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NPI 1457469462 · Battle Creek, MI · Land Ambulance
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Lifecare Ambulance is a land ambulance provider located in Battle Creek, Michigan. This profile covers 7 Medicare and 8 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 | Lifecare Ambulance |
| Address | 330 Hamblin Ave W |
| City | Battle Creek |
| State | MI |
| ZIP | 49015 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.4M |
| Medicare | $2.1M |
LIFECARE AMBULANCE’s billing is concentrated in Medicaid by scale: total Medicare revenue is $2.1M while total Medicaid revenue is $11.4M, indicating the organization operates with a materially larger Medicaid footprint than Medicare. This absolute difference suggests the provider is effectively Medicaid-dominant in revenue, and payer strategies or contract negotiations should be viewed through that lens.
Medicare revenue is highly concentrated in three codes: A0427, A0425, and A0429 — the precomputed top-3 codes account for 88.5% of the provider’s total Medicare revenue. Individually, A0427 accounts for $976.5K (46.4% of Medicare revenue), A0425 for $459.1K (21.8%), and A0429 for $427K (20.3%), so changes to reimbursement or utilization of any of these three codes would materially affect Medicare performance.
Medicaid revenue is similarly concentrated: the precomputed top-3 Medicaid codes (A0427, A0425, A0429) account for 82.6% of the provider’s Medicaid revenue. In absolute terms A0427 drives $5.3M (46.6% of Medicaid revenue), A0425 contributes $2.4M (20.8%), and A0429 contributes $1.7M (15.2%), signaling that Medicaid performance hinges on the same emergency-transport and mileage service lines as Medicare.
The code mix (A0427: advanced life support emergency transport; A0429: basic life support emergency transport; A0425: ground mileage) indicates LIFECARE operates primarily as an emergency transport provider with substantial mileage billing. This pattern is consistent with an ALS/BLS-focused ambulance service that performs both high-acuity emergency transports and long or frequent patient transfers across its coverage area.
Against national Medicare peers the provider’s top Medicare codes sit at high percentiles but are described as "typical, unremarkable volume": A0427 ranks #265 of 6841 (96th percentile; typical, unremarkable volume), A0425 ranks #328 of 8934 (96th percentile; typical, unremarkable volume), and A0429 ranks #332 of 7808 (96th percentile; typical, unremarkable volume). These placements mean LIFECARE is a consistently active national participant for those codes but not a unique or extreme outlier in Medicare claim volume.
In-state competitive standing on Medicaid shows stronger local prominence for core emergency services: A0427 ranks #9 of 163 in-state (95th percentile; typical, unremarkable volume), A0425 ranks #16 of 199 (92nd percentile; typical, unremarkable volume), and A0429 ranks #20 of 153 (88th percentile; typical, unremarkable volume). The high state-level rankings for A0427 in particular indicate the provider is a major in-state player for advanced life support emergency transports.
Non-transport services are a meaningful secondary revenue line within Medicaid: A0998 (ambulance response and treatment, no transport) generates $1M and 9.0% of Medicaid revenue, ranking #8 of 48 in-state (85th percentile; typical, unremarkable volume). This suggests the organization performs a notable volume of on-scene care without transport, which may reflect community paramedicine, treat-and-release practices, or frequent non-transport responses in its service model.
The NPI enumeration date is 2006-08-29 (~20 years ago), indicating an established operational tenure that likely underpins steady referral pathways and payer relationships. That longevity combined with high revenue concentration by a small set of ambulance and mileage codes (top-3 shares: 88.5% Medicare, 82.6% Medicaid) highlights both operational experience and sensitivity to policy or reimbursement changes affecting those specific codes.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,600 | $380 | $976.5K |
| A0425 | Ground mileage, per statute mile | 57,390 | $10 | $459.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,360 | $310 | $427K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 490 | $200 | $97K |
| A0434 | Specialty care transport (sct) | 120 | $650 | $76.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 150 | $240 | $36.7K |
| A0433 | Advanced life support, level 2 (als 2) | 60 | $550 | $31.2K |
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 22,150 | $240 | $5.3M |
| A0425 | Ground mileage, per statute mile | 39,520 | $60 | $2.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11,410 | $150 | $1.7M |
| A0998 | Ambulance response and treatment, no transport | 6,170 | $170 | $1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,590 | $160 | $585K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,540 | $230 | $347.1K |
| A0433 | Advanced life support, level 2 (als 2) | 150 | $210 | $30.6K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1,120 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9 | 160 | 1,880 | $230 | $1.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 24 | 70 | 1,790 | $130 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 20 | 150 | 1,570 | $150 | $951.3K |
| A0425 | Ground mileage, per statute mile | 16 | 200 | 2,950 | $50 | $648.5K |
| A0998 | Ambulance response and treatment, no transport | 8 | 50 | 1,100 | $180 | $553.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | 50 | 540 | $220 | $285.3K |
| A0433 | Advanced life support, level 2 (als 2) | 5 | 10 | 140 | $270 | $108.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 10 | 30 | 290 | $1 | $1 |
Other providers in the same ZIP code as Lifecare Ambulance, ranked by combined Medicare and Medicaid revenue.
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