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NPI 1386710515 · Dothan, AL · Land Ambulance
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Dothan Ambulance Service is a land ambulance provider located in Dothan, Alabama. 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 | Dothan Ambulance Service |
| Address | 923 S Foster St |
| City | Dothan |
| State | AL |
| ZIP | 36301 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.9M |
| Medicare | $1.7M |
DOTHAN AMBULANCE SERVICE is a land-ambulance operator whose Medicare and Medicaid portfolios are dominated by basic and advanced life support transports plus ground mileage; the top three Medicare codes (A0425, A0428, A0427) account for 78.5% of Medicare revenue and the top three Medicaid codes (A0425, A0429, A0427) account for 75.6% of Medicaid revenue, indicating core service lines are emergency and non-emergency BLS/ALS transports and mileage-based billing.
Revenue mix is weighted toward Medicaid in absolute scale: lifetime Medicaid revenue is $3.9M versus Medicare revenue of $1.7M, so Medicaid represents the larger payer relationship for this provider and likely the majority of call volume and reimbursement dollars at the enterprise level.
For Medicare, A0425 (ground mileage) is an unusually large component by volume and ranks notably above peers: the provider reported 64.9K A0425 claims generating $454.4K (27.1% of Medicare revenue) and ranks #280 of 8934 nationally (97th percentile), suggesting mileage billing is a major driver of Medicare revenue and that this provider operates at substantially higher mileage volumes than typical national peers.
Medicare clinical transports are also major revenue contributors: A0428 (BLS non-emergency) generated $437.4K (26.0% of Medicare revenue) and A0427 (ALS1 emergency) generated $426.5K (25.4% of Medicare revenue). Both codes rank in the upper national percentiles (A0428 at 88th, A0427 at 91st), indicating the provider maintains a balanced mix of non-emergency and emergency transport activity at scale.
Within Medicaid, A0425 (ground mileage) is again the single largest Medicaid code with $1.6M (40.8% of Medicaid revenue) and a top in-state ranking of #7 of 131 (95th percentile), confirming that mileage-driven reimbursement is the dominant revenue stream across both payers and that the provider is a high-volume mileage biller within Alabama.
State-level Medicaid competitive positioning shows the provider among the heavier billers for multiple core codes: A0429 (BLS emergency) $725.4K and A0427 (ALS1 emergency) $622.1K place the provider at #7 of 93 (93rd percentile) and #14 of 102 (87th percentile) respectively, reflecting significant in-state participation across emergency transport categories rather than a narrow niche.
There are code-level deviations worth noting for operational planning: A0426 (ALS non-emergency) in Medicaid produced $159.6K and ranks #3 of 41 in-state (95th percentile), which is described as notably above typical state volume — this suggests an above-average emphasis or capability in offering ALS non-emergency transports to Medicaid beneficiaries relative to peers.
Tenure is long-standing: the NPI was enumerated on 2006-11-28 (~20 years ago), indicating established operations and multi-year presence in both Medicare and Medicaid markets, which supports sustained volume patterns rather than a short-term spike.
Overall competitive picture: nationally the provider sits in high percentiles for several Medicare codes (97th for A0425, 88th–93rd for transport codes) which frames it as a major volume participant among ambulance providers on Medicare metrics, while in-state Medicaid rankings (several top-10 placements) show it to be one of the more active ambulance suppliers in Alabama, particularly on mileage and core transport services.
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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 64,920 | $10 | $454.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,280 | $190 | $437.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,180 | $360 | $426.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 950 | $310 | $292.6K |
| A0434 | Specialty care transport (sct) | 80 | $630 | $50.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 80 | $230 | $17.7K |
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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 33,020 | $50 | $1.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9,420 | $80 | $725.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7,320 | $90 | $622.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 14,170 | $40 | $609.5K |
| A0382 | Bls routine disposable supplies | 8,990 | $20 | $161.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,660 | $100 | $159.6K |
| A0434 | Specialty care transport (sct) | 120 | $130 | $15.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 170 | $10 | $1.9K |
| A0398 | Als routine disposable supplies | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alabama median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 7 | 130 | 3,610 | $40 | $394K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 14 | 100 | 1,850 | $90 | $379.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | 80 | 2,590 | $40 | $248.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 90 | 1,170 | $70 | $209.8K |
| A0434 | Specialty care transport (sct) | 5 | 10 | 840 | $120 | $93.5K |
| A0382 | Bls routine disposable supplies | 6 | 40 | 1,930 | $20 | $77.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 40 | 140 | $100 | $46.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 19 | 20 | 410 | $10 | $12.1K |
| A0398 | Als routine disposable supplies | 9 | 10 | 300 | $1 | $110 |
Other providers in the same ZIP code as Dothan Ambulance Service, ranked by combined Medicare and Medicaid revenue.
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