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NPI 1295348761 · Camp Hill, PA · Ambulance
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Penn State Health Life Lion, LLC is a ambulance provider located in Camp Hill, Pennsylvania. This profile covers 6 Medicare and 7 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 | Penn State Health Life Lion, LLC |
| Address | 431 N 21st St Ste 101 |
| City | Camp Hill |
| State | PA |
| ZIP | 17011 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 25, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.9M |
| Medicare | $2.4M |
The provider’s taxonomy (Ambulance) and its top CPT/HCPCS mix point to a predominantly emergency ground-transport operation: the Medicare and Medicaid portfolios are dominated by advanced life support and basic life support emergency transport codes such as A0427 and A0429, with heavy utilization of ground mileage code A0425. This mix indicates routine 911-style ALS/BLS transports and substantial mileage-related billing rather than primarily scheduled non-emergency services.
Revenue concentration is high on Medicare: Top 3 Medicare codes by revenue account for 87.3% of this provider's total Medicare revenue, led by A0427 (42.0% of Medicare revenue), A0429 (29.1%), and A0425 (16.2%). Those three codes together drive nearly the entire Medicare book of business, making the provider financially dependent on a narrow set of emergency-transport services.
Revenue concentration is similarly concentrated on Medicaid: Top 3 Medicaid codes by revenue account for 87.4% of this provider's total Medicaid revenue, with A0429 (40.7%), A0427 (32.8%), and A0425 (13.9%) accounting for the vast majority of Medicaid receipts. This mirrors the Medicare pattern and underscores that both payers remunerate a compact set of transport-related services for this provider.
Payer mix is Medicaid-skewed in scale: reported Medicaid revenue is $6.9M compared with $2.4M in Medicare revenue, so Medicaid represents the larger revenue stream for this provider. Analysts should treat Medicaid payment policies and state-level network dynamics as especially material to the provider’s financial performance.
National competitive standing on Medicare shows above-typical volume for key emergency transport codes: A0429 ranks #169 of 7808 providers nationally (98th percentile; notably above typical national volume), while A0427 and A0425 rank in the 96th percentile nationally but are labeled as typical, unremarkable volume for their peer sets. In short, the provider is an active national-level participant on core emergency transport codes, with one code (A0429) standing out as notably higher than most peers.
State-level competitive standing on Medicaid is strong for emergency transport and mileage: A0429 ranks #9 of 385 providers in-state (98th percentile) and A0425 ranks #11 of 442 providers in-state (98th percentile), both described as typical, unremarkable volume but at the high end of the state distribution. Notably, A0432 (paramedic intercept) is an outlier within the state: 2.4K claims, $241 avg paid/claim, $583.9K revenue and ranks #1 of 44 providers in-state (100th percentile; notably above typical state volume), indicating a distinctive service niche or high local demand for paramedic-intercept responses.
Operational footprint is reflected in high claim volumes across payers: Medicare shows 54.7K claims for A0425 (ground mileage) and 2.6K claims for A0427, while Medicaid shows 14.1K claims for A0425 and 9.5K claims for A0429, demonstrating substantial trip and mileage activity. Average paid-per-claim differs markedly by payer for the same codes (for example, A0425 is $7 avg paid/claim on Medicare versus $68 avg paid/claim on Medicaid), so payer-specific reimbursement levels materially affect revenue outcomes for high-volume codes.
The provider has an NPI enumeration date of 2020-08-25 (~6 years ago), indicating a relatively recent but multi-year presence in claims data; given the sizable lifetime revenues ($2.4M Medicare and $6.9M Medicaid) and high claim counts, the organization appears operationally established despite the more recent enumeration date. This tenure detail suggests rapid scaling of transport activity in a short period rather than a long legacy footprint.
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) | 2,610 | $380 | $992.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,170 | $320 | $688.5K |
| A0425 | Ground mileage, per statute mile | 54,690 | $10 | $382.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,090 | $200 | $219.5K |
| A0433 | Advanced life support, level 2 (als 2) | 80 | $550 | $42.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 160 | $240 | $38.9K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9,550 | $300 | $2.8M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6,580 | $350 | $2.3M |
| A0425 | Ground mileage, per statute mile | 14,120 | $70 | $959.8K |
| A0432 | Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers | 2,420 | $240 | $583.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,610 | $140 | $219K |
| A0998 | Ambulance response and treatment, no transport | 510 | $120 | $60.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $200 | $4.9K |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
7 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) | 17 | 290 | 710 | $300 | $631.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9 | 390 | 510 | $250 | $557.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 51 | 160 | 460 | $150 | $316.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 45 | 60 | 120 | $270 | $160.6K |
| A0432 | Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers | 1 | 40 | 100 | $150 | $76.2K |
| A0425 | Ground mileage, per statute mile | 11 | 440 | 400 | $30 | $76K |
| A0998 | Ambulance response and treatment, no transport | 19 | 60 | 140 | $100 | $56.6K |
Other providers in the same ZIP code as Penn State Health Life Lion, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Medstaffers, LLC | PA | Home Health Agency | $0 | $15.1M |
| Penn State Health Holy Spirit Medical Center | PA | General Acute Care Hospital | $0 | $10.2M |
| Shadai Healthcare Services LLC | PA | Home Health Agency | $0 | $9.2M |
| Lawrence Ho | PA | Ophthalmology Physician | $3M | $4.1K |
| Maxwell Stem | PA | Ophthalmology Physician | $2.9M | $31.9K |
| Steven Truong | PA | Ophthalmology Physician | $2.7M | $11.5K |
| Paul Baker | PA | Ophthalmology Physician | $2.4M | $3.3K |
| Michael Banach | PA | Ophthalmology Physician | $2.1M | $5.1K |
| Tahsin Khundkar | PA | Ophthalmology Physician | $1.5M | $0 |
| Marissa Wedel | PA | Ophthalmology Physician | $1.4M | $26.3K |
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