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NPI 1437312444 · Dartmouth, MA · Land Ambulance
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Southcoast Emergency Medical Services Inc is a land ambulance provider located in Dartmouth, Massachusetts. This profile covers 4 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 | Southcoast Emergency Medical Services Inc |
| Address | 360 Faunce Corner Rd |
| City | Dartmouth |
| State | MA |
| ZIP | 02747 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 9, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.1M |
| Medicare | $2M |
SOUTHCOAST EMERGENCY MEDICAL SERVICES INC is a long-tenured land ambulance operator, with its NPI enumerated since 2008-07-09 (roughly 18 years). Its billing profile is dominated by classic ambulance transport services and related mileage codes, consistent with an organization operating ground transport units rather than hospital-based or specialty clinics.
Medicare volume is modest relative to Medicaid: total Medicare revenue is $2M while total Medicaid revenue is $9.1M, indicating Medicaid is the larger payer by far for this provider. The Medicaid portfolio appears to be the primary revenue stream, which suggests heavy reliance on state-managed transport contracts or high Medicaid beneficiary utilization in their service area.
Revenue concentration is high for both payers. Precomputed top-3 codes account for 83.2% of Medicare revenue and 73.9% of Medicaid revenue, signaling the business is focused on a narrow set of ambulance and mileage services rather than a broad mix of ancillary procedures or diagnostics.
For Medicare, the largest single code is A0428 (BLS non-emergency) contributing $941.6K (48.1% of Medicare revenue), followed by A0427 (ALS1 emergency) and A0425 (ground mileage). These top-three Medicare codes concentrating 83.2% of revenue highlights dependence on both non-emergency BLS transports and mileage reimbursements for Medicare paydays.
On Medicaid, A0428 (BLS non-emergency) is also the leading code with $3.1M (33.1% of Medicaid revenue), accompanied by A0425 (ground mileage) and A0429 (BLS emergency). The Medicaid top-three share of 73.9% demonstrates a similar operational focus for state-covered trips, with notable volume in non-emergency wheelchair van transports (A0130) and per-mile non-emergency mileage (S0215) supplementing core ambulance services.
Competitive standing differs by payer and code. Nationally for Medicare, the provider ranks in the 95th percentile on A0428 and the 96th percentile on A0425, which positions it as a high-volume but described-as "typical, unremarkable" participant for those codes at the national level rather than an extreme outlier. For Medicaid in-state, A0428 ranks #8 of 56 (87th percentile) and A0425 ranks in the 95th percentile, indicating it is among the larger Medicaid transport providers in Massachusetts for mileage and BLS services.
Code-level utilization shows operational breadth within ground transport: high counts for A0425 (56.1K Medicare claims; 59.6K Medicaid claims) and substantial counts for A0428 and A0429 reflect a mix of non-emergency BLS, emergency BLS, and mileage-driven billing. Presence of A0130 (wheelchair van) and S0215 (non-emergency mileage) on the Medicaid side indicates the organization also provides non-ambulance wheelchair transports and routine NEMT services, expanding its service lines beyond emergency ambulance responses.
Statistical descriptors supplied in the source align with a high-volume, but not anomalous, profile: most leading codes are labeled "typical, unremarkable volume" despite high percentile ranks, so the provider should be viewed as a substantial regional operator rather than an outlier. Lower-revenue Medicaid codes (e.g., A0999 unlisted ambulance, 93000 ECG) appear only at negligible revenue levels, confirming the company’s core business is transport and mileage rather than diagnostic or unusual ambulance 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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,980 | $190 | $941.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 830 | $420 | $349K |
| A0425 | Ground mileage, per statute mile | 56,120 | $10 | $336.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 930 | $350 | $329K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 41,810 | $70 | $3.1M |
| A0425 | Ground mileage, per statute mile | 59,640 | $30 | $1.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11,770 | $160 | $1.9M |
| A0130 | Non-emergency transportation: wheelchair van | 33,260 | $30 | $1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5,530 | $170 | $946.1K |
| S0215 | Non-emergency transportation; mileage, per mile | 32,120 | $10 | $417.6K |
| A0999 | Unlisted ambulance service | 100 | $110 | $10.6K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 260 | $10 | $2.1K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 270 | $10 | $1.9K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts 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) | 8 | 60 | 9,300 | $90 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19 | 240 | 980 | $180 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 31 | 220 | 1,290 | $180 | $740.6K |
| A0130 | Non-emergency transportation: wheelchair van | 9 | 80 | 5,670 | $30 | $449K |
| A0425 | Ground mileage, per statute mile | 16 | 300 | 2,300 | $20 | $267.6K |
| S0215 | Non-emergency transportation; mileage, per mile | 16 | 100 | 8,500 | $10 | $253.8K |
| A0999 | Unlisted ambulance service | 16 | 20 | 690 | $30 | $155.8K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 132 | 280 | 200 | $10 | $11.8K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 7 | 20 | 160 | $1 | $5.2K |
Other providers in the same ZIP code as Southcoast Emergency Medical Services Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Steward Medical Group, Inc | MA | Internal Medicine Physician | $0 | $34.5M |
| Pacheco Aba Service And Behavioral Consulting PLLC | MA | Behavior Analyst | $0 | $9.3M |
| Advanced Eye Centers Inc | MA | Optometrist | $0 | $6.4M |
| Fall River-new Bedford Regional Mri, Limited Partnership | MA | Magnetic Resonance Imaging (MRI) Clinic/Center | $637.1K | $3.2M |
| Precision Toxicology, LLC | MA | Clinical Medical Laboratory | $222.3K | $3.2M |
| Stat Ambulance Service Inc | MA | Ambulance | $779.6K | $2.2M |
| Kameran Lashkari | MA | Ophthalmology Physician | $2M | $0 |
| Coastal Sleep Diagnostics, LLC | MA | Sleep Disorder Diagnostic Clinic/Center | $143.6K | $1.4M |
| Candescent Eye Health Surgicenter, LLC | MA | Ambulatory Surgical Clinic/Center | $1.1M | $369.1K |
| Corey Westerfeld | MA | Ophthalmology Physician | $1.2M | $0 |
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