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NPI 1366882987 · Hyannis, MA · Land Ambulance
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Coastal Medical Transportation Services LLC is a land ambulance provider located in Hyannis, Massachusetts. This profile covers 6 Medicare and 9 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 | Coastal Medical Transportation Services LLC |
| Address | 372 Yarmouth Rd |
| City | Hyannis |
| State | MA |
| ZIP | 02601 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 27, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.2M |
| Medicare | $5.2M |
COASTAL MEDICAL TRANSPORTATION SERVICES LLC is an established land-ambulance operator with an NPI enumerated on 2013-06-27 (~13 years ago). The entity reports measurable business across both Medicare ($5.2M) and Medicaid ($10.2M), with Medicaid representing the larger single-payer revenue stream on file, indicating the organization participates substantially in state-level non-emergency transport programs in addition to Medicare business.
Revenue is highly concentrated by code for both payers: the provider's top three Medicare codes account for 95.7% of Medicare revenue, while the top three Medicaid codes account for 91.3% of Medicaid revenue. This concentration indicates that a very small set of service lines — primarily a few transport codes — drive nearly all billed dollars.
The code mix identifies the operation as predominantly non-emergency basic life-support and mileage-driven ground transport. On Medicare the top codes are A0428 ($3.2M, 61.0%), A0425 ($1.7M, 31.7%) and A0426 ($157.9K, 3.0%), and on Medicaid the top codes are A0428 ($5.2M, 50.4%), A0425 ($3.5M, 34.4%) and A0130 ($669.4K, 6.5%), reflecting a business model centered on BLS/non-emergency transports, extensive billed mileage, and a meaningful wheelchair-van volume in Medicaid.
Nationally for Medicare this provider is an outsized volume player on core non-emergency codes: A0428 ranks #17 of 2772 (99th percentile; extreme outlier) and A0425 ranks #32 of 8934 (100th percentile; extreme outlier), while A0426 ranks #65 of 1568 (96th percentile; notably above typical). Those ranks indicate the provider operates at a scale for these services far above typical national peers, suggesting a dominant role in BLS and mileage billing on the Medicare side.
Within Massachusetts Medicaid comparisons show strong in-state standing on the same core lines: A0428 ranks #6 of 56 (91th percentile) and A0425 ranks #15 of 295 (95th percentile), while A0130 sits at #17 of 79 (79th percentile). These state-rank positions point to a significant competitive presence regionally for non-emergency and wheelchair-van transport, even if some specialized or emergency codes remain modest by comparison.
Emergency-transport and specialty codes contribute only a small share of revenue, signaling a non-emergency operational focus. Examples include Medicare A0429 ($122.6K, 2.3%) and A0427 ($36.5K, 0.7%), and Medicaid A0429 ($108.3K, 1.1%) and A0427 ($23.8K, 0.2%), which together underscore that emergent ALS/emergency runs are not the primary revenue drivers for this provider.
Payer-level unit-price differences are notable and may shape margin dynamics: for A0428 the reported average paid/claim is $204 on Medicare versus $90 on Medicaid, and for A0425 it is $7 on Medicare versus $58 on Medicaid. Those published averages suggest that payer rate structures and claim volumes interact differently across programs, with Medicaid generating higher aggregate dollars here despite lower per-claim A0428 payments because of volume and different code mix.
The provider’s heavy reliance on a narrow set of codes (top three = 95.7% Medicare; top three = 91.3% Medicaid) creates concentration risk: changes to reimbursement policy, mileage rules, or non-emergency transport authorization in either Medicare or state Medicaid could materially affect revenue. At the same time, the provider’s extreme-outlier national ranks on A0428 and A0425 imply a competitive operational advantage or scale that competitors and payers will recognize when evaluating network needs or contract negotiations.
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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 15,740 | $200 | $3.2M |
| A0425 | Ground mileage, per statute mile | 238,200 | $10 | $1.7M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 600 | $270 | $157.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 340 | $370 | $122.6K |
| A0434 | Specialty care transport (sct) | 100 | $720 | $69.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 90 | $430 | $36.5K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 57,520 | $90 | $5.2M |
| A0425 | Ground mileage, per statute mile | 60,930 | $60 | $3.5M |
| A0130 | Non-emergency transportation: wheelchair van | 19,690 | $30 | $669.4K |
| S0215 | Non-emergency transportation; mileage, per mile | 19,300 | $20 | $328K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,420 | $150 | $210.2K |
| A0999 | Unlisted ambulance service | 1,140 | $180 | $206.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 620 | $180 | $108.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 90 | $270 | $23.8K |
| A0434 | Specialty care transport (sct) | 70 | $310 | $21.7K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6 | 60 | 9,300 | $90 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 141 | 240 | 980 | $180 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 183 | 220 | 1,290 | $180 | $740.6K |
| A0130 | Non-emergency transportation: wheelchair van | 17 | 80 | 5,670 | $30 | $449K |
| A0434 | Specialty care transport (sct) | 28 | 30 | 210 | $390 | $404.6K |
| A0425 | Ground mileage, per statute mile | 15 | 300 | 2,300 | $20 | $267.6K |
| S0215 | Non-emergency transportation; mileage, per mile | 30 | 100 | 8,500 | $10 | $253.8K |
| A0999 | Unlisted ambulance service | 7 | 20 | 690 | $30 | $155.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 6 | 40 | 510 | $140 | $137K |
Other providers in the same ZIP code as Coastal Medical Transportation Services LLC, ranked by combined Medicare and Medicaid revenue.
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