Loading...
NPI 1225028707 · Livingston, NJ · Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Atlantic Ambulance Corp. is a ambulance provider located in Livingston, New Jersey. This profile covers 9 Medicare and 12 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 | Atlantic Ambulance Corp. |
| Address | 120 Dorsa Ave |
| City | Livingston |
| State | NJ |
| ZIP | 07039 |
| Taxonomy | Ambulance |
| NPI Enumerated | October 25, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $8.8M |
| Medicaid | $6.3M |
ATLANTIC AMBULANCE CORP. is a dual-payer ambulance operator with reported lifetime Medicare revenue of $8.8M and Medicaid revenue of $6.3M, and an NPI enumerated on 2005-10-25 (~21 years ago). The existence of substantial revenue on both payers indicates ongoing commercial activity across Medicare and Medicaid populations rather than being effectively single-payer.
The provider’s top Medicare codes (A0429, A0427, A0428) and prominent Medicaid codes (A0434, A0429, A0427) point to a mixed-service ambulance business: frequent BLS emergency transports (A0429), ALS emergency responses (A0427), non-emergency BLS transports (A0428), and a sizable specialty care transport operation (A0434). This code mix suggests the organization runs both emergency response and interfacility/high-acuity transfer services rather than only non-emergency NEMT or purely event-based transport.
Revenue concentration is high for both payers: the top three Medicare codes account for 66.2% of the provider’s total Medicare revenue, and the top three Medicaid codes account for 79.5% of its total Medicaid revenue. That concentration signals material dependence on a small set of ambulance service lines—particularly emergency BLS/ALS and specialty care transport—for the majority of reimbursement.
On Medicare measures ATLANTIC AMBULANCE CORP. is a national outlier for several high-value codes: A0429 (29.0% of Medicare revenue) ranks #31 of 7808 providers nationally and is labeled an "extreme outlier," A0434 (12.3% of Medicare revenue) ranks #2 of 591 providers nationally and is also an "extreme outlier," and A0425 ground mileage ranks #46 of 8934 (99th percentile; "extreme outlier"). These rankings indicate the provider operates at a scale for specific Medicare ambulance services that is far above typical national volumes and may be a major national-volume provider for select codes.
Within New Jersey Medicaid, the provider is a leading in-state participant for several codes: A0434 drives 36.0% of Medicaid revenue and ranks #3 of 25 in-state (92th percentile), A0429 contributes 23.1% of Medicaid revenue with A0429 at #13 of 264 in-state (95th percentile), and A0425 ground mileage ranks #20 of 426 (96th percentile; "notably above typical state volume"). These placements suggest the organization is a key statewide provider for specialty care and high-volume BLS Medicaid transports.
Operational patterns reinforce the long-distance and high-volume nature of the business: Medicare ground mileage shows 190.9K claims ($7 avg paid/claim) and Medicaid ground mileage shows 66.2K claims ($10 avg paid/claim), and A0429 appears with thousands of claims on both payers (6.8K Medicare claims and 26.1K Medicaid claims). High mileage and large claim counts imply frequent long-haul or numerous short transports that together make mileage a significant revenue stream and operational cost driver.
Specialty care transport (A0434) is a strategic revenue driver and payer-dependent: it represents $1.1M (12.3% of Medicare revenue) and $2.3M (36.0% of Medicaid revenue), showing SCT is a much larger share of Medicaid revenue than Medicare. This suggests the provider has operational capability and contracts to support high-acuity interfacility transfers and that SCT demand may be concentrated in Medicaid patient flows or in-state referral networks.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,830 | $370 | $2.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,870 | $450 | $1.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6,580 | $230 | $1.5M |
| A0425 | Ground mileage, per statute mile | 190,920 | $10 | $1.3M |
| A0434 | Specialty care transport (sct) | 1,410 | $770 | $1.1M |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 110 | $3,650 | $383.7K |
| A0433 | Advanced life support, level 2 (als 2) | 160 | $660 | $104.5K |
| A0436 | Rotary wing air mileage, per statute mile | 3,040 | $20 | $69.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $280 | $4.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0434 | Specialty care transport (sct) | 5,910 | $390 | $2.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 26,110 | $60 | $1.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9,660 | $130 | $1.3M |
| A0425 | Ground mileage, per statute mile | 66,190 | $10 | $661.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 25,370 | $20 | $431.2K |
| A0998 | Ambulance response and treatment, no transport | 2,860 | $40 | $125.8K |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 20 | $1,420 | $31.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 4,460 | $10 | $31.2K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $300 | $14.6K |
| A0436 | Rotary wing air mileage, per statute mile | 20 | $220 | $4.7K |
Showing 1–10 of 12
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
12 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) | 15 | 30 | 9,660 | $310 | $3.4M |
| A0434 | Specialty care transport (sct) | 3 | 30 | 1,730 | $470 | $1.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13 | 260 | 1,770 | $110 | $683K |
| A0130 | Non-emergency transportation: wheelchair van | 13 | 10 | 2,430 | $30 | $479.1K |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 3 | 10 | 60 | $1,810 | $309.7K |
| A0433 | Advanced life support, level 2 (als 2) | 15 | 20 | 690 | $360 | $282.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6 | 90 | 2,490 | $20 | $164.4K |
| A0425 | Ground mileage, per statute mile | 20 | 430 | 3,700 | $10 | $106.9K |
| A0998 | Ambulance response and treatment, no transport | 4 | 50 | 370 | $90 | $100.7K |
| A0436 | Rotary wing air mileage, per statute mile | 3 | 10 | 60 | $230 | $39.4K |
Showing 1–10 of 12
Other providers in the same ZIP code as Atlantic Ambulance Corp., ranked by combined Medicare and Medicaid revenue.
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.