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NPI 1306887260 · Saginaw, MI · Ambulance
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Mobile Medical Response Inc is a ambulance provider located in Saginaw, Michigan. This profile covers 7 Medicare and 10 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 | Mobile Medical Response Inc |
| Address | 834 S Washington Ave |
| City | Saginaw |
| State | MI |
| ZIP | 48601 |
| Taxonomy | Ambulance |
| NPI Enumerated | June 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $65.9M |
| Medicare | $10.7M |
MOBILE MEDICAL RESPONSE INC shows a clear payer concentration toward Medicaid: lifetime Medicaid revenue is $65.9M compared with $10.7M in Medicare, indicating Medicaid is the dominant revenue source for this operator. This scale difference suggests the provider’s business and contracts are heavily weighted to state programs rather than fee-for-service Medicare volumes.
The provider’s taxonomy (Ambulance) and its top revenue-driving codes point to an operations model focused on emergency ambulance transport and extensive mileage billing. On Medicare the leading codes are A0427, A0425, and A0429 (together accounting for 81.5% of Medicare revenue), and on Medicaid the same three codes (A0427, A0425, A0429) account for 76.7% of Medicaid revenue, which is consistent with a service line built around emergent ALS/BLS transports and high ground-mileage utilization.
Medicare billing is highly concentrated in a very small set of codes: A0427 accounts for 34.5% of Medicare revenue, A0425 for 29.3%, and A0429 for 17.8%, together representing the precomputed 81.5% concentration. Nationally, the provider ranks as an outlier on those codes — A0425 ranks #10 of 8934 (100th percentile; extreme outlier), A0427 ranks #45 of 6841 (99th percentile; extreme outlier), and A0429 ranks #40 of 7808 (100th percentile; extreme outlier) — indicating unusually high Medicare volume for core ambulance services versus peers.
Medicaid billing likewise concentrates on the same core ambulance services: A0427 (35.9%), A0425 (25.8%), and A0429 (15.0%) make up the precomputed 76.7% of Medicaid revenue. In-state competitive standing is dominant for these codes — A0427 is #1 of 163 providers in-state (100th percentile; extreme outlier), A0425 is #2 of 199 (99th percentile; extreme outlier), and A0429 is #2 of 153 (99th percentile; notably above typical) — signaling that this supplier is a major statewide player for ambulance transports.
The provider also shows significant non-transport and specialized-transport activity within Medicaid: A0998 (ambulance response and treatment, no transport) represents $6.2M and 9.3% of Medicaid revenue and ranks #1 of 48 in-state (100th percentile; extreme outlier), while A0434 (specialty care transport) and A0433 (ALS level 2) appear at smaller but present volumes. This mix implies operational capabilities beyond routine BLS/ALS emergency transport, including on-scene treatment without transport and specialty transports that contribute materially to Medicaid revenue.
Operational metrics point to very large mileage billing volumes: on Medicare A0425 shows 392.8K claims with $8 avg paid/claim and $3.1M revenue, and on Medicaid A0425 shows 233.3K claims with $73 avg paid/claim and $17M revenue. These raw claim-counts and per-claim rates indicate the provider bills mileage at scale across both payers, which has substantial impact on total reimbursement despite the per-claim paid differences between payers.
The provider’s Medicare and Medicaid rank patterns contain multiple labeled statistical outliers, underlining consistently higher-than-typical utilization on core ambulance codes. Codes identified as “extreme outlier” in the supplied data include Medicare A0425 and A0427 and Medicaid A0427, A0425, A0998 and A0426, while several other codes are marked “notably above typical” — together these labels support characterizing this operator as an outsized local/state ambulance service with exceptional volume on specific CPT/HCPCS lines.
MOBILE MEDICAL RESPONSE INC has long tenured billing presence, with an NPI enumerated on 2006-06-09 (~20 years ago), which aligns with the large cumulative revenue totals and sustained high-volume standings in both Medicare and Medicaid. The combination of long tenure and top-rank volumes suggests established relationships and operational scale in the Saginaw, MI market for ambulance 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9,740 | $380 | $3.7M |
| A0425 | Ground mileage, per statute mile | 392,820 | $10 | $3.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,060 | $320 | $1.9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7,190 | $200 | $1.4M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,260 | $250 | $307.7K |
| A0433 | Advanced life support, level 2 (als 2) | 220 | $550 | $122.7K |
| A0434 | Specialty care transport (sct) | 180 | $660 | $121.3K |
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 109,030 | $220 | $23.7M |
| A0425 | Ground mileage, per statute mile | 233,340 | $70 | $17M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 66,680 | $150 | $9.9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 45,720 | $140 | $6.2M |
| A0998 | Ambulance response and treatment, no transport | 34,410 | $180 | $6.2M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 9,970 | $210 | $2.1M |
| A0433 | Advanced life support, level 2 (als 2) | 2,720 | $270 | $722.5K |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 600 | $180 | $108.1K |
| A0434 | Specialty care transport (sct) | 200 | $90 | $18.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 160 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
10 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) | 1 | 160 | 1,880 | $230 | $1.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 70 | 1,790 | $130 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 150 | 1,570 | $150 | $951.3K |
| A0425 | Ground mileage, per statute mile | 2 | 200 | 2,950 | $50 | $648.5K |
| A0998 | Ambulance response and treatment, no transport | 1 | 50 | 1,100 | $180 | $553.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 50 | 540 | $220 | $285.3K |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 2 | 10 | 590 | $180 | $128K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 140 | $270 | $108.9K |
| A0434 | Specialty care transport (sct) | 4 | 10 | 200 | $140 | $89.8K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 19 | 30 | 290 | $1 | $1 |
Other providers in the same ZIP code as Mobile Medical Response Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mymichigan Medical Center Saginaw | MI | General Acute Care Hospital | $0 | $38.7M |
| Great Lakes Bay Health Centers | MI | Federally Qualified Health Center (FQHC) | $0 | $10.3M |
| Svrc Industries, Inc. | MI | Developmentally Disabled Services Day Training Agency | $0 | $7.9M |
| Steven Jensen | MI | Urology Physician | $649.8K | $0 |
| Mymichigan Medical Center Saginaw | MI | Radiation Oncology Physician | $595.8K | $0 |
| Glenn Kershen | MI | Urology Physician | $555.7K | $0 |
| Aditya Bulusu | MI | Urology Physician | $514.7K | $0 |
| Asim Yunus | MI | Clinical Cardiac Electrophysiology Physician | $328.8K | $0 |
| Med-trans Corporation | MI | Air Ambulance | $263.1K | $0 |
| Muhammad Khan | MI | Internal Medicine Physician | $257.6K | $0 |
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