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NPI 1285691527 · Largo, MD · Land Ambulance
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Prince George's County Maryland is a land ambulance provider located in Largo, Maryland. This profile covers 4 Medicare and 3 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 | Prince George's County Maryland |
| Address | 9201 Basil Ct Ste 452 |
| City | Largo |
| State | MD |
| ZIP | 20774 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | April 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $7.8M |
| Medicare | $6.2M |
This provider is a land ambulance operation: the code mix centers on emergency ground transport services with heavy use of basic life support and advanced life support codes (A0429 and A0427) and extensive ground mileage billing (A0425), consistent with its Land Ambulance taxonomy. Both Medicare and Medicaid top codes reflect routine emergency transport activity rather than elective or non-emergency services, indicating the fleet and staffing are likely configured for frequent emergency responses and transports.
Revenue is highly concentrated by code within each payer. The top three Medicare codes (led by A0429 at 54.3% and A0427 at 32.8%) account for 98.9% of Medicare revenue, while the top three Medicaid codes (led by A0427 at 82.1%) account for 100.0% of Medicaid revenue, showing that a very small set of emergency transport codes drives nearly all billings.
The payer mix shows meaningful scale on both public payers: total Medicare revenue is $6.2M while total Medicaid revenue is $7.8M, so Medicaid represents the larger single-payer source but the provider is not effectively single-payer given substantial Medicare volume. This dual-payer exposure means operational performance and reimbursement dynamics across both programs will materially affect overall revenue.
Nationally for Medicare, the provider is a dominant outlier on core ambulance services. A0429 ranks #21 of 7808 providers nationally (100th percentile; extreme outlier) and A0427 ranks #148 of 6841 (98th percentile; notably above typical national volume), indicating unusually high Medicare claim volume for emergency BLS and ALS transports relative to most peers.
Within its state Medicaid market the provider is a major operator on the same emergency transport lines. A0427 ranks #4 of 88 in-state (97th percentile; notably above typical state volume), A0425 ranks #2 of 79 (99th percentile; extreme outlier), and A0429 ranks #2 of 45 (98th percentile; notably above typical state volume), supporting a characterization of market leadership in ground emergency transport locally.
Operational detail underscores the intensity of services: Medicare shows 8.8K claims for A0429 and 4.5K claims for A0427 with average Medicare payments of $385 and $457 per claim respectively, while Medicaid shows 80.6K claims for A0427 with $80 avg paid/claim and 110.1K claims for A0425 with $11 avg paid/claim. These large claim counts, coupled with substantially lower Medicaid per-claim payments, imply volume-driven Medicaid revenue (especially for A0427 and A0425) versus higher per-claim Medicare revenue for ALS/BLS transports.
The provider has long tenure in the registry, with its NPI enumerated on 2006-04-28 (~20 years ago), which supports observations of an established, sustained presence in emergency ground ambulance services rather than a recent entrant.
There are limited ancillary services reflected in the billing mix: A0433 (ALS level 2) contributes only 1.1% of Medicare revenue and is described as typical/unremarkable in volume, reinforcing that the organization’s capacity and revenue are concentrated in core BLS/ALS 1 emergency transports and mileage rather than higher-acuity ALS 2 services. Concentration and multiple extreme/outlier rank positions suggest specialization in high-volume ground emergency transport rather than a broad mix of ambulance service lines.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8,790 | $390 | $3.4M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,470 | $460 | $2M |
| A0425 | Ground mileage, per statute mile | 105,250 | $10 | $736.8K |
| A0433 | Advanced life support, level 2 (als 2) | 120 | $570 | $69.7K |
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 80,600 | $80 | $6.4M |
| A0425 | Ground mileage, per statute mile | 110,100 | $10 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 24,350 | $10 | $194.8K |
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
3 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) | 4 | 90 | 1,050 | $90 | $996.5K |
| A0425 | Ground mileage, per statute mile | 2 | 80 | 1,580 | $30 | $407.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 50 | 620 | $10 | $27.9K |
Other providers in the same ZIP code as Prince George's County Maryland, ranked by combined Medicare and Medicaid revenue.
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