Medicaid revenue is $1.8M versus total Medicare revenue of $1.3M. While both payers are material, the slightly larger Medicaid footprint suggests local contract or utilization patterns favor state programs and non-Medicare beneficiaries.
Ground mileage (A0425) is a top revenue driver for both payers and is especially prominent in Medicaid, where A0425 accounts for 41.5% of Medicaid revenue ($767.1K) and 15K claims; for Medicare A0425 accounts for 37.0% of Medicare revenue ($483.1K) on 69K claims. Notably, Medicare shows a very low avg paid/claim for A0425 ($7 avg paid/claim) compared with Medicaid ($51 avg paid/claim), highlighting large per-claim payment differences across payers for the same mileage code.
The mix of high-dollar transport codes shows Medicare pays much more per transport claim for care-intensity services: A0427 averages $367 per paid Medicare claim (1.1K claims, $392.3K revenue) versus $128 avg paid/claim for A0427 in Medicaid (1.8K claims, $226.2K). Similarly, A0428 averages $193 per paid Medicare claim (1.6K claims, $300.1K) versus $56 in Medicaid (12K claims, $669.5K), signaling that Medicare encounters are fewer but higher-paid per trip while Medicaid volume is larger at lower per-claim rates.
On national competitiveness for Medicare billing, the provider is a notable outlier for mileage: A0425 ranks #255 of 8934 providers nationally (97th percentile; notably above typical national volume for this code), indicating unusually high reported mileage billing relative to most peers. By contrast, its Medicare ranks for transport level codes are solid but not dominant — A0427 at the 90th percentile and A0428 at the 83rd percentile (both labeled typical, unremarkable volume) — which suggests exceptional mileage activity but otherwise typical transport volumes by national benchmarks.
Within Alabama Medicaid comparisons, LIFEGUARD is a strong in-state participant for BLS non-emergency transport and mileage: A0428 ranks #12 of 78 providers in-state (86th percentile) and A0425 ranks #28 of 131 (79th percentile), both described as typical, unremarkable volume but toward the upper range of state peers. Advanced life support emergency transports (A0427) are more middle-of-pack in-state, ranking #55 of 102 providers (47th percentile), which indicates the organization competes for both BLS and ALS work but is not a statewide leader for ALS emergency volume.
The provider’s operational profile implied by its code mix is a hybrid emergency and non-emergency ground-ambulance service with heavy reliance on mileage reimbursement and routine disposable supplies (A0382 appears in Medicaid top codes). This pattern—high mileage plus substantial BLS non-emergency volume—suggests logistics and transport throughput are core to revenue rather than high volumes of advanced interventions.
LIFEGUARD AMBULANCE has an established presence with an NPI enumerated on 2014-04-02 (~12 years ago), supporting that these billing patterns reflect a multi-year operating model rather than a new entrant spike. Given the tight revenue concentration in the top three codes for both payers, analysts should monitor contract changes or reimbursement policy shifts for A0425/A0428/A0427 as material risks or opportunities for revenue volatility.
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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 69,010 | $10 | $483.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,070 | $370 | $392.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,560 | $190 | $300.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 290 | $310 | $91.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 120 | $230 | $26.9K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $540 | $10.7K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 15,040 | $50 | $767.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 11,960 | $60 | $669.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,770 | $130 | $226.2K |
| A0382 | Bls routine disposable supplies | 5,420 | $20 | $108.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 690 | $110 | $74K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 400 | $10 | $4K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 60 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alabama median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 28 | 130 | 3,610 | $40 | $394K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 55 | 100 | 1,850 | $90 | $379.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 12 | 80 | 2,590 | $40 | $248.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 58 | 90 | 1,170 | $70 | $209.8K |
| A0382 | Bls routine disposable supplies | 10 | 40 | 1,930 | $20 | $77.6K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 12 | 20 | 410 | $10 | $12.1K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 7 | 10 | 200 | $1 | $240 |
Other providers in the same ZIP code as Lifeguard Ambulance Service LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Simon-williamson Clinic, P.C. | AL | Internal Medicine Physician | $0 | $3.6M |
| Bbh Pbmc, LLC | AL | General Acute Care Hospital | $0 | $3.1M |
| Farrell Mendelsohn | AL | Cardiovascular Disease Physician | $1.3M | $0 |
| Simon Williamson Clinic Pediatrics PC | AL | Pediatrics Physician | $0 | $1M |
| David Sibley | AL | Cardiovascular Disease Physician | $627.4K | $0 |
| Hutton Brantley | AL | Cardiovascular Disease Physician | $552.2K | $0 |
| Vasudeva Goli | AL | Cardiovascular Disease Physician | $454K | $0 |
| Jason Tsai | AL | Nephrology Physician | $448K | $0 |
| Thomas Cawthon | AL | Cardiovascular Disease Physician | $410.6K | $0 |
| Ariana Diamond | AL | Ophthalmology Physician | $284.1K | $0 |
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