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NPI 1184858359 · Owings Mills, MD · Land Ambulance
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Plmd, LLC is a land ambulance provider located in Owings Mills, Maryland. This profile covers 6 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 | Plmd, LLC |
| Address | 10715 Red Run Blvd Ste 110 |
| City | Owings Mills |
| State | MD |
| ZIP | 21117 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 4, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.4M |
| Medicaid | $1.3M |
PLMD, LLC operates under the Land Ambulance taxonomy and its claim mix is dominated by ground ambulance transports and mileage-based billing, consistent with an EMS/transport operator rather than an in-hospital service line. The highest-revenue Medicare and Medicaid codes are A0428, A0425, and A0427/A0426 variants, indicating a focus on basic life support non-emergency transports and large mileage activity alongside some advanced-life-support transports.
Medicare revenue is highly concentrated: the precomputed top-3 Medicare codes account for 92.9% of this provider's total Medicare revenue. In Medicare specifically, A0428 accounts for $2.2M (66.6% of Medicare revenue), A0425 contributes $637.6K (18.9%), and A0427 contributes $249.9K (7.4%), showing dependence on a narrow set of transport-related codes.
Medicaid revenue is even more concentrated: the precomputed top-3 Medicaid codes account for 99.8% of this provider's total Medicaid revenue. For Medicaid, A0425 dominates with $1.2M (91.0% of Medicaid revenue), followed by A0428 at $81.9K (6.4%) and A0426 at $31.2K (2.4%), signaling almost exclusive reliance on a few transport/mileage codes in the state program.
Payer mix shows Medicare is the larger source of billed revenue at $3.4M versus Medicaid at $1.3M, so this provider is not single-payer but leans more heavily on Medicare as the primary revenue stream. Both payers are active contributors to the business model, with Medicaid dominated by mileage billing while Medicare shows a mix of high-volume BLS non-emergency trips plus mileage and some ALS emergency transports.
On national Medicare competitive standing, A0428 is a striking outlier: the provider reports 10K Medicare claims and $2.2M revenue for A0428 and ranks #47 of 2772 (98th percentile; extreme outlier), indicating unusually high national volume for BLS non-emergency transports. A0425 on Medicare also ranks highly at #178 of 8934 (98th percentile; notably above typical national volume), reinforcing that mileage billing volume is far above most peers nationally, while A0427 ranks #1302 of 6841 (81th percentile; typical, unremarkable volume).
Within the state Medicaid market the provider is an upper-quartile participant on its top codes but not universally dominant: A0425 ranks #10 of 79 in-state (88th percentile) and A0428 ranks #4 of 23 in-state (86th percentile), suggesting strong in-state presence on mileage and BLS non-emergency transports but not absolute market dominance across all code lines. Other Medicaid codes such as A0426 and A0427 sit at mid-to-lower percentiles (55th and 45th respectively), showing more modest in-state activity for ALS and emergency transports.
Operationally, the scale of mileage and BLS non-emergency activity is noteworthy: the provider reported 91.1K Medicare claims for A0425 and 10K Medicare claims for A0428, plus 23.7K Medicaid claims for A0425 and 20.5K Medicaid claims for A0428, which together point to heavy fleet utilization and routine non-emergency patient transport operations. This mix suggests a business model built around frequent point-to-point transfers with revenue driven by both per-transport payments and extensive mileage billing.
PLMD, LLC has a long-tenured NPI (enumerated 2009-05-04, ~17 years ago), indicating an established presence in its service area; the combination of sustained Medicare and Medicaid billing and high ranked volumes on core transport codes suggests the organization has maintained consistent operational scale over time.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10,030 | $220 | $2.2M |
| A0425 | Ground mileage, per statute mile | 91,090 | $10 | $637.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 590 | $430 | $249.9K |
| A0434 | Specialty care transport (sct) | 230 | $730 | $165.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 210 | $270 | $57.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 50 | $350 | $16.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 23,710 | $50 | $1.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20,470 | $1 | $81.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,150 | $30 | $31.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 780 | $1 | $2.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 130 | $1 | $130 |
| A0434 | Specialty care transport (sct) | 80 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
6 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) | 49 | 90 | 1,050 | $90 | $996.5K |
| A0425 | Ground mileage, per statute mile | 10 | 80 | 1,580 | $30 | $407.9K |
| A0434 | Specialty care transport (sct) | 9 | 10 | 590 | $240 | $332K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4 | 20 | 5,240 | $30 | $289K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 6 | 10 | 880 | $90 | $154.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 32 | 50 | 620 | $10 | $27.9K |
Other providers in the same ZIP code as Plmd, LLC, ranked by combined Medicare and Medicaid revenue.
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