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NPI 1215020441 · Flint, MI · Land Ambulance
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Patriot Ambulance Service, Inc. is a land ambulance provider located in Flint, Michigan. This profile covers 7 Medicare and 8 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 | Patriot Ambulance Service, Inc. |
| Address | 4225 Miller Road |
| City | Flint |
| State | MI |
| ZIP | 48507 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 2, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.3M |
| Medicare | $1.8M |
This provider is Medicaid-dominant by scale: total Medicaid revenue is $12.3M compared with total Medicare revenue of $1.8M, so Medicaid represents the clear majority of billed dollars for the practice. The imbalance indicates payer mix and contracting decisions will be driven primarily by Medicaid reimbursement dynamics rather than Medicare.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 86.1% of this provider's total Medicare revenue, driven by A0427 ($553.5K, 30.8%), A0428 ($531.1K, 29.6%), and A0425 ($460.2K, 25.6%). This mix—ALS emergency, BLS non-emergency, and ground mileage—points to a transport-centric operation that bills both emergency and non-emergency runs with substantial mileage billing.
Medicaid revenue is also concentrated: the precomputed top 3 Medicaid codes account for 80.4% of the provider's Medicaid revenue, led by A0428 ($4M, 32.6%), A0425 ($3.1M, 25.6%), and A0427 ($2.7M, 22.1%). The prominence of A0428 on the Medicaid side indicates a heavy reliance on BLS non-emergency transports for Medicaid members, with ground mileage and ALS emergency transports also important contributors.
Competitive standing on Medicare shows localized strengths and typical service volumes: A0425 (ground mileage) is characterized as notably above typical national volume and ranks #272 of 8934 providers (97th percentile), while A0427 and A0428 have high national ranks (93rd and 92nd percentiles respectively) but are described in the source as typical, unremarkable volume for those service codes. In practice this means the provider is an above-typical mileage biller nationally, while its core transport service counts are within the expected range for ambulance providers.
Competitive standing in-state for Medicaid is strong for core ambulance services: A0428 ranks #4 of 66 in-state (95th percentile) and A0425 ranks #10 of 199 in-state (95th percentile), with A0427 at #18 of 163 (90th percentile); the source describes these as typical, unremarkable volume despite the high percentile placements. These ranks indicate the provider is a major in-state participant for BLS non-emergency and mileage billing for Medicaid populations.
The provider demonstrates operational breadth across levels of pre-hospital care: billed Medicare items include A0427 (ALS 1 emergency), A0428 (BLS non-emergency), A0434 (specialty care transport) and A0433 (ALS 2), and Medicaid billing includes A0998 (response and treatment, no transport). This spread of codes indicates capability to handle routine non-emergency transports, emergency ALS responses, specialty transports, and on-scene treatment without transport.
Tenure and stability: the NPI was enumerated on 2006-10-02 (~20 years ago), indicating a long-established presence in the market. That longevity, combined with the Medicaid revenue scale and in-state rankings, supports the view of an established local ambulance operator rather than a transient entrant.
Concentration risk and analytics implications: heavy reliance on a small set of codes for revenue (top 3 = 86.1% Medicare; top 3 = 80.4% Medicaid) creates sensitivity to reimbursement policy changes, contract renegotiations, or utilization shifts for those specific services (notably A0428, A0425, and A0427). Analysts and payers should prioritize monitoring utilization and contracts for those high-impact codes, and consider audits of service mix and mileage patterns given A0425's characterization as notably above typical national volume.
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) | 1,500 | $370 | $553.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,070 | $170 | $531.1K |
| A0425 | Ground mileage, per statute mile | 65,750 | $10 | $460.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 580 | $310 | $180K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 140 | $240 | $33.5K |
| A0434 | Specialty care transport (sct) | 30 | $650 | $20.1K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $540 | $16.3K |
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 31,510 | $130 | $4M |
| A0425 | Ground mileage, per statute mile | 54,170 | $60 | $3.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 11,660 | $230 | $2.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8,880 | $160 | $1.4M |
| A0998 | Ambulance response and treatment, no transport | 2,780 | $220 | $613.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,370 | $250 | $337.9K |
| A0433 | Advanced life support, level 2 (als 2) | 60 | $320 | $20K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 180 | $50 | $8.5K |
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
8 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) | 18 | 160 | 1,880 | $230 | $1.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4 | 70 | 1,790 | $130 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 23 | 150 | 1,570 | $150 | $951.3K |
| A0425 | Ground mileage, per statute mile | 10 | 200 | 2,950 | $50 | $648.5K |
| A0998 | Ambulance response and treatment, no transport | 16 | 50 | 1,100 | $180 | $553.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 12 | 50 | 540 | $220 | $285.3K |
| A0433 | Advanced life support, level 2 (als 2) | 7 | 10 | 140 | $270 | $108.9K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 2 | 10 | 380 | $30 | $11.9K |
Other providers in the same ZIP code as Patriot Ambulance Service, Inc., ranked by combined Medicare and Medicaid revenue.
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