Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Puerto Rico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Puerto Rico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Puerto Rico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

V.i.p. Ambulance Corporation (NPI 1356398374)

Field	Value
Entity Type	Organization
Organization	V.i.p. Ambulance Corporation
Address	180 Calle Jose F Diaz
City	San Juan
State	PR
ZIP	00926
Taxonomy	Land Ambulance
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicare	$84.1K
Medicaid	$0

Key Findings

Service-line profile: The provider’s Medicare billing is concentrated in ground ambulance services, with A0428 (basic life support, non-emergency transport) representing the largest single activity and revenue source. The presence of A0425 (ground mileage) as the second-highest revenue code and A0429 (BLS emergency) as a smaller contributor indicates operations that are primarily non-emergency transport with routine mileage reimbursement rather than a heavy emergency-response orientation. This code mix is consistent with a land ambulance operator focused on scheduled or non-urgent patient movements rather than paramedic-level advanced transports.

Revenue concentration: The top three Medicare codes (A0428, A0425, A0429) account for 100.0% of this provider’s total Medicare revenue, showing extremely high concentration in a narrow set of services. A0428 alone accounts for $63.8K (76.2% of Medicare revenue), with A0425 contributing $13.4K (16.0%) and A0429 $6.5K (7.8%). This concentration implies that changes in reimbursement or utilization for these specific codes would have an outsized effect on the provider’s overall Medicare receipts.

Payer mix and scale: This entity has total Medicare revenue of $84.1K and no Medicaid billing on file, making it effectively a single-payer Medicare operation in the claims data. The absence of Medicaid activity removes a common source of diversification for ambulance providers and means comparative analyses of Medicaid performance or in-state market share are not applicable. Analysts should treat this provider’s public reimbursement footprint as narrowly Medicare-focused when modeling revenue risk or payer exposure.

Competitive standing on A0428: A0428 is the dominant code by revenue and ranks #1114 of 2772 nationally (60th percentile), a position described as typical and unremarkable volume for the code. That rank suggests the provider is a modest, regionally active participant on non-emergency BLS transports rather than a top national operator. For strategic benchmarking, peers above this percentile would represent higher-volume BLS non-emergency specialists.

Competitive standing on A0425 and A0429: Ground mileage A0425 shows a large claim count (2.2K claims) but lower per-claim payment ($6 avg) and ranks #5096 of 8934 nationally (43th percentile), characterized as typical, unremarkable volume. A0429 emergency BLS has very low claim count (21 claims) and ranks #6976 of 7808 nationally (10th percentile), also labeled typical and unremarkable; this indicates minimal emergency-transport activity relative to peers. Overall, the rank/percentile pattern points to modest national presence across these ambulance service codes rather than dominance in any single category.

Claims and unit economics: The provider’s A0428 activity shows 343 claims at $186 avg paid/claim yielding $63.8K in revenue, indicating that most revenue is driven by per-transport payments rather than high claim volume. By contrast, A0425 produced 2.2K claims but only $13.4K in revenue due to a $6 avg paid/claim, highlighting that mileage contributes materially to utilization metrics but less to dollars. A0429 carries a $310 avg paid/claim on only 21 claims, creating a higher per-claim value but limited overall revenue impact given the small volume.

Tenure and operational continuity: The NPI was enumerated on 2006-05-27 (~20 years ago), indicating long-standing enrollment in Medicare and a stable presence in the provider file. That tenure supports interpretation of the billing pattern as established rather than a transient or recent entrant profile. Analysts can treat current patterns as reflective of an ongoing, steady operation rather than an early-stage provider.

Risk/opportunity from payer concentration and geography: Operating out of SAN JUAN, PR with Medicare-only billing on file creates both upside and vulnerability — the provider’s specialty in non-emergency BLS transport (A0428) is a clear strength, but reliance on a single public payer and three codes for 100.0% of Medicare revenue concentrates reimbursement risk. Any payer policy change, local demand shift, or adjustments to mileage and BLS fees could disproportionately affect revenue, so payers and partners should monitor utilization trends for A0428, A0425, and A0429 closely.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	340	$190	$63.8K
A0425	Ground mileage, per statute mile	2,230	$10	$13.4K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	20	$310	$6.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

V.i.p. Ambulance Corporation — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0429	27	50	20	$330	$12.4K
A0428	1	30	40	$180	$12.4K
A0425	3	80	300	$10	$3.7K

Nearby Providers

Other providers in the same ZIP code as V.i.p. Ambulance Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Farmacia Doral, Inc.	PR	Specialty Pharmacy	$0	$115.6M
Grupo Neonatal C.s.p.	PR	Neonatal-Perinatal Medicine Physician	$0	$6M
Aps Clinics Of Puerto Rico, Inc.	PR	Adult Mental Health Clinic/Center	$0	$5.7M
Alejandro Marmolejo	PR	General Practice Physician	$2.5K	$2.1M
Bvr Ambulance Best Care Inc	PR	Land Ambulance	$10.2K	$1.6M
Jan Rodriguez Ferrer	PR	Internal Medicine Physician	$60.6K	$1.4M
Nuvasive Pr, Inc.	PR	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Rebeca Cuebas	PR	Pediatrics Physician	$0	$1M
Cck Medical Csp	PR	Cardiovascular Disease Physician	$0	$983K
Renato Rivera	PR	Family Medicine Physician	$0	$886.7K

V.i.p. Ambulance Corporation — Billing Profile & Reimbursement Data

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V.i.p. Ambulance Corporation — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References