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NPI 1184615684 · Bristol, CT · Land Ambulance
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Bristol Hospital Ems, LLC is a land ambulance provider located in Bristol, Connecticut. This profile covers 7 Medicare and 9 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 | Bristol Hospital Ems, LLC |
| Address | 371 Terryville Ave |
| City | Bristol |
| State | CT |
| ZIP | 06010 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 3, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $7.1M |
| Medicare | $1M |
Business/service-line: BRISTOL HOSPITAL EMS, LLC operates as a land ambulance provider — its top billed CPT/HCPCS entries are A0429, A0427 and A0428 across both payers, consistent with a mixed emergency/basic life support (BLS) and advanced life support (ALS) ground-transport operation. The presence of substantial ground mileage billing (A0425) alongside these transport codes reinforces that routine patient movement and on-scene emergency response are the core service lines.
Revenue concentration: Revenue is highly concentrated in a small set of transport codes: the provider’s top 3 Medicare codes account for 86.1% of its Medicare revenue and the top 3 Medicaid codes account for 91.1% of its Medicaid revenue. This concentration indicates that a few transport services (emergency BLS and ALS plus BLS non-emergency) drive the overwhelming share of reimbursement for this business.
Payer mix: BRISTOL HOSPITAL EMS reports $1M in total Medicare revenue versus $7.1M in total Medicaid revenue, making Medicaid the dominant payer by scale for this provider. The disparity in scale implies the operation is effectively Medicaid-focused at present, with Medicaid generating the bulk of claims volume and dollars.
Medicare competitive standing: Nationally, the provider’s volumes for top Medicare codes are described as "typical, unremarkable volume for this code" despite respectable percentile placements (for example A0429 ranks #536 of 7808, 93th percentile; A0427 ranks #1010 of 6841, 85th percentile; A0428 ranks #696 of 2772, 75th percentile). These rank positions and the provided label suggest BRISTOL HOSPITAL EMS is a modest participant nationally on ambulance transport codes rather than an outlier or dominant national operator.
Medicaid competitive standing (in-state): Within Connecticut the provider shows stronger standing on key transport codes — A0429 ranks #9 of 122 (93th percentile), A0427 ranks #8 of 80 (91th percentile), and A0425 ranks #6 of 128 (96th percentile) — each noted as "typical, unremarkable volume for this code." Taken together, these placements indicate a meaningful in-state presence for emergency ground-transport services and a competitive position among Connecticut ambulance suppliers.
Mileage and ancillary code patterns: Ground mileage billing (A0425) appears prominently in claims volume for both payers (13.8K Medicare claims and 49.4K Medicaid claims) and contributes measurable revenue on each payer (Medicare $96.7K, Medicaid $395.5K); A0425 also ranks high in-state (6 of 128, 96th percentile, "typical, unremarkable volume for this code"). Several Medicaid-listed service codes (A0130, S0209, and A0433) show nonzero claim counts but report $0 avg paid/claim and $0 revenue, which indicates those line items appear on submitted Medicaid claims in this file but did not record paid dollars in the dataset.
Payment level differences by payer: For the same transport services there is a clear difference in average paid per claim between Medicare and Medicaid in these records: Medicare average paid/claim for A0429 is $360, A0427 is $430 and A0428 is $226, while Medicaid average paid/claim for A0429 is $140, A0427 is $139 and A0428 is $60. These stated averages show that Medicaid paid amounts per claim for the provider's main transport codes are materially lower than the Medicare averages presented in the file, which helps explain why higher Medicaid claim volumes yield larger total Medicaid revenue.
Tenure and market implication: The provider’s NPI was enumerated on 2005-11-03 (~21 years ago), indicating long tenure in the market. This established presence, combined with a Medicaid-dominant revenue base and strong in-state ranking on key transport codes, suggests entrenched operational relationships with Connecticut payers and referral sources.
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) | 980 | $360 | $351.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 750 | $430 | $324.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 870 | $230 | $196.8K |
| A0425 | Ground mileage, per statute mile | 13,810 | $10 | $96.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 80 | $270 | $22.1K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $630 | $11.3K |
| A0434 | Specialty care transport (sct) | 10 | $740 | $10.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
View: State1 / 2
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 22,960 | $140 | $3.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 15,950 | $140 | $2.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 16,860 | $60 | $1M |
| A0425 | Ground mileage, per statute mile | 49,440 | $10 | $395.5K |
| S0215 | Non-emergency transportation; mileage, per mile | 7,890 | $20 | $118.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,110 | $110 | $117.2K |
| A0130 | Non-emergency transportation: wheelchair van | 3,140 | $0 | $0 |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $0 | $0 |
| S0209 | Wheelchair van, mileage, per mile | 3,130 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | 20 | 17,430 | $80 | $2.7M |
| S0215 | Non-emergency transportation; mileage, per mile | 9 | 20 | 10,360 | $20 | $2.6M |
| S0209 | Wheelchair van, mileage, per mile | 2 | 10 | 93,680 | $20 | $2M |
| A0130 | Non-emergency transportation: wheelchair van | 2 | 10 | 1,950 | $30 | $1.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9 | 120 | 1,930 | $180 | $1.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8 | 80 | 900 | $190 | $1.3M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5 | 10 | 360 | $120 | $206.1K |
| A0425 | Ground mileage, per statute mile | 6 | 130 | 2,510 | $10 | $141.8K |
| A0433 | Advanced life support, level 2 (als 2) | 2 | 10 | 20 | $0 | $0 |
Other providers in the same ZIP code as Bristol Hospital Ems, LLC, ranked by combined Medicare and Medicaid revenue.
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