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NPI 1245218452 · Shreveport, LA · Ambulance
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Balentine Ambulance Service Inc. is a ambulance provider located in Shreveport, Louisiana. This profile covers 6 Medicare and 9 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 | Balentine Ambulance Service Inc. |
| Address | 3516 Mansfield Rd |
| City | Shreveport |
| State | LA |
| ZIP | 71103 |
| Taxonomy | Ambulance |
| NPI Enumerated | January 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.2M |
| Medicare | $2.4M |
BALENTINE AMBULANCE SERVICE INC. is a long-tenured ambulance operator, with NPI enumeration dating to 2006-01-06 (~20 years ago), consistent with an established local emergency and non-emergency medical transport business rather than a recently created entrant. Its taxonomy is Ambulance and the dominant claim types (A0428, A0427, A0425) reflect core ground-transport services spanning basic life support (BLS), advanced life support (ALS), and per-mile mileage charges.
Revenue concentration is high in both programs: the precomputed top three Medicare codes account for 93.1% of Medicare revenue, and the precomputed top three Medicaid codes account for 96.9% of Medicaid revenue. This indicates the provider’s Medicare and Medicaid portfolios are heavily driven by a small set of transport-related services rather than a broad mix of ancillary services.
On scale, Medicaid revenue ($6.2M) is larger than Medicare revenue ($2.4M), making Medicaid the dominant payer by lifetime revenue. The provider is therefore primarily serving a Medicaid population in terms of dollar volume, while still maintaining meaningful Medicare activity.
Medicare competitive standing for key codes is strong: A0428 ranks #98 of 2772 providers nationally (96th percentile) and A0425 ranks #223 of 8934 providers nationally (98th percentile), which the data describes as notably above typical national volume for those codes. These rankings suggest BALENTINE is a major national-volume performer on core BLS transports and mileage when compared to peers.
By contrast, some other Medicare codes show more modest participation: A0427 (ALS emergency) is at the 94th percentile but ranked #399 of 6841 providers (described as typical, unremarkable volume), and lower-volume emergency BLS A0429 sits at the 11th percentile nationally, indicating the provider’s Medicare mix is concentrated in non-emergency BLS and mileage rather than high-volume emergency BLS. This pattern suggests an operational focus on scheduled or non-emergent transports with selective emergency response.
State-level Medicaid positioning is also notable: for A0428 the provider ranks #3 of 27 in-state (92th percentile) and for A0425 it ranks #7 of 59 in-state (90th percentile), indicating BALENTINE is one of the top providers in Louisiana for BLS non-emergency transport and mileage. A0427 Medicaid activity is sizable ($993K, 16.0% of Medicaid revenue) but ranked more middling in-state (#14 of 54, 75th percentile), reinforcing the picture of strong BLS/mileage volume with secondary ALS emergency services.
Unit economics differ materially by payer and code: Medicare shows higher average paid-per-claim for key codes (e.g., A0427 at $368/claim and A0428 at $183/claim) relative to Medicaid averages reported for the same codes (e.g., A0427 at $69/claim and A0428 at $43/claim). This suggests the provider generates similar service volumes across payers but realizes substantially higher per-claim payments from Medicare, making payer mix important to revenue strategy.
Specific low-volume codes are present but not material to overall revenue: several codes such as Medicare A0434 (SCT) and A0429 (BLS-emergency) contribute small shares of Medicare revenue (2.4% and 0.3% respectively), and analogous Medicaid codes similarly contribute negligible shares. These minor lines indicate the provider does offer specialty and emergency transport capabilities but they are not the primary revenue drivers.
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) | 5,900 | $180 | $1.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,750 | $370 | $643.6K |
| A0425 | Ground mileage, per statute mile | 78,970 | $10 | $552.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 440 | $230 | $103K |
| A0434 | Specialty care transport (sct) | 90 | $630 | $58.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 20 | $310 | $6.8K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 60,440 | $40 | $2.6M |
| A0425 | Ground mileage, per statute mile | 77,960 | $30 | $2.4M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 14,390 | $70 | $993K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,930 | $50 | $158.3K |
| A0398 | Als routine disposable supplies | 2,430 | $10 | $21.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 130 | $50 | $6.8K |
| A0434 | Specialty care transport (sct) | 70 | $40 | $2.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 80 | $30 | $2.2K |
| A0382 | Bls routine disposable supplies | 2,250 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
9 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) | 14 | 50 | 3,110 | $250 | $5.8M |
| A0425 | Ground mileage, per statute mile | 7 | 60 | 5,300 | $60 | $2.9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 30 | 5,040 | $70 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 36 | 40 | 2,720 | $140 | $1.8M |
| A0434 | Specialty care transport (sct) | 6 | 10 | 280 | $220 | $998K |
| A0398 | Als routine disposable supplies | 12 | 20 | 5,100 | $20 | $547.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 10 | 140 | $100 | $447.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 15 | 20 | 1,110 | $50 | $309.9K |
| A0382 | Bls routine disposable supplies | 9 | 10 | 5,220 | $10 | $238.7K |
Other providers in the same ZIP code as Balentine Ambulance Service Inc., ranked by combined Medicare and Medicaid revenue.
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