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NPI 1235162520 · Lothian, MD · Land Ambulance
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Am-van, LLC is a land ambulance provider located in Lothian, Maryland. This profile covers 4 Medicare and 4 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 | Am-van, LLC |
| Address | 1315 Marlboro Rd |
| City | Lothian |
| State | MD |
| ZIP | 20711 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.9M |
| Medicaid | $2.1M |
AM-VAN, LLC’s coding mix identifies it clearly as a land ambulance operator focused on non-emergency transport and mileage-based services: its top Medicare codes are A0428 (basic life support, non-emergency), A0425 (ground mileage), and A0434 (specialty care transport), and the Medicaid mix is likewise dominated by A0428 and A0425 with a smaller presence of A0426 (ALS level 1). This pattern—high counts of BLS and mileage plus a measurable but smaller ALS/SCT line—is consistent with an operation that primarily provides routine patient transports and chargeable mileage rather than acute emergency responses.
Medicare revenue is highly concentrated in a few codes: the precomputed top three Medicare codes account for 95.8% of the provider’s total Medicare revenue. Specifically, A0428 is 62.8% of Medicare revenue and A0425 is 28.4%, with A0434 contributing 4.5%, indicating that a small set of transport and mileage codes drive nearly all Medicare receipts.
Medicaid revenue is even more concentrated: the precomputed top three Medicaid codes account for 99.0% of this provider’s total Medicaid revenue. The Medicaid mix is led by A0428 (50.9%) and A0425 (45.0%), with A0426 contributing 3.1%, showing an almost exclusive dependence on basic life support and ground mileage for Medicaid payments.
On payer scale, Medicare ($4.9M) is larger than Medicaid ($2.1M) for AM-VAN, LLC, so the business has more revenue exposure to Medicare reimbursement patterns while still maintaining a significant Medicaid footprint. This dual-payer presence means shifts in either program’s policy or rates for ambulance and mileage codes could meaningfully affect overall revenue.
Nationally, AM-VAN is an outlier on its highest-volume Medicare services: A0428 reports 13.5K claims for $3.1M and ranks #26 of 2772 providers (99th percentile; extreme outlier), and A0425 reports 199.2K claims for $1.4M and ranks #42 of 8934 providers (100th percentile; extreme outlier). These rank/percentile positions indicate a dominant national presence for those specific codes, well above typical national volumes for land ambulance mileage and BLS non-emergency transport.
Within Maryland Medicaid, AM-VAN shows strong statewide standing for key codes: A0428 has 40.2K claims and $1.1M revenue (ranks #2 of 23 in-state; 95th percentile; notably above typical state volume), while A0425 has 43.6K claims and $960.2K revenue (ranks #7 of 79 in-state; 92nd percentile; typical, unremarkable volume). Together these ranks point to a leading role in basic life support and mileage billing among in-state ambulance providers.
Operationally, the provider reports very large ground-mileage claim counts—199.2K Medicare claims for A0425 (avg paid/claim $7) and 43.6K Medicaid claims for A0425 (avg paid/claim $22)—which, combined with high-count A0428 BLS claims (13.5K Medicare; 40.2K Medicaid), suggests revenue accrual from high-volume routine transports and extensive mileage billing rather than high per-claim payments. The low per-claim averages on mileage paired with very high claim counts imply the business model relies on volume of trips and distance billed.
Several codes show distinct statistical characterizations that are informative for competitive analysis: Medicare A0428 and A0425 are labeled "extreme outlier," indicating unusually high national volume for those services, while Medicare A0434 (ranks #55 of 591; 91st percentile) and Medicaid A0434 (ranks #7 of 9; 25th percentile) are described as typical or unremarkable, showing specialty care transport is a smaller, less consistent revenue source across payers. The presence of codes described as "notably above typical" (e.g., Medicare A0426 ranks #36 of 1568; 98th percentile) further emphasizes that certain advanced life-support services are above average but not the primary revenue drivers compared with BLS and mileage.
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) | 13,470 | $230 | $3.1M |
| A0425 | Ground mileage, per statute mile | 199,200 | $10 | $1.4M |
| A0434 | Specialty care transport (sct) | 300 | $750 | $222.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 770 | $270 | $208.2K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 40,230 | $30 | $1.1M |
| A0425 | Ground mileage, per statute mile | 43,650 | $20 | $960.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,030 | $30 | $66.8K |
| A0434 | Specialty care transport (sct) | 440 | $50 | $20.7K |
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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 7 | 80 | 1,580 | $30 | $407.9K |
| A0434 | Specialty care transport (sct) | 7 | 10 | 590 | $240 | $332K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 20 | 5,240 | $30 | $289K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 10 | 880 | $90 | $154.2K |
Other providers in the same ZIP code as Am-van, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Project Chesapeake, LLC | MD | Substance Abuse Rehabilitation Facility | $0 | $5.3M |
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