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NPI 1104872142 · North Canton, OH · Land Ambulance
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Emergency Medical Transport Inc is a land ambulance provider located in North Canton, Ohio. 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 | Emergency Medical Transport Inc |
| Address | 7100 Whipple Ave Nw Ste A |
| City | North Canton |
| State | OH |
| ZIP | 44720 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.9M |
| Medicare | $2M |
This provider’s payer mix is heavily weighted toward Medicaid, with total Medicaid revenue of $8.9M versus total Medicare revenue of $2M, making Medicaid the primary revenue source by scale. The gap indicates the operation is primarily serving state-covered patients while still maintaining a measurable Medicare business line.
Revenue is highly concentrated within a handful of transport codes on both payers: the top 3 Medicare codes by revenue account for 84.8% of the provider’s Medicare receipts, and the top 3 Medicaid codes by revenue account for 85.1% of the provider’s Medicaid receipts. That concentration signals reliance on a small set of core ambulance/mileage services rather than a broad mix of ancillary billings.
The code mix identifies the business as a land ambulance operator focused on both emergency and non-emergency transports: Medicare and Medicaid top codes include A0429 (BLS emergency), A0427 (ALS1 emergency), and A0425 (ground mileage), with supporting volume in A0428 (BLS non-emergency) and wheelchair van codes such as A0130 and S0209 on Medicaid. This pattern suggests a high-throughput transport operation that bills for both emergent ALS/BLS services and significant mileage and non-emergency wheelchair-van activity.
On Medicare this provider is a strong national performer for key emergency transport services: A0429 ranks #167 of 7808 providers nationally (98th percentile, described as notably above typical national volume), A0427 ranks #433 of 6841 (94th percentile), and A0425 ranks #416 of 8934 (95th percentile). Given that these three codes drive 84.8% of Medicare revenue, the national high-percentile standing for those codes implies above-average market presence in Medicare ambulance billings.
In the state Medicaid market the provider is a dominant volume player for ambulance transports and mileage: A0429 ranks #5 of 475 providers in-state (99th percentile; extreme outlier), A0427 ranks #9 of 505 (98th percentile; notably above typical), and A0425 ranks #11 of 675 (99th percentile; extreme outlier). Those in-state rankings, together with the fact that these three codes account for 85.1% of Medicaid revenue, indicate major competitive standing in Ohio Medicaid transport services.
Payment-level comparisons show materially different average payments across payers for the same service mix: for A0429 the average paid/claim is $319 on Medicare versus $101 on Medicaid, for A0427 $379 on Medicare versus $137 on Medicaid, and for A0425 $8 on Medicare versus $13 on Medicaid. These figures indicate lower per-claim Medicaid reimbursement for emergency transports but higher per-mile Medicaid reimbursement relative to Medicare for A0425, reflecting payer-specific payment structures the operation must manage.
Claim volumes reinforce the Medicaid-heavy footprint: Medicaid claim counts are 35.2K for A0429, 22.5K for A0427, and 74.7K for A0425, whereas Medicare claim counts are 2.2K for A0429, 1.6K for A0427, and 48.2K for A0425. The far larger Medicaid claim volumes for the same core codes explain the revenue split and underscore operational scale in state-contracted or state-covered transports.
The provider has an established tenure with an NPI enumerated on 2006-05-25 (~20 years ago), consistent with a sustained operational presence required to support the high-volume transport activity observed. The billing mix shows little reliance on higher-acuity, low-volume codes (for example A0433 and A0426 contribute small shares), suggesting the enterprise is optimized for frequent BLS/ALS1 emergency and non-emergency transports rather than specialized ALS2 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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,190 | $320 | $698K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,620 | $380 | $615.5K |
| A0425 | Ground mileage, per statute mile | 48,160 | $10 | $385.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,270 | $200 | $254.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 150 | $240 | $35.7K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $550 | $13.7K |
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 35,250 | $100 | $3.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 22,480 | $140 | $3.1M |
| A0425 | Ground mileage, per statute mile | 74,700 | $10 | $971.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 15,940 | $40 | $685.4K |
| A0130 | Non-emergency transportation: wheelchair van | 20,330 | $20 | $447.1K |
| S0209 | Wheelchair van, mileage, per mile | 20,350 | $10 | $122.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,070 | $80 | $80.9K |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 24 | 130 | 3,720 | $50 | $544.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9 | 510 | 1,080 | $120 | $365.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 480 | 880 | $90 | $260K |
| A0130 | Non-emergency transportation: wheelchair van | 23 | 150 | 3,580 | $20 | $208K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 25 | 80 | 380 | $80 | $132.1K |
| A0425 | Ground mileage, per statute mile | 11 | 680 | 2,020 | $10 | $98.4K |
| S0209 | Wheelchair van, mileage, per mile | 23 | 150 | 3,580 | $10 | $73.5K |
Other providers in the same ZIP code as Emergency Medical Transport Inc, ranked by combined Medicare and Medicaid revenue.
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