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NPI 1174513501 · Arlington, MA · Ambulance
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Armstrong Ambulance Service is a ambulance provider located in Arlington, Massachusetts. This profile covers 7 Medicare and 13 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 | Armstrong Ambulance Service |
| Address | 87 Mystic St. |
| City | Arlington |
| State | MA |
| ZIP | 02474 |
| Taxonomy | Ambulance |
| NPI Enumerated | October 26, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.4M |
| Medicare | $4.6M |
ARMSTRONG AMBULANCE SERVICE is an ambulance-centric operator: its top Medicare revenue drivers are A0429, A0428 and A0427, and the Medicaid mix is similarly dominated by A0429, A0428 and A0427, indicating the business primarily provides both emergency BLS and ALS transports as well as non-emergency BLS services across payers. The presence of ground mileage A0425 in the top Medicare and Medicaid lists further supports a high-volume point-to-point transport operation rather than a specialized clinic or inpatient service line.
Revenue concentration is high on both payers: the precomputed top-three codes account for 81.7% of Medicare revenue and 79.8% of Medicaid revenue, meaning a small set of ambulance transport codes drive nearly all of the provider’s billing. This concentration suggests changes in reimbursement or utilization for those few codes would materially move overall revenue.
Payer mix shows Medicaid scale is larger than Medicare for this provider: total Medicare revenue is $4.6M while total Medicaid revenue is $12.4M, indicating Medicaid represents the dominant payer relationship by revenue. The provider therefore operates in a Medicaid-heavy reimbursement environment and may be sensitive to state-level policy and rates for non-emergency and emergency transports.
On Medicare, A0429 is an extreme outlier nationally: ARMSTRONG ranks #68 of 7808 providers (99th percentile) for A0429, and this single code represents $1.6M and 35.6% of the provider’s Medicare revenue. That national standing implies the provider is an unusually large BLS-emergency Medicare biller compared with most peers and may serve a high volume of emergency calls or a large geographic area for Medicare beneficiaries.
For Medicaid, volumes are also large in-state but more typical relative to peers: A0429 has $5.2M (41.5% of Medicaid revenue) and ranks #10 of 242 in-state (96th percentile), and A0428 and A0427 also rank in high percentiles statewide. Collectively these ranks indicate ARMSTRONG is a major Medicaid ambulance provider in Massachusetts, with particularly high throughput on BLS emergency and non-emergency transports.
Medicare-specific ancillary codes show notable activity: ground mileage A0425 accounts for $624.1K (13.6% of Medicare revenue) and ranks notably above typical national volume (98th percentile), indicating substantial transport distances billed on Medicare cases. Specialty care transport A0434 and ALS 2 A0433 appear in the Medicare top list but contribute much smaller shares, suggesting most revenue comes from BLS and ALS1 runs rather than specialized interfacility critical care transports.
The provider’s tenure is long-standing: the NPI was enumerated on 2005-10-26 (approximately 21 years ago), signaling established operations and multi-year billing history to analyze trends or contractual relationships. That longevity, combined with concentrated code mix and high state/national ranks, points to entrenched service patterns rather than a new entrant effect.
Competitive standing differs by scope: nationally on Medicare ARMSTRONG is an extreme outlier for A0429 and ranks highly for several other transport codes, making it a prominent national-volume biller for at least one BLS emergency code; statewide for Medicaid it ranks consistently in the upper percentiles across the same core codes, indicating a dominant or near-dominant position within Massachusetts for ambulance transport 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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,270 | $380 | $1.6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,760 | $240 | $1.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,160 | $450 | $968K |
| A0425 | Ground mileage, per statute mile | 89,150 | $10 | $624K |
| A0434 | Specialty care transport (sct) | 130 | $780 | $104.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 240 | $290 | $68.5K |
| A0433 | Advanced life support, level 2 (als 2) | 60 | $640 | $40.3K |
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.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 30,020 | $170 | $5.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 31,090 | $90 | $2.7M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 10,880 | $190 | $2M |
| A0425 | Ground mileage, per statute mile | 71,890 | $20 | $1.6M |
| A0130 | Non-emergency transportation: wheelchair van | 18,220 | $30 | $528.3K |
| S0215 | Non-emergency transportation; mileage, per mile | 17,640 | $10 | $229.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 630 | $130 | $82.6K |
| A0434 | Specialty care transport (sct) | 140 | $350 | $50.3K |
| A0999 | Unlisted ambulance service | 840 | $50 | $41.3K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 120 | $50 | $5.3K |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 12 | 60 | 9,300 | $90 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10 | 240 | 980 | $180 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 11 | 220 | 1,290 | $180 | $740.6K |
| A0130 | Non-emergency transportation: wheelchair van | 21 | 80 | 5,670 | $30 | $449K |
| A0434 | Specialty care transport (sct) | 23 | 30 | 210 | $390 | $404.6K |
| A0425 | Ground mileage, per statute mile | 13 | 300 | 2,300 | $20 | $267.6K |
| S0215 | Non-emergency transportation; mileage, per mile | 35 | 100 | 8,500 | $10 | $253.8K |
| A0999 | Unlisted ambulance service | 9 | 20 | 690 | $30 | $155.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 18 | 40 | 510 | $140 | $137K |
| 0012A | N/A | 211 | 230 | 70 | $30 | $14K |
Showing 1–10 of 13
Other providers in the same ZIP code as Armstrong Ambulance Service, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Town Of Arlington | MA | Land Ambulance | $338.9K | $581.6K |
| Hetal Verma | MA | Diagnostic Radiology Physician | $41.5K | $178.3K |
| Darcy Thomas | MA | Family Medicine Physician | $31.8K | $0 |
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