Loading...
NPI 1386626224 · Frederick, MD · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Frederick County Maryland is a land ambulance provider located in Frederick, Maryland. This profile covers 4 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 | Frederick County Maryland |
| Address | 12 E Church St |
| City | Frederick |
| State | MD |
| ZIP | 21701 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 16, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.2M |
| Medicare | $3M |
This provider has material billing activity to both Medicare and Medicaid: Total Medicare revenue is $3M while Total Medicaid revenue is $3.2M, so Medicaid is slightly larger in lifetime revenue but both payers are similar in scale. The near parity means analysts should treat this as a dual-payer ground ambulance operator rather than a single-payer specialty vendor.
Taxonomy and top codes indicate Frederick County Maryland operates as a ground ambulance service focused on emergency transports and mileage: the listed taxonomy is Land Ambulance and the top codes are A0429 (BLS emergency), A0427 (ALS 1 emergency) and A0425 (ground mileage). This code mix—high-volume basic and advanced life-support transports plus large mileage billing—is consistent with a staffed EMS/911 transport fleet rather than a niche non-emergency transport service.
Medicare revenue is highly concentrated: the precomputed top-3 Medicare codes account for 99.4% of Total Medicare revenue, driven by A0429 ($1.6M revenue, 51.4% of this provider's total Medicare revenue), A0427 ($1.1M revenue, 35.8% of this provider's total Medicare revenue), and A0425 ($366.8K revenue, 12.2% of this provider's total Medicare revenue). This concentration indicates that a small set of emergency transport services generates essentially all Medicare dollars for this entity.
Medicaid revenue is even more concentrated into three codes: the precomputed top-3 Medicaid codes account for 100.0% of Total Medicaid revenue, led by A0427 ($2.5M revenue, 79.5% of this provider's total Medicaid revenue), followed by A0425 ($628.3K revenue, 19.9% of this provider's total Medicaid revenue) and A0429 ($18.7K revenue, 0.6% of this provider's total Medicaid revenue). The dominance of A0427 on Medicaid suggests the provider bills primarily advanced life-support emergency transports to state programs.
On national Medicare competitiveness the provider is an outlier for basic life-support emergency transports: A0429 has 4.8K claims and $1.6M revenue and ranks #58 of 7808 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), indicating an unusually large national footprint for BLS emergency billing. By contrast A0427 (2.7K claims, $1.1M revenue) ranks #258 of 6841 (96th percentile) and A0425 (52.4K claims, $366.8K revenue) ranks #363 of 8934 (96th percentile), both high-percentile but described as typical or unremarkable in volume relative to peers.
Within the state Medicaid market the provider is a leading ALS biller: A0427 has 35.8K claims and $2.5M revenue and ranks #6 of 88 in-state (94th percentile), placing the provider among the largest in-state ALS emergency transport billers. A0425 ranks #11 of 79 in-state (87th percentile) and A0429 ranks #5 of 45 in-state (91th percentile as reported), supporting the view that the organization is a major regional ground-mileage and emergency-transport participant for Medicaid.
Operational footprint implied by claim volumes supports a substantial transport network: Medicare claims include 4.8K for A0429, 2.7K for A0427 and 52.4K for A0425, while Medicaid claims include 35.8K for A0427, 22.4K for A0425 and 9.4K for A0429. These high claim counts—especially the large mileage counts—suggest continuous dispatching and substantial vehicle miles, which has implications for fleet capacity, staffing, and reimbursement sensitivity to mileage or transport-level policy changes.
The provider has long tenure in the NPI file, enumerated 2005-11-16 (~21 years ago), indicating an established regional operator. Combined with the pronounced revenue concentration by a few transport codes, the profile points to a stable, long-standing land ambulance business with strategic dependence on emergency transport and mileage reimbursement streams across both Medicare and Medicaid.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,760 | $330 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,650 | $410 | $1.1M |
| A0425 | Ground mileage, per statute mile | 52,400 | $10 | $366.8K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $550 | $17.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 35,810 | $70 | $2.5M |
| A0425 | Ground mileage, per statute mile | 22,440 | $30 | $628.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9,360 | $1 | $18.7K |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
3 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) | 6 | 90 | 1,050 | $90 | $996.5K |
| A0425 | Ground mileage, per statute mile | 11 | 80 | 1,580 | $30 | $407.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 50 | 620 | $10 | $27.9K |
Other providers in the same ZIP code as Frederick County Maryland, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.