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NPI 1407158694 · Pleasantville, NJ · Land Ambulance
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Tcmt Holdings, LLC is a land ambulance provider located in Pleasantville, New Jersey. This profile covers 4 Medicare and 5 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 | Tcmt Holdings, LLC |
| Address | 825 Noahs Road |
| City | Pleasantville |
| State | NJ |
| ZIP | 08232 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 22, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.9M |
| Medicaid | $2.3M |
The provider’s taxonomy (Land Ambulance) and the code mix — dominated by A0428 (BLS non-emergency), A0429 (BLS emergency), A0425 (ground mileage) and a smaller share of A0434 (specialty care transport) — indicate TCMT HOLDINGS, LLC operates primarily as a ground ambulance service that performs both emergency and non-emergency BLS transports and bills substantial mileage. The presence of A0434 shows some specialty care capability, but the revenue split is heavily weighted toward routine BLS and mileage services.
Medicare revenue is concentrated in three codes: the top 3 Medicare codes account for 93.3% of this provider’s Medicare revenue, with A0428 generating $2.2M (56.8% of Medicare revenue), A0429 generating $710.3K (18.6%), and A0425 generating $688.2K (18.0%). This concentration shows Medicare income is heavily dependent on BLS transport and ground mileage rather than a broad mix of CPT codes.
On Medicare competitive standing, TCMT HOLDINGS is a high-volume outlier on core ambulance codes: A0428 ranks #40 of 2772 nationally (99th percentile; extreme outlier) and A0425 ranks #111 of 8934 nationally (99th percentile; extreme outlier), while A0429 ranks #198 of 7808 nationally (97th percentile; notably above typical national volume). A0434 is more typical for its national peer set (rank #46 of 591; 92th percentile; typical, unremarkable volume). These rankings position the provider as a major national-volume performer on basic ground-transport and mileage codes.
Medicaid revenue is also concentrated: the top 3 Medicaid codes account for 84.7% of the provider’s Medicaid revenue, with A0429 at $969.4K (42.7% of Medicaid revenue), A0428 at $482.8K (21.3%), and A0425 at $469.8K (20.7%). This demonstrates a similar payer-specific dependency on BLS emergency/non-emergency transports and mileage within Medicaid billing.
Within its state Medicaid market TCMT HOLDINGS shows strong standing on several core codes: A0428 ranks #8 of 86 in-state (92th percentile; typical, unremarkable volume) and A0429 ranks #21 of 264 in-state (92th percentile; typical, unremarkable volume), while A0425 ranks #50 of 426 in-state (88th percentile; typical, unremarkable volume). A0434 is less prominent in-state (rank #15 of 25; 42th percentile; typical, unremarkable volume). These placements suggest the provider is a notable in-state participant on BLS and mileage services but not uniquely dominant on specialty transports.
TCMT HOLDINGS bills materially more to Medicare than to Medicaid: total Medicare revenue is $3.9M versus total Medicaid revenue of $2.3M. Both payers are meaningful to the business — the provider is not effectively single-payer — but Medicare constitutes the larger share of lifetime public-payer revenue on file.
Operationally, the claim-level detail shows a volume-driven model: A0425 (ground mileage) accounts for 114.7K Medicare claims at $6 avg paid/claim and 42.7K Medicaid claims at $11 avg paid/claim, while A0428 and A0429 have much higher per-claim averages on Medicare ($190 and $365 respectively) versus much lower averages on Medicaid ($22 and $54 respectively). This pattern indicates revenue is derived from a mix of higher-paying Medicare BLS claims plus very high-mileage volume, with Medicaid reimbursements paying materially less per claim but contributing sizable aggregate revenue through volume.
The NPI has been active for an extended period, enumerated on 2010-11-22 (~16 years ago), which supports interpreting the reported volume and ranking data as the result of a long-standing operational presence rather than a short-term reporting anomaly. The tenure combined with extreme national ranks on core Medicare codes underscores a sustained, high-volume ambulance operation rather than a transient billing pattern.
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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 11,440 | $190 | $2.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,950 | $370 | $710.3K |
| A0425 | Ground mileage, per statute mile | 114,690 | $10 | $688.2K |
| A0434 | Specialty care transport (sct) | 340 | $750 | $256.9K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 17,950 | $50 | $969.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 21,950 | $20 | $482.8K |
| A0425 | Ground mileage, per statute mile | 42,710 | $10 | $469.8K |
| A0434 | Specialty care transport (sct) | 1,080 | $320 | $342.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 540 | $10 | $4.3K |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0434 | Specialty care transport (sct) | 15 | 30 | 1,730 | $470 | $1.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21 | 260 | 1,770 | $110 | $683K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8 | 90 | 2,490 | $20 | $164.4K |
| A0425 | Ground mileage, per statute mile | 50 | 430 | 3,700 | $10 | $106.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 12 | 40 | 220 | $10 | $7K |
Other providers in the same ZIP code as Tcmt Holdings, LLC, ranked by combined Medicare and Medicaid revenue.
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