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NPI 1407405285 · Dayton, OH · Land Ambulance
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Kettering Transportation Services LLC is a land ambulance provider located in Dayton, Ohio. This profile covers 7 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 | Kettering Transportation Services LLC |
| Address | 1516 Nicholas Rd |
| City | Dayton |
| State | OH |
| ZIP | 45417 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | September 5, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.5M |
| Medicare | $2.4M |
KETTERING TRANSPORTATION SERVICES LLC operates as a land ambulance provider with a clear operational emphasis on non-emergency ground transports and high-mileage runs. The top revenue-driving codes across both payers — A0428 (BLS non-emergency), A0425 (ground mileage), and A0426 (ALS 1 non-emergency) — dominate receipts, with the three codes accounting for the majority of activity on both Medicare and Medicaid ledgers (see concentration notes below). Claim volumes and average paid/claim values (e.g., Medicare A0425: 107.2K claims, $7 avg; Medicaid A0428: 31.4K claims, $76 avg) are consistent with a fleet-based transport operation that bills both basic and advanced life support services plus extensive mileage.
Revenue concentration is high for both payers: the provider’s top three Medicare codes account for 93.6% of its Medicare revenue, and the top three Medicaid codes account for 89.0% of its Medicaid revenue. This concentration is anchored by A0428, A0425, and A0426 on both payers, indicating that a small set of transport services drives most of the financial performance and therefore any reimbursement or utilization changes to these codes would materially affect revenue.
Payer mix is skewed toward Medicaid in scale: lifetime Medicaid revenue ($5.5M) exceeds lifetime Medicare revenue ($2.4M). While the provider bills both programs, Medicaid represents the larger share of lifetime reported revenue, so state-level policy and Medicaid fee schedules are likely to have a greater absolute impact on the organization’s topline.
Medicare competitive standing shows pockets of national specialization. A0426 (ALS 1 non-emergency) is an extreme outlier on Medicare (ranks #5 of 1568 providers nationally, 100th percentile), indicating unusually high national volume for that code, while A0425 (ground mileage) ranks high nationally as well (rank #131 of 8934, 99th percentile; labeled notably above typical national volume). By contrast, A0428 on Medicare ranks #131 of 2772 (95th percentile) and is described in the data as typical/unremarkable volume, suggesting exceptional strength is concentrated in ALS and mileage rather than basic non-emergency runs alone.
Medicaid competitive standing is similarly concentrated and strong at the state level. A0426 is again an extreme outlier in-state (rank #3 of 76, 97th percentile) and A0425 is notably above typical state volume (rank #16 of 675, 98th percentile), while A0428 also posts high in-state volume (rank #11 of 126, described as typical/unremarkable). Together these ranks indicate the provider is a major in-state participant for ALS non-emergency and high-mileage Medicaid transports.
The provider’s statistical outlier profile is consistent across payers: A0426 is flagged as an extreme outlier on both Medicare and Medicaid, and A0425 registers as notably above typical volume (nationally and in-state respectively). These labels point to a business model with unusually high ALS non-emergency and mileage utilization compared with peers, implying specialized staffing, equipment, or operational routing to support those services.
Tenure and scale: the NPI was enumerated on 2019-09-05 (~7 years ago), and in that period the entity has recorded lifetime Medicare revenue of $2.4M and lifetime Medicaid revenue of $5.5M. For a provider with under a decade of enumeration, this level of Medicaid activity and the national/state ranks on ALS and mileage codes indicate rapid establishment of a significant transport footprint.
From a contracting and utilization-management perspective, the combination of high revenue concentration (top 3 codes = 93.6% of Medicare revenue and 89.0% of Medicaid revenue) and the documented outlier status on A0426 and A0425 suggests these specific codes should be the focus of payer review and negotiation. Payers evaluating reimbursement, medical necessity controls, or network terms should prioritize monitoring of A0426, A0425, and A0428 because adjustments to those codes will disproportionately affect the provider’s revenue base.
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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,940 | $200 | $983.3K |
| A0425 | Ground mileage, per statute mile | 107,210 | $10 | $750.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,100 | $240 | $501.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 230 | $380 | $88.2K |
| A0433 | Advanced life support, level 2 (als 2) | 60 | $540 | $33.7K |
| A0434 | Specialty care transport (sct) | 40 | $650 | $24.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 20 | $320 | $7.3K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 31,360 | $80 | $2.4M |
| A0425 | Ground mileage, per statute mile | 46,100 | $30 | $1.5M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10,980 | $100 | $1.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,180 | $120 | $268K |
| A0130 | Non-emergency transportation: wheelchair van | 5,940 | $20 | $124.7K |
| A0433 | Advanced life support, level 2 (als 2) | 560 | $130 | $70.3K |
| S0209 | Wheelchair van, mileage, per mile | 5,920 | $10 | $65.1K |
| A0434 | Specialty care transport (sct) | 160 | $270 | $44.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 470 | $90 | $40.5K |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio 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) | 11 | 130 | 3,720 | $50 | $544.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 160 | 510 | 1,080 | $120 | $365.4K |
| A0434 | Specialty care transport (sct) | 18 | 20 | 660 | $190 | $317.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 292 | 480 | 880 | $90 | $260K |
| A0130 | Non-emergency transportation: wheelchair van | 55 | 150 | 3,580 | $20 | $208K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 80 | 380 | $80 | $132.1K |
| A0425 | Ground mileage, per statute mile | 16 | 680 | 2,020 | $10 | $98.4K |
| S0209 | Wheelchair van, mileage, per mile | 55 | 150 | 3,580 | $10 | $73.5K |
| A0433 | Advanced life support, level 2 (als 2) | 4 | 10 | 110 | $130 | $64.3K |
Other providers in the same ZIP code as Kettering Transportation Services LLC, ranked by combined Medicare and Medicaid revenue.
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