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NPI 1225010838 · Roselle, NJ · Land Ambulance
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On Time Ambulance, Inc. is a land ambulance provider located in Roselle, New Jersey. This profile covers 4 Medicare and 5 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 | On Time Ambulance, Inc. |
| Address | 111 E Highland Pkwy |
| City | Roselle |
| State | NJ |
| ZIP | 07203 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 18, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $6.5M |
| Medicaid | $3.6M |
ON TIME AMBULANCE, INC. reports $6.5M in lifetime Medicare revenue and $3.6M in lifetime Medicaid revenue, making Medicare the larger single payer by total dollars on file. The provider has an established NPI (enumerated 2005-11-18, ~21 years ago), indicating long tenure in the market.
Medicare revenue is highly concentrated: the top three Medicare codes (A0428, A0425, A0434) together account for 99.4% of this provider's total Medicare revenue. A0428 alone makes up 68.4% of Medicare revenue, A0425 19.8%, and A0434 11.3%, showing reliance on a very narrow set of transport services for Medicare billing.
Those specific Medicare code volumes place the provider as a national outlier in its service lines: A0428 ranks #10 of 2772 (100th percentile; extreme outlier), A0425 ranks #49 of 8934 (99th percentile; extreme outlier), and A0434 ranks #11 of 591 (98th percentile; extreme outlier). These rank/percentile labels indicate the provider bills far above typical national peers for core ambulance and mileage codes.
Medicaid billing is less dominated by a single code but still concentrated: the top three Medicaid codes account for 79.6% of Medicaid revenue, with A0429 at 31.7%, A0434 at 25.8%, and A0428 at 22.1%. State-level ranks show a mixed position: A0428 is #4 of 86 (96th percentile; notably above typical state volume), while A0434 and A0429 are in more typical ranges (A0434 #9 of 25, 67th percentile; A0429 #22 of 264, 92th percentile; labeled typical, unremarkable).
The code mix signals a high-volume non-emergency transport operation with supplemental specialty capabilities: heavy Medicare A0428 (BLS non-emergency) combined with large A0425 (ground mileage) volumes suggests routine, long-distance non-emergency transports drive Medicare revenue, while material A0434 (specialty care transport) on both payers indicates the vendor provides higher-acuity or monitored transfers as well. This blend suggests operational capacity for both routine BLS fleet work and staffed specialty transports.
There is a clear payer-specific pattern in service mix: Medicare revenue is overwhelmingly driven by non-emergency BLS and mileage (A0428/A0425/A0434), whereas Medicaid shows a larger role for emergency BLS relative to Medicare—A0429 accounts for 31.7% of Medicaid revenue but only 0.6% of Medicare revenue. Analysts should interpret this as differing utilization or payer assignment rather than a single homogeneous service mix across payers.
Competitive implications differ by market: nationally, this provider is a dominant outlier on Medicare A0428/A0425/A0434 volumes (100th/99th/98th percentiles respectively), positioning it as a major national-volume supplier for those ambulance services. At the state level the provider is notably strong on non-emergency BLS and mileage (A0428 #4 of 86, 96th percentile; A0425 #38 of 426, 91th percentile), while its specialty and emergency transport Medicaid rankings are more typical versus state peers.
A few nuanced flags for operational review: Medicaid shows a small number of A0888 entries (54 claims, $0 revenue) and that code is the only in-state occurrence in the sample (rank #1 of 1; 0th percentile; no state peer volume comparison available), which may reflect non-billable mileage recording practices. Given the provider's long tenure (NPI 2005-11-18) and highly concentrated revenue mix, payers and contracting teams should treat ON TIME AMBULANCE as a long-established, high-volume ambulance operator with outsized footprint in non-emergency BLS, mileage, and specialty care transport lines.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 19,150 | $230 | $4.5M |
| A0425 | Ground mileage, per statute mile | 185,450 | $10 | $1.3M |
| A0434 | Specialty care transport (sct) | 970 | $760 | $737.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 100 | $370 | $38.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 17,770 | $60 | $1.1M |
| A0434 | Specialty care transport (sct) | 2,510 | $370 | $927.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 31,780 | $30 | $794.6K |
| A0425 | Ground mileage, per statute mile | 52,220 | $10 | $731K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 50 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0434 | Specialty care transport (sct) | 9 | 30 | 1,730 | $470 | $1.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 22 | 260 | 1,770 | $110 | $683K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4 | 90 | 2,490 | $20 | $164.4K |
| A0425 | Ground mileage, per statute mile | 38 | 430 | 3,700 | $10 | $106.9K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 1 | 10 | 50 | $0 | $0 |
Other providers in the same ZIP code as On Time Ambulance, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Cedar Harbor Medical Day Care Center | NJ | Adult Day Care Clinic/Center | $0 | $12.6M |
| Advanced Services International, Inc. | NJ | Nursing Care Agency | $0 | $12.2M |
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