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NPI 1437152212 · Mobile, AL · Land Ambulance
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Newmans Medical Services, Inc is a land ambulance provider located in Mobile, Alabama. This profile covers 5 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 | Newmans Medical Services, Inc |
| Address | 3500 Cottage Hill Rd |
| City | Mobile |
| State | AL |
| ZIP | 36609 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 24, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3M |
| Medicare | $1.6M |
NEWMANS MEDICAL SERVICES, INC is operating as a land ambulance provider based on its taxonomy and the dominant CPT/HCPCS mix; its top billed services are A0429 (BLS emergency), A0428 (BLS non-emergency), and A0425 (ground mileage) across both Medicare and Medicaid. Medicare volumes show A0429 at 2.1K claims with $615K revenue and A0425 at 55K claims with $384.9K revenue, while Medicaid shows A0429 at 18.6K claims with $1.2M revenue and A0425 at 33.9K claims with $847.9K revenue, indicating the core business is patient transport rather than clinic- or procedure-based care. These counts and revenue lines point to a fleet/mileage-heavy operation that bills both emergency and non-emergency basic life support services.
Medicare revenue is highly concentrated: the top three Medicare codes account for 88.2% of the provider's $1.6M total Medicare revenue, led by A0429 (38.0%), A0428 (26.5%), and A0425 (23.8%). This concentration means a large share of Medicare dollars flows from a small set of transport-related codes, increasing sensitivity of Medicare revenue to utilization or reimbursement changes affecting those codes. Analysts should treat Medicare results as code-concentrated rather than broadly diversified across many service lines.
Medicaid revenue is even more concentrated in a similar set of transport codes: the top three Medicaid codes account for 90.0% of the provider's $3M total Medicaid revenue, dominated by A0429 (41.2%), A0425 (28.0%), and A0428 (20.8%). The concentration in Medicaid mirrors Medicare but at a larger dollar scale, implying that changes in Medicaid policy or contract terms for these ambulance/mileage codes would materially affect overall revenue. The Medicaid mix emphasizes emergency BLS and mileage as primary revenue drivers for this payer.
The payer mix is Medicaid-dominant by scale: this provider reports $3M in total Medicaid revenue versus $1.6M in total Medicare revenue, so Medicaid represents the larger single-payer revenue source on file. Both payers are meaningful, but the absolute dollar gap is clear from the reported totals; contracting, credentialing, and revenue cycle efforts should prioritize Medicaid relationships while maintaining Medicare capacity. Because both payers are concentrated in the same transport codes, payer-specific reimbursement differences will have outsized impact on net revenue.
NEWMANS shows a strong competitive footprint on key codes. Nationally for Medicare, A0429 ranks #182 of 7808 providers (98th percentile) and is described as notably above typical national volume for that code, indicating an unusual national-scale presence for emergency BLS in Medicare claims. Other Medicare top codes appear at high but less extreme percentiles (for example A0425 ranks #346 of 8934, 96th percentile), so the provider is a significant participant on select ambulance codes rather than a broad national outlier across many service lines.
In-state competitive positioning for Medicaid is especially strong: A0429 ranks #2 of 93 providers in-state (99th percentile) and is labeled an extreme outlier, far above typical state volume for this code, while A0425 ranks #6 of 131 (96th percentile) and is notably above typical state volume. These rankings imply NEWMANS is a dominant Medicaid ambulance operator in Alabama for emergency BLS and mileage, and that it likely captures a large share of Medicaid transport activity in its service area. Analysts evaluating market competition or network adequacy should treat this provider as a major state-level supplier for ambulance transport.
Payment rate differences between payers are evident for identical codes: for A0429 the average paid per claim is $300 on Medicare versus $67 on Medicaid as reported, and for A0425 the avg paid/claim is $7 on Medicare versus $25 on Medicaid. These contrasts suggest materially different reimbursement structures by payer and indicate that revenue per encounter varies substantially depending on the payer mix. Billing and contract review should account for these per-claim rate disparities when modeling profitability and negotiating rates.
The provider has a long tenure on file, with NPI enumeration dated 2005-05-24 (~21 years ago), which supports interpretation of the patterns as established operational behavior rather than a new entrant anomaly. That said, both Medicare and Medicaid revenue streams are highly concentrated in a few transport codes (88.2% of Medicare revenue and 90.0% of Medicaid revenue from the top three codes), creating concentration risk: reimbursement, utilization, or compliance changes specific to ambulance or mileage codes could materially affect overall revenue. Reviewers should therefore combine this longevity signal with the revenue-concentration risk when assessing business stability and contracting strategy.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,050 | $300 | $615K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,250 | $190 | $429K |
| A0425 | Ground mileage, per statute mile | 54,980 | $10 | $384.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 460 | $360 | $165.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 110 | $230 | $25.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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) | 18,620 | $70 | $1.2M |
| A0425 | Ground mileage, per statute mile | 33,920 | $30 | $847.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 11,480 | $60 | $631.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,260 | $90 | $286.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 150 | $110 | $17K |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 6 | 130 | 3,610 | $40 | $394K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 34 | 100 | 1,850 | $90 | $379.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 14 | 80 | 2,590 | $40 | $248.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 90 | 1,170 | $70 | $209.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 19 | 40 | 140 | $100 | $46.4K |
Other providers in the same ZIP code as Newmans Medical Services, Inc, ranked by combined Medicare and Medicaid revenue.
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