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NPI 1366499527 · Ionia, MI · Land Ambulance
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Life Ems Of Ionia Co Inc is a land ambulance provider located in Ionia, Michigan. This profile covers 7 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 | Life Ems Of Ionia Co Inc |
| Address | 350 W Washington St |
| City | Ionia |
| State | MI |
| ZIP | 48846 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.8M |
| Medicare | $1.9M |
Business profile: LIFE EMS OF IONIA CO INC operates as a land ambulance provider, with top Medicare and Medicaid revenue driven by emergency and non-emergency ambulance services (codes such as A0427, A0425, A0429, A0426). The presence of specialty care transport (A0434) on the Medicare side and ambulance response without transport (A0998) on the Medicaid side indicates a mix of higher-acuity transfers and non-transport response activity in its service mix.
Revenue concentration — Medicare: This provider reports $1.9M in lifetime Medicare revenue and its top three Medicare codes account for 84.9% of that Medicare revenue, signaling heavy dependence on a very small set of emergency and mileage codes (notably A0427 and A0425). Those two codes alone contribute large single-code shares to Medicare revenue (A0427: $729.5K, 38.5%; A0425: $680.4K, 35.9%).
Revenue concentration — Medicaid: With $10.8M in lifetime Medicaid revenue, the top three Medicaid codes account for 79.5% of Medicaid revenue, showing a similarly concentrated payer profile where A0427, A0425, and A0426 together dominate state Medicaid billing. Non-transport response A0998 is also material on Medicaid, contributing $923.9K (8.6%), which reflects routine billing for scene responses without patient transport.
Payer mix: Medicaid is the substantially larger payer for this provider by scale ($10.8M Medicaid vs $1.9M Medicare), indicating that the organization operates primarily in the Medicaid-funded market and likely serves a higher volume of Medicaid beneficiaries and transports. Analysts should treat this entity as effectively Medicaid-centric in volume and financial exposure while recognizing Medicare still contributes meaningful emergency transport revenue.
Competitive standing — Medicare national context: For Medicare, A0425 (ground mileage) is listed as notably above typical national volume and ranks #195 of 8934 providers (98th percentile), indicating unusually high mileage billing relative to national peers. Other Medicare top codes such as A0427 (A0427 ranks #367 of 6841, 95th percentile) and A0429 (ranks #903 of 7808, 88th percentile) are characterized as typical, unremarkable volume despite high percentile placements, so the Medicare footprint is concentrated but not uniformly exceptional across all top codes.
Competitive standing — Medicaid in-state context: In Michigan Medicaid, the provider ranks strongly for core ALS/BLS codes: A0427 ranks #14 of 163 (92th percentile) and A0426 ranks #4 of 49 (94th percentile), indicating a dominant regional presence for advanced-life-support transports and non-emergency ALS. A0425 (ground mileage) also ranks high in-state (#21 of 199, 90th percentile), supporting the conclusion that this provider is a major Medicaid ambulance operator in Michigan.
Service-line nuance: The mix of high-volume ground mileage billing (A0425) alongside significant advanced life support emergency transports (A0427) suggests operations that combine long-distance or frequent mileage transports with high-acuity emergency responses. The Medicaid presence of A0998 (ambulance response and treatment, no transport) at $923.9K (8.6% of Medicaid revenue) further suggests routine scene treatment activity that does not always result in transport, which affects operational staffing and dispatch models.
Tenure and operational footprint: The NPI was enumerated on 2006-05-30 (~20 years ago), indicating long-standing enrollment and operational history in the Medicare/Medicaid program. That longevity, combined with high in-state Medicaid rankings and concentrated revenue on a few transport and mileage codes, points to an established, regionally significant ambulance operator with stable payer relationships.
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) | 1,890 | $390 | $729.5K |
| A0425 | Ground mileage, per statute mile | 85,060 | $10 | $680.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 620 | $320 | $198.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 410 | $240 | $98.7K |
| A0434 | Specialty care transport (sct) | 140 | $650 | $92.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 380 | $200 | $75.1K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $560 | $19.1K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 16,430 | $240 | $3.9M |
| A0425 | Ground mileage, per statute mile | 29,550 | $130 | $3.7M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4,420 | $220 | $990.3K |
| A0998 | Ambulance response and treatment, no transport | 4,360 | $210 | $923.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,660 | $160 | $755.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,560 | $150 | $527.5K |
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) | 14 | 160 | 1,880 | $230 | $1.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 25 | 70 | 1,790 | $130 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 37 | 150 | 1,570 | $150 | $951.3K |
| A0425 | Ground mileage, per statute mile | 21 | 200 | 2,950 | $50 | $648.5K |
| A0998 | Ambulance response and treatment, no transport | 12 | 50 | 1,100 | $180 | $553.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4 | 50 | 540 | $220 | $285.3K |
Other providers in the same ZIP code as Life Ems Of Ionia Co Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ionia County Community Mental Health | MI | Public Health or Welfare Agency | $0 | $93.9M |
| Sparrow Ionia Hospital | MI | Critical Access Hospital | $0 | $13.7M |
| John Birgiolas | MI | Interventional Pain Medicine Physician | $172.8K | $0 |
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