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NPI 1154471332 · Kenosha, WI · Land Ambulance
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Ljh Ambulance, Inc is a land ambulance provider located in Kenosha, Wisconsin. This profile covers 5 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 | Ljh Ambulance, Inc |
| Address | 6329 28th Ave |
| City | Kenosha |
| State | WI |
| ZIP | 53143 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | January 11, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $756.8K |
| Medicaid | $565.7K |
LJH AMBULANCE, INC operates primarily as a land ambulance/BLS transport provider: its highest-revenue codes are A0428 (BLS non-emergency) and A0429 (BLS emergency), with ground mileage (A0425) also a major revenue driver. The Medicare top code A0428 accounts for $381.3K of Medicare revenue with 1.9K claims at $204 avg paid/claim, while Medicaid shows 8.1K A0428 claims and $299.8K revenue at $37 avg paid/claim, indicating core operations are focused on frequent basic life-support transports and mileage-based trips across both payers.
Revenue concentration is very high on a small set of codes for each payer: the top 3 codes by revenue account for 86.5% of this provider's total Medicare revenue and the top 3 Medicaid codes account for 90.1% of this provider's total Medicaid revenue. This concentration signals that business performance and payer negotiations will be highly sensitive to reimbursement changes on A0428, A0425 and A0429/A0427.
The payer mix shows Medicare is the slightly larger single source by lifetime revenue with Total Medicare revenue of $756.8K versus Total Medicaid revenue of $565.7K. Both programs are material to the business rather than the provider being effectively single-payer, so operational and contracting strategies should consider both Medicare and Medicaid dynamics.
Competitively, LJH’s Medicare volumes for its top codes are in line with typical national peers: A0428 ranks #386 of 2772 (86th percentile) and is described as typical, unremarkable volume, while A0425 ranks #1006 of 8934 (89th percentile) and A0429 ranks #1434 of 7808 (82th percentile). These percentiles suggest the provider is a routine, regionally relevant participant on Medicare for BLS and mileage services rather than a dominant national operator.
In-state Medicaid standing is stronger on specific lines: A0428 ranks #5 of 28 in Wisconsin (85th percentile) and A0425 ranks #9 of 158 (95th percentile), both labeled as typical, unremarkable volume but placing the provider among the higher-volume peers in-state for BLS non-emergency and mileage. By contrast, A0429 and A0427 Medicaid ranks (#44 of 153 and #82 of 166, respectively) place the provider closer to mid-tier statewide for emergency and ALS transports.
There are clear payer rate differentials on the same services: for A0428 the avg paid/claim is $204 on Medicare versus $37 on Medicaid, and for A0429 the avg paid/claim is $327 on Medicare versus $86 on Medicaid. These per-claim disparities underline how revenue mix and payer composition materially affect realized income even when claim volumes are concentrated on the same CPT/HCPCS codes.
Operational footprint appears mileage-intensive: Medicare shows 21.1K claims for A0425 (ground mileage) producing $147.7K revenue, and Medicaid shows 11.2K A0425 claims producing $44.8K revenue, indicating frequent transports over distance drive a notable share of billing activity. Given the prominence of mileage in both payers’ profiles, changes to mileage reimbursement policy or trip lengths could disproportionately affect the provider’s revenue.
The provider has a long-tenured NPI (NPI enumerated: 2007-01-11 (~19 years ago)), indicating established operations and sustained billing history across both Medicare and Medicaid. Small-code outliers include Medicaid A0380 (13 claims, $208 revenue) which ranks #102 of 106 (1th percentile) and is labeled typical, unremarkable volume for that code, confirming negligible activity on that particular billing line despite the otherwise concentrated ambulance/mileage mix.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,870 | $200 | $381.3K |
| A0425 | Ground mileage, per statute mile | 21,100 | $10 | $147.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 390 | $330 | $127.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 190 | $390 | $73.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 120 | $250 | $28.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8,100 | $40 | $299.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,630 | $90 | $139.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 700 | $100 | $71.1K |
| A0425 | Ground mileage, per statute mile | 11,190 | $1 | $44.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 380 | $30 | $11K |
| A0380 | Bls mileage (per mile) | 10 | $20 | $210 |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin 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) | 44 | 150 | 450 | $150 | $480.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 82 | 170 | 690 | $150 | $372.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 30 | 700 | $40 | $231.9K |
| A0380 | Bls mileage (per mile) | 102 | 110 | 290 | $30 | $113.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 8 | 30 | 120 | $60 | $21.9K |
| A0425 | Ground mileage, per statute mile | 9 | 160 | 770 | $10 | $20.6K |
Other providers in the same ZIP code as Ljh Ambulance, Inc, ranked by combined Medicare and Medicaid revenue.
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