Loading...
NPI 1174528335 · Indianapolis, IN · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Seals Ambulance Service, Inc. is a land ambulance provider located in Indianapolis, Indiana. This profile covers 7 Medicare and 11 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 | Seals Ambulance Service, Inc. |
| Address | 2400 Roosevelt Ave |
| City | Indianapolis |
| State | IN |
| ZIP | 46218 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 15, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.7M |
| Medicare | $1.8M |
SEALS AMBULANCE SERVICE, INC. reports materially more revenue from Medicaid than Medicare, with Total Medicare revenue of $1.8M versus Total Medicaid revenue of $10.7M, indicating Medicaid is the dominant payer for this operator rather than a balanced payer mix. This scale difference suggests the business relies heavily on state program volumes to drive cash flow and utilization.
Revenue is highly concentrated in a small set of transport codes for both payers: the precomputed top 3 Medicare codes account for 73.0% of Medicare revenue and the precomputed top 3 Medicaid codes account for 76.3% of Medicaid revenue. That concentration implies the business’s financial performance is tightly linked to a few transport service lines, chiefly ALS/BLS transports and ground mileage.
The code mix (A0427, A0428, A0429 and A0425 prominently present across payers) characterizes SEALS as a full-spectrum land ambulance operation that performs both emergency advanced life support (A0427) and basic life support transports (A0428, A0429) as well as high-volume ground mileage (A0425). The presence of A0130 (wheelchair van) and minor specialty care transport (A0434) line items further indicates it offers non-emergency wheelchair/van services in addition to routine and emergency ambulance runs.
On Medicare, the provider’s largest revenue drivers are A0427 (29.3% of this provider's total Medicare revenue; ranks #536 of 6841 providers nationally (92th percentile; typical, unremarkable volume for this code)), A0428 (25.8%; ranks #323 of 2772 providers nationally (88th percentile; typical, unremarkable volume for this code)), and A0429 (18.0%; ranks #511 of 7808 providers nationally (93th percentile; typical, unremarkable volume for this code)). Despite these three codes making up most Medicare revenue, the rank/percentile annotations characterize the provider’s Medicare volumes as typical or unremarkable at the national level rather than dominant.
By contrast, SEALS is a major outlier within Indiana Medicaid for core lines: A0428 on Medicaid is 50.1K claims and $3.1M revenue and ranks #4 of 112 providers in-state (97th percentile; extreme outlier, far above typical state volume for this code), and A0425 is 84K claims and $2.8M revenue and ranks #6 of 327 providers in-state (98th percentile; notably above typical state volume for this code). These in-state rankings indicate SEALS is a leading provider in Indiana for non-emergency BLS transports and billed mileage and that its competitive standing is substantially stronger in Medicaid than in Medicare.
The Medicaid operational footprint is large in raw volume: A0428 (50.1K claims, $3.1M revenue), A0425 (84K claims, $2.8M revenue), and A0427 (14.5K claims, $2.3M revenue) are the top Medicaid contributors, showing very high claim counts underpinning the $10.7M Medicaid total. That pattern—high claim count with mid-range per-claim payments—points to a business model oriented toward frequent, routine transports rather than a few high-dollar specialized interventions.
There is a notable per-claim payment gap for comparable codes across payers: for example, A0427 average paid/claim on Medicare is $373 (Medicare A0427: 1.4K claims, $373 avg paid/claim, $516.6K revenue) while Medicaid A0427 shows $157 avg paid/claim (Medicaid A0427: 14.5K claims, $157 avg paid/claim, $2.3M revenue). This spread is consistent with a Medicaid-heavy revenue mix driven by volume rather than Medicare-level per-claim reimbursements, and it underscores payer-driven price pressure on unit economics.
SEALS has an established presence with an NPI enumerated on 2005-06-15 (~21 years ago), which supports the interpretation of an enduring, operational land ambulance business. Specialty care transport contributes only modest revenue (Medicare A0434 $98.7K, 5.6% of Medicare revenue; Medicaid A0434 $1.5K, 0.0% of Medicaid revenue), reinforcing that the core business is routine emergency and non-emergency ground transport rather than a large SCT or niche specialty-transport program.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,390 | $370 | $516.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,300 | $200 | $454.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,010 | $310 | $317.4K |
| A0425 | Ground mileage, per statute mile | 43,980 | $10 | $307.9K |
| A0434 | Specialty care transport (sct) | 150 | $650 | $98.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 240 | $240 | $55.5K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $540 | $15K |
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 50,100 | $60 | $3.1M |
| A0425 | Ground mileage, per statute mile | 84,020 | $30 | $2.8M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 14,510 | $160 | $2.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13,270 | $150 | $1.9M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4,490 | $120 | $520.8K |
| A0130 | Non-emergency transportation: wheelchair van | 8,570 | $10 | $85.7K |
| A0434 | Specialty care transport (sct) | 190 | $10 | $1.5K |
| A0170 | Transportation ancillary: parking fees, tolls, other | 90 | $0 | $0 |
| A0382 | Bls routine disposable supplies | 840 | $0 | $0 |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 1,890 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7 | 180 | 1,730 | $180 | $744.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14 | 200 | 1,130 | $160 | $730.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4 | 110 | 1,050 | $60 | $342.7K |
| A0425 | Ground mileage, per statute mile | 6 | 330 | 2,010 | $30 | $266.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4 | 60 | 210 | $120 | $112.3K |
| A0130 | Non-emergency transportation: wheelchair van | 10 | 80 | 730 | $30 | $88.7K |
| A0434 | Specialty care transport (sct) | 3 | 10 | 120 | $60 | $20.2K |
| A0170 | Transportation ancillary: parking fees, tolls, other | 10 | 10 | 480 | $1 | $240 |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 1 | 10 | 1,380 | $1 | $120 |
| A0382 | Bls routine disposable supplies | 2 | 10 | 800 | $1 | $110 |
Showing 1–10 of 11
Other providers in the same ZIP code as Seals Ambulance Service, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Healthnet, Inc. | IN | Federally Qualified Health Center (FQHC) | $0 | $74M |
| Denise Moore | IN | Clinical Social Worker | $0 | $5.6M |
| The Health And Hospital Corporation Of Marion County | IN | Federally Qualified Health Center (FQHC) | $0 | $5M |
| City Optical Co., Inc. | IN | Optometrist | $0 | $2.8M |
| Familia Dental Indianapolis Avondale, LLC | IN | Dental Clinic/Center | $0 | $2.8M |
| Sherman Westend Dental LLC | IN | General Practice Dentistry | $0 | $2.7M |
| East Campus Surgery Center LLC | IN | Ambulatory Surgical Clinic/Center | $663.1K | $683.4K |
| Ruth Human | IN | Family Nurse Practitioner | $49.4K | $0 |
| Linda Fundenberger | IN | Ophthalmology Physician | $36.7K | $10.3K |
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.