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NPI 1336130848 · Muskegon, MI · Land Ambulance
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Professional Med Team is a land ambulance provider located in Muskegon, Michigan. This profile covers 6 Medicare and 6 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 | Professional Med Team |
| Address | 965 Fork St |
| City | Muskegon |
| State | MI |
| ZIP | 49442 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 3, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.4M |
| Medicare | $1.4M |
PROFESSIONAL MED TEAM operates as a land ambulance provider: the highest-revenue codes are emergency and non-emergency transport services (A0427, A0429, A0428), plus heavy ground mileage (A0425) and no-transport responses (A0998). The presence of both ALS and BLS emergency codes in the top lists indicates the operation provides advanced life support and basic life support emergency transports, and the sizable mileage and no-transport line items point to a fleet-based, dispatch-driven service model.
Medicare revenue is highly concentrated: the top 3 Medicare codes account for 89.7% of this provider's total Medicare revenue, led by A0427 at $626.1K (44.2%), A0429 at $408.8K (28.8%), and A0425 at $236.6K (16.7%). This concentration around emergency transport and mileage suggests Medicare activity is focused on a narrow set of high-frequency transport services rather than a broader procedural mix.
Medicaid revenue is also concentrated: the top 3 Medicaid codes account for 82.5% of this provider's total Medicaid revenue, with A0427 generating $4.9M (39.5%), A0429 $3.2M (25.6%), and A0425 $2.2M (17.5%). These three codes together dominate Medicaid receipts, again emphasizing emergency and transport-related services as the core business line for state payers.
The provider is effectively Medicaid-dominant in scale: lifetime Medicaid revenue is $12.4M compared with Medicare revenue of $1.4M, indicating Medicaid accounts for the large majority of reported lifetime public-payer revenue. Analysts should treat this entity as a regional Medicaid-focused ambulance operator rather than a balanced Medicare/Medicaid participant given the order-of-magnitude difference.
Competitive standing differs by payer: on Medicare the top codes (A0427, A0429, A0425) are described as "typical, unremarkable volume" even while ranking in high national percentiles (for example A0427 ranks #419 of 6841 providers nationally, 94th percentile; A0429 ranks #354 of 7808 nationally, 95th percentile). That phrasing in the source data implies the provider is not an extreme outlier nationally for these ambulance codes despite being above median activity.
By contrast, on Medicaid the provider is a major in-state participant for emergency ambulance services: A0427 ranks #10 of 163 providers in-state (94th percentile) and A0429 ranks #11 of 153 in-state (93th percentile), which positions the organization among the higher-volume Medicaid ambulance suppliers in Michigan. Several Medicaid codes (including A0998 at $1.1M and A0428 at $780.2K) also rank in upper state percentiles, reinforcing its competitive significance within-state.
Operational intensity is evident from claim volumes on Medicaid and Medicare: Medicaid claim counts are large — A0425 shows 47.2K claims and A0427 21.2K claims — while Medicare also reports substantial mileage and transport volumes (A0425 at 33.8K claims, A0427 at 1.7K claims). Those claim-level figures point to frequent trips and sustained fleet utilization, supporting the conclusion of a high-throughput ambulance operation with substantial per-claim mileage activity.
The provider has longstanding enrollment and market presence: NPI enumerated (registered) 2005-11-03 (~21 years ago), indicating stable, long-tenured participation in public payers. Combined with the concentrated revenue mix and the heavy Medicaid footprint, this tenure suggests an established regional ambulance operator whose financial profile is driven by a narrow set of transport-related 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) | 1,670 | $370 | $626.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,310 | $310 | $408.8K |
| A0425 | Ground mileage, per statute mile | 33,800 | $10 | $236.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 620 | $200 | $122.2K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $540 | $12.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 50 | $240 | $11K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 21,240 | $230 | $4.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19,720 | $160 | $3.2M |
| A0425 | Ground mileage, per statute mile | 47,170 | $50 | $2.2M |
| A0998 | Ambulance response and treatment, no transport | 6,100 | $180 | $1.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,940 | $160 | $780.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,380 | $220 | $299.2K |
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
6 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) | 10 | 160 | 1,880 | $230 | $1.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 18 | 70 | 1,790 | $130 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11 | 150 | 1,570 | $150 | $951.3K |
| A0425 | Ground mileage, per statute mile | 13 | 200 | 2,950 | $50 | $648.5K |
| A0998 | Ambulance response and treatment, no transport | 9 | 50 | 1,100 | $180 | $553.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 11 | 50 | 540 | $220 | $285.3K |
Other providers in the same ZIP code as Professional Med Team, ranked by combined Medicare and Medicaid revenue.
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