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NPI 1265545941 · Ironton, OH · Land Ambulance
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Patriot Emergency Medical Services is a land ambulance provider located in Ironton, Ohio. This profile covers 6 Medicare and 11 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 | Patriot Emergency Medical Services |
| Address | 2914 S 4th St |
| City | Ironton |
| State | OH |
| ZIP | 45638 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 16, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4M |
| Medicare | $2.2M |
Payer mix and scale: PATRIOT EMERGENCY MEDICAL SERVICES reports lifetime Medicare revenue of $2.2M and lifetime Medicaid revenue of $4M, indicating Medicaid is the larger payer relationship for this provider. The Medicaid book of business is nearly double the Medicare receipts, so contract and utilization trends on the Medicaid side will likely drive overall revenue performance.
Business and service-line profile: The provider’s highest-revenue codes are ground-ambulance and transport services — A0427 (advanced life support, emergency), A0428 (basic life support, non-emergency), and A0425 (ground mileage) dominate both payers’ mixes. These codes and the large claim counts (e.g., Medicare A0425: 73K claims; Medicaid A0428: 26K claims; Medicaid A0130 wheelchair van: 17.5K claims) indicate an operational model built around high-volume ground transports that include both emergency ALS runs and high-volume non-emergency wheelchair/stretcher services.
Medicare revenue concentration: The provider’s top three Medicare codes account for 86.2% of its Medicare revenue, with the top contributors listed as A0427 ($748.9K, 34.2%), A0428 ($626.6K, 28.6%), and A0425 ($511.2K, 23.3%). That concentration means Medicare performance is heavily dependent on a small set of transport-related CPT/HCPCS codes, so changes to reimbursement or utilization for those codes would have outsized impact.
Medicaid revenue concentration and service mix: The top three Medicaid codes account for 65.2% of Medicaid revenue, led by A0428 ($960.9K, 24.4%), A0425 ($905K, 23.0%), and A0427 ($698.9K, 17.8%). The Medicaid mix also includes substantial revenue from non-emergency mobility services (A0130 wheelchair van $420.7K, S0209 mileage $157.7K), signaling a significant operational focus on routine wheelchair/stretcher transport for Medicaid members.
Medicare competitive standing: For Medicare the provider reports notably above-typical national volume on A0425 (rank #243 of 8934, 97th percentile) while A0427 (rank #330 of 6841, 95th percentile) and A0428 (rank #170 of 2772, 94th percentile) are described as typical, unremarkable volumes. In practice this means PATRIOT is an unusually high-mileage ambulance operator nationally but otherwise reports activity levels for ALS and BLS transport that are within expected national ranges.
Medicaid competitive standing and outliers: In-state, A0425 is also a standout (rank #17 of 675, 98th percentile; notably above typical state volume), and A0428 is high but typical for the state (rank #13 of 126, 90th percentile). Additionally, A0398 (ALS routine disposable supplies) is flagged as a state-level outlier (rank #1 of 5, 100th percentile) with $350.3K revenue, indicating unusually large billings for ALS disposable supplies relative to the small peer set.
Operational implications from claim counts: High claim volumes on Medicaid — e.g., A0428 with 26K claims and A0425 with 45.2K claims — together with large Medicare mileage (Medicare A0425: 73K claims) imply the provider runs a dense fleet with substantial mileage and frequent non-emergency trips. This mix suggests resource planning, vehicle maintenance, and mileage-based reimbursement exposure are central operational and financial levers for this business.
Tenure and continuity: The NPI was enumerated on 2006-08-16 (~20 years ago), indicating long-standing participation in Medicare and Medicaid payment systems. That multi-decade tenure, combined with concentrated transport volumes, suggests established operational pathways for both emergency ALS and high-volume non-emergency/ mobility transport services.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,060 | $360 | $748.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,870 | $160 | $626.6K |
| A0425 | Ground mileage, per statute mile | 73,020 | $10 | $511.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 820 | $310 | $250.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 120 | $230 | $27.3K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $530 | $24.9K |
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 25,970 | $40 | $960.9K |
| A0425 | Ground mileage, per statute mile | 45,250 | $20 | $905K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9,080 | $80 | $698.9K |
| A0130 | Non-emergency transportation: wheelchair van | 17,530 | $20 | $420.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7,680 | $50 | $391.7K |
| A0398 | Als routine disposable supplies | 2,010 | $170 | $350.3K |
| S0209 | Wheelchair van, mileage, per mile | 17,530 | $10 | $157.7K |
| A0382 | Bls routine disposable supplies | 290 | $110 | $30.4K |
| T2005 | Non-emergency transportation; stretcher van | 1,300 | $10 | $11.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 560 | $10 | $4.5K |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 13 | 130 | 3,720 | $50 | $544.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 27 | 510 | 1,080 | $120 | $365.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 29 | 480 | 880 | $90 | $260K |
| A0130 | Non-emergency transportation: wheelchair van | 30 | 150 | 3,580 | $20 | $208K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 72 | 80 | 380 | $80 | $132.1K |
| A0425 | Ground mileage, per statute mile | 17 | 680 | 2,020 | $10 | $98.4K |
| S0209 | Wheelchair van, mileage, per mile | 30 | 150 | 3,580 | $10 | $73.5K |
| A0398 | Als routine disposable supplies | 1 | 10 | 230 | $120 | $72.4K |
| T2005 | Non-emergency transportation; stretcher van | 1 | 10 | 790 | $20 | $11.2K |
| A0382 | Bls routine disposable supplies | 3 | 10 | 290 | $1 | $6.3K |
Showing 1–10 of 11
Other providers in the same ZIP code as Patriot Emergency Medical Services, ranked by combined Medicare and Medicaid revenue.
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