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NPI 1336178458 · Huntsville, AL · Land Ambulance
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Huntsville Emergency Medical Services, Inc. is a land ambulance provider located in Huntsville, Alabama. 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 | Huntsville Emergency Medical Services, Inc. |
| Address | 2700 6th Ave Sw |
| City | Huntsville |
| State | AL |
| ZIP | 35805 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6M |
| Medicare | $5.6M |
HUNTSVILLE EMERGENCY MEDICAL SERVICES, INC. is a land-ambulance operator whose Medicare and Medicaid billing is dominated by emergency and mileage codes, with heavy reliance on both advanced life support and basic life support transports. Medicare top-line billing is led by A0427, A0428 and A0425, while Medicaid revenue is concentrated in A0425, A0427 and A0429; together these top code groups drive the majority of revenue for each payer (79.8% of Medicare revenue and 85.0% of Medicaid revenue).
The provider’s lifetime revenue is similar across payers, with Medicaid at $6M and Medicare at $5.6M, so it is not effectively single-payer; Medicaid revenue slightly exceeds Medicare in scale but both are material to the business. This roughly balanced payer mix means operational or reimbursement changes affecting either program could meaningfully affect overall cash flow.
On Medicare, A0427 accounts for $2.3M (41.2% of this provider's total Medicare revenue) and ranks #96 of 6841 providers nationally (99th percentile), identified as an extreme outlier far above typical national volume for this code. A0428 ($1.1M, 20.4%) and A0425 ($1M, 18.2%) round out the top three for Medicare and together make up the precomputed 79.8% concentration, signaling very high dependence on a small set of transport and mileage services.
On Medicaid, A0425 is the single largest line with $2M (34.0% of this provider's total Medicaid revenue) and ranks #2 of 131 providers in-state (99th percentile), which positions the provider as a dominant in-state mileage filer. A0427 ($2M, 33.2%) and A0429 ($1.1M, 17.8%) further concentrate revenue and together constitute the precomputed 85.0% of Medicaid revenue, indicating heavy reliance on a small cluster of ambulance transport codes within Alabama.
Competitive standing differs by payer: nationally the provider is an outlier on several Medicare codes — A0427 and A0425 are 99th percentile national performers and A0428 is 97th percentile — suggesting unusually high Medicare volume compared with peers across the U.S. In-state, the provider is likewise a leading filer for core Medicaid codes (A0425 at #2 of 131, A0427 and A0429 both rank #3 in their peer sets), consistent with a major local market presence in ambulance services.
The code mix (high-volume A0427 ALS emergency transports, A0429 BLS emergency transports, and very large counts of A0425 ground mileage) implies operational focus on emergency response and substantial mileage-driven activity; the large A0425 counts on both payers suggest either very high trip counts or extended transport distances, consistent with a provider covering a broad or rural catchment. This pattern aligns with a service model centered on in-field emergency transports rather than ancillary non-transport services.
Concentration risk is material: the precomputed top-3 shares (79.8% Medicare, 85.0% Medicaid) indicate the provider’s finances are highly dependent on a narrow set of ambulance and mileage codes. That concentration creates vulnerability to coding-specific audits, reimbursement policy changes, or shifts in referral patterns that affect ALS/BLS transport or mileage payments.
The provider has long tenure in the NPI system, enumerated on 2006-07-01 (~20 years ago), which supports that the observed high-volume patterns are not a short-term anomaly but reflect sustained operational activity over many years. Historical presence combined with high percentile rankings suggests established market positioning rather than a newly emergent billing pattern.
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) | 6,290 | $370 | $2.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6,420 | $180 | $1.1M |
| A0425 | Ground mileage, per statute mile | 145,500 | $10 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,290 | $310 | $1M |
| A0433 | Advanced life support, level 2 (als 2) | 170 | $530 | $88.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 110 | $230 | $24.5K |
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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 61,760 | $30 | $2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 26,550 | $80 | $2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 15,270 | $70 | $1.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 18,010 | $40 | $738.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,150 | $130 | $149.8K |
| A0433 | Advanced life support, level 2 (als 2) | 130 | $80 | $10.2K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 200 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alabama median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 2 | 130 | 3,610 | $40 | $394K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3 | 100 | 1,850 | $90 | $379.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 80 | 2,590 | $40 | $248.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 90 | 1,170 | $70 | $209.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7 | 40 | 140 | $100 | $46.4K |
| A0433 | Advanced life support, level 2 (als 2) | 2 | 10 | 440 | $90 | $37.4K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 4 | 10 | 200 | $1 | $240 |
Other providers in the same ZIP code as Huntsville Emergency Medical Services, Inc., ranked by combined Medicare and Medicaid revenue.
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