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NPI 1265542765 · Bronx, NY · Land Ambulance
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Seniorcare Emergency Medical Services Inc. is a land ambulance provider located in Bronx, New York. This profile covers 7 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 | Seniorcare Emergency Medical Services Inc. |
| Address | 700 Havemeyer Ave |
| City | Bronx |
| State | NY |
| ZIP | 10473 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $88.6M |
| Medicare | $24.3M |
Business profile: Billing is dominated by land-ambulance services with an operational mix weighted toward basic life support emergency and non-emergency transports. The provider’s top Medicare codes are A0429 (BLS emergency), A0428 (BLS non-emergency) and A0425 (ground mileage), and the Medicaid top codes mirror that mix with A0429, A0427 (ALS emergency) and A0428 leading revenue, indicating the organization primarily operates high-volume ground transport and both 911-style emergency and scheduled/non-emergency services.
Medicare revenue concentration: This provider’s Medicare revenue is highly concentrated—its top 3 Medicare codes account for 92.1% of total Medicare revenue—with A0429 alone representing $12.7M (52.1% of Medicare revenue). That concentration signals reliance on a small set of transport services for the majority of Medicare dollars.
Medicaid revenue concentration: Medicaid billing shows similar concentration, with the top 3 Medicaid codes accounting for 87.5% of total Medicaid revenue and A0429 contributing $54.6M (61.7% of Medicaid revenue). The Medicaid mix places particularly large weight on BLS emergency transports and significant revenue from ALS emergency (A0427) and BLS non-emergency (A0428), underscoring a Medicaid-facing business model built around frequent ground transports.
Payer mix and scale: Medicaid revenue ($88.6M) substantially exceeds Medicare revenue ($24.3M), indicating the provider operates at much larger scale in the Medicaid market than in Medicare. The absolute dollar figures show Medicaid is the dominant payer relationship in terms of revenue, even though both payers are material to the overall business.
Competitive standing—Medicare: Nationally the provider is an outlier on several Medicare codes: A0429 ranks #1 of 7808 providers (100th percentile, extreme outlier), A0428 ranks #6 of 2772 (100th percentile, extreme outlier), and A0425 ranks #11 of 8934 (100th percentile, extreme outlier). These ranks indicate the provider is a major national volume leader for core BLS and mileage services on the Medicare side, far above typical national volumes.
Competitive standing—Medicaid/in-state: Within New York the provider is also a dominant state player for key Medicaid codes—A0429 ranks #2 of 423 providers in-state (100th percentile, extreme outlier), A0428 ranks #3 of 85 (98th percentile, extreme outlier), and A0427 ranks #5 of 313 (99th percentile, notably above typical). Those positions reflect a leading in-state footprint for both emergency BLS and ALS transports and very large Medicaid claim volumes.
Service-line nuance: The presence of meaningful revenue from A0434 (Specialty care transport) on both payers—$1.1M on Medicare (ranks #3 of 591, 100th percentile, extreme outlier) and $2.7M on Medicaid (ranks #1 of 20, 100th percentile, extreme outlier)—suggests the provider also operates capabilities for monitored, higher-acuity interfacility transfers in addition to routine BLS/ALS transport. This expands the operational profile beyond basic ambulance pickups to include specialty transport capacity.
Tenure and operational longevity: The provider’s NPI was enumerated on 2006-08-30 (~20 years ago), indicating long-standing presence in the market. Combined with the high-volume ranks across multiple core codes and both payers, this tenure supports the interpretation of an established, high-capacity land-ambulance operator rather than a recent entrant.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 32,670 | $390 | $12.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 29,890 | $240 | $7.2M |
| A0425 | Ground mileage, per statute mile | 367,460 | $10 | $2.6M |
| A0434 | Specialty care transport (sct) | 1,390 | $790 | $1.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,380 | $460 | $632K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 600 | $290 | $174.3K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $660 | $15.8K |
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 363,980 | $150 | $54.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 58,090 | $200 | $11.4M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 121,590 | $90 | $11.4M |
| A0999 | Unlisted ambulance service | 5,780 | $680 | $3.9M |
| A0425 | Ground mileage, per statute mile | 332,830 | $10 | $3M |
| A0434 | Specialty care transport (sct) | 11,420 | $240 | $2.7M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5,150 | $250 | $1.3M |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 4,710 | $10 | $61.3K |
| A0170 | Transportation ancillary: parking fees, tolls, other | 2,540 | $10 | $15.3K |
| A0380 | Bls mileage (per mile) | 2,280 | $10 | $13.7K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 4 | 20 | 1,140 | $790 | $2.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 90 | 2,220 | $120 | $1.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 420 | 950 | $170 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5 | 310 | 830 | $200 | $1.1M |
| A0434 | Specialty care transport (sct) | 1 | 20 | 560 | $230 | $309.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 40 | 290 | $200 | $227K |
| A0425 | Ground mileage, per statute mile | 2 | 480 | 1,360 | $20 | $191.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2 | 10 | 380 | $10 | $31.3K |
| A0170 | Transportation ancillary: parking fees, tolls, other | 51 | 250 | 540 | $10 | $30.5K |
| A0998 | Ambulance response and treatment, no transport | 1 | 10 | 120 | $100 | $15.5K |
Showing 1–10 of 12
Other providers in the same ZIP code as Seniorcare Emergency Medical Services Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Milaurise Cortes | NY | Anesthesiology Physician | $6.9K | $0 |
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