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    OpenPayerNPI Medicare & MedicaidLehighton Ambulance Association Inc
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    Lehighton Ambulance Association Inc — Billing Profile & Reimbursement Data

    NPI 1407832215 · Lehighton, PA · Land Ambulance

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    Lehighton Ambulance Association Inc is a land ambulance provider located in Lehighton, Pennsylvania. This profile covers 6 Medicare and 7 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)

    FieldValue
    Entity TypeOrganization
    OrganizationLehighton Ambulance Association Inc
    Address516 Iron St
    CityLehighton
    StatePA
    ZIP18235
    TaxonomyLand Ambulance
    NPI EnumeratedDecember 22, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.6M
    Medicare$1.3M

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0425Ground mileage, per statute mile49,250$10$394K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)890$380$342.9K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)890$320$285K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)790$200$159.4K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)310$240$74.9K
    A0433Advanced life support, level 2 (als 2)20$560$11.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A042735460120$390$118.2K
    A042835210150$210$103.4K
    A042927540110$330$86.9K
    A042596002,630$10$42.8K
    A042669050$250$24.2K
    A0433266020$570$15.3K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)3,240$290$946.4K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)3,660$240$885.2K
    A0425Ground mileage, per statute mile6,660$110$712.6K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)3,720$180$680K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)980$260$257.5K
    A0432Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers600$120$69.8K
    A0998Ambulance response and treatment, no transport110$90$10.4K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)41290710$300$631.5K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)38390510$250$557.8K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)21160460$150$316.4K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)960120$270$160.6K
    A0432Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers1440100$150$76.2K
    A0425Ground mileage, per statute mile28440400$30$76K
    A0998Ambulance response and treatment, no transport3460140$100$56.6K

    Nearby Providers

    Other providers in the same ZIP code as Lehighton Ambulance Association Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.PAHome Health Agency$0$25.2M
    Ahmed HasanPAGastroenterology Physician$910.6K$0
    Matthew MertzPAFoot Surgery Podiatrist$418.6K$60
    Joan HomanPACardiovascular Disease Physician$371.1K$0
    Garry CarbonePANephrology Physician$204.9K$78.7K
    William MarksonPACardiovascular Disease Physician$179.3K$90
    Richard LizakPAInternal Medicine Physician$135.2K$0
    Healthdirect Institutional Pharmacy Services, Inc.PALong Term Care Pharmacy$97.3K$0
    Andrew SchwartzPAGastroenterology Physician$81.1K$0
    Alessandro BoschiPASpecialist$26.3K$52.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Lehighton Ambulance Association Inc — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Lehighton Ambulance Association Inc — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania