Loading...
NPI 1154394500 · Newark, DE · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Aetna Hose, Hook And Ladder Company Of Newark Delaware is a land ambulance provider located in Newark, Delaware. This profile covers 2 Medicare and 6 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 | Aetna Hose, Hook And Ladder Company Of Newark Delaware |
| Address | 31 Academy St |
| City | Newark |
| State | DE |
| ZIP | 19711 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $774K |
| Medicaid | $481.1K |
Revenue-scale and payer mix: This provider reports $774K in lifetime Medicare revenue and $481.1K in lifetime Medicaid revenue, so Medicare is the larger single payer by dollars while Medicaid represents a material secondary revenue stream. Both payers contribute meaningfully to the operation’s scale rather than the provider being effectively single-payer.
Service-line profile: The taxonomy and code mix indicate a ground ambulance operation dominated by basic life support emergency transports and mileage billing; the top Medicare code is A0429 (Ambulance service, basic life support, emergency transport) and the top Medicaid codes are similarly A0429, A0380 (Bls mileage), and A0425 (Ground mileage), consistent with an ALS/BLS ground-ambulance service-line focused on emergency transports.
Medicare revenue concentration: Top 3 Medicare codes account for 100.0% of this provider’s Medicare revenue, with A0429 contributing $684.6K (88.3% of Medicare revenue) and A0425 contributing $91.1K (11.7%). This concentration indicates Medicare revenue is almost entirely driven by BLS emergency transports and associated mileage.
Medicaid revenue concentration: Top 3 Medicaid codes account for 99.7% of this provider’s Medicaid revenue, led by A0429 at $375.7K (79.1%), followed by A0380 at $53.1K (11.2%) and A0425 at $44.6K (9.4%). Medicaid revenue is likewise highly concentrated in BLS emergency transports and mileage-related codes, showing consistent payer-level service focus.
Competitive standing — Medicare: The provider’s A0429 volume is a national outlier, ranking #177 of 7808 providers (98th percentile) and labeled as “notably above typical national volume,” indicating the provider has substantially higher-than-typical Medicare BLS emergency transport activity for this code. In contrast, A0425 for Medicare ranks #1603 of 8934 (82th percentile) and is described as typical volume, so mileage billing on Medicare is not an extreme outlier.
Competitive standing — Medicaid (state-level): On Medicaid, A0429 ranks #5 of 61 providers in-state (93th percentile), A0380 ranks #4 of 51 (94th percentile), and A0425 ranks #4 of 47 (93th percentile). These rankings place the provider among the highest-volume Medicaid ground-ambulance billers in Delaware for its principal codes, signaling a strong statewide presence in BLS transport and mileage billing.
Operational notes from claims with no paid value: The Medicaid file shows non-zero claims for codes such as 94760 (2.8K claims) and 82948 (83 claims) with $0 avg paid/claim and $0 revenue reported, indicating that some clinical measurements or point-of-care test claims were submitted but did not generate reimbursed revenue under Medicaid. These zero-paid claim lines suggest administrative or coverage distinctions for those ancillary services rather than material revenue drivers.
Tenure and institutional implication: The provider’s NPI was enumerated on 2006-02-08 (~20 years ago), which, combined with concentrated, high-volume billing for A0429 across both Medicare and Medicaid, supports characterization of an established, long-running ground ambulance operator with sustained focus on BLS emergency transports.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9,890 | $40 | $375.7K |
| A0380 | Bls mileage (per mile) | 4,830 | $10 | $53.1K |
| A0425 | Ground mileage, per statute mile | 4,950 | $10 | $44.6K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 500 | $1 | $1.5K |
| 82948 | The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method. | 80 | $0 | $0 |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 2,820 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Delaware median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 60 | 1,700 | $50 | $211.4K |
| A0425 | Ground mileage, per statute mile | 4 | 50 | 670 | $10 | $18.9K |
| A0380 | Bls mileage (per mile) | 4 | 50 | 860 | $10 | $16.1K |
| 82948 | The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method. | 4 | 10 | 250 | $1 | $6.9K |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 9 | 30 | 620 | $1 | $4.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2 | 10 | 50 | $1 | $680 |
Other providers in the same ZIP code as Aetna Hose, Hook And Ladder Company Of Newark Delaware, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.