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NPI 1356588651 · Fair Lawn, NJ · Land Ambulance
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A & M Medical Services LLC is a land ambulance provider located in Fair Lawn, New Jersey. This profile covers 3 Medicare and 3 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 | A & M Medical Services LLC |
| Address | 177 Lincoln Ave |
| City | Fair Lawn |
| State | NJ |
| ZIP | 07410 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | January 8, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.2M |
| Medicaid | $925.2K |
A & M MEDICAL SERVICES LLC is operating as a land ambulance provider concentrated on basic life support transports and mileage-based billing: Medicare and Medicaid top codes are A0428 (BLS non-emergency transport), A0425 (ground mileage), and A0429 (BLS emergency transport), which together account for 100.0% of Medicare revenue and 100.0% of Medicaid revenue. The code mix indicates primary service lines are high-volume non-emergency BLS transports with substantial mileage capture, with emergency BLS representing a much smaller share of billed revenue.
Revenue concentration is extreme at the code level for both payers: for Medicare the provider reports $3.2M total with A0428 generating $2.6M (83.5%), A0425 $378.6K (12.0%), and A0429 $143.3K (4.5%), while for Medicaid the provider reports $925.2K total with A0428 generating $796.6K (82.7%), A0425 $120K (12.5%), and A0429 $46.2K (4.8%). The top three codes fully explain billed revenue to each payer, indicating little diversity beyond core ambulance and mileage services.
Payer mix shows a Medicare scale materially larger than Medicaid: total Medicare revenue is $3.2M versus total Medicaid revenue of $925.2K, signaling Medicare as the dominant single payer by dollars in the record. Both payers, however, depend on the same narrow set of BLS and mileage codes to drive that revenue.
Competitive standing for A0428 is exceptionally strong: on Medicare A0428 ranks #22 of 2772 providers nationally (99th percentile; extreme outlier), and on Medicaid A0428 ranks #1 of 86 providers in-state (100th percentile; extreme outlier). These ranks mark the practice as a market-leading, high-volume operator for non-emergency BLS transports both nationally (Medicare) and within New Jersey (Medicaid).
For ground mileage A0425 the provider also posts elevated volumes: Medicare A0425 ranks #234 of 8934 providers nationally (97th percentile; notably above typical national volume) and Medicaid A0425 ranks #29 of 426 in-state (93th percentile; notably above typical state volume). These placements indicate mileage billing is an important secondary revenue engine and is billed at volumes above typical peers.
Emergency BLS A0429 represents a small share of revenue and a middling-to-typical competitive position: Medicare A0429 accounts for $143.3K (4.5%) and ranks #1483 of 7808 (81th percentile; typical, unremarkable), while Medicaid A0429 accounts for $46.2K (4.8%) and ranks #166 of 264 (37th percentile; typical, unremarkable). This suggests the provider’s operation is weighted toward non-emergency transports rather than emergency response.
The provider has an established enrollment history, with its NPI enumerated on 2009-01-08 (~17 years ago), indicating a long-tenured presence in the market that aligns with sustained, high-volume billing patterns for BLS non-emergency transport and mileage. Tenure combined with concentrated code volumes suggests an operational focus maintained over time rather than a recent change in service mix.
Given the combination of revenue concentration (top three codes = 100.0% for each payer), national- and state-level outlier ranks on A0428, and consistently elevated A0425 volumes, this entity should be treated as a specialized, high-volume land ambulance operator focused on BLS non-emergency transport and mileage billing rather than a broad multi-service clinician or diversified provider. Reviewers should prioritize programmatic and operational controls around non-emergency BLS and mileage pathways when assessing utilization or network contracting implications.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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.
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 166 | 260 | 1,770 | $110 | $683K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 90 | 2,490 | $20 | $164.4K |
| A0425 | Ground mileage, per statute mile | 29 | 430 | 3,700 | $10 | $106.9K |
Other providers in the same ZIP code as A & M Medical Services LLC, ranked by combined Medicare and Medicaid revenue.
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