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NPI 1467452714 · North Canton, OH · Land Ambulance
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J&c Ambulance Service, Inc. is a land ambulance provider located in North Canton, Ohio. 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | J&c Ambulance Service, Inc. |
| Address | 7100 Whipple Avenue Nw |
| City | North Canton |
| State | OH |
| ZIP | 44720 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.8M |
| Medicare | $2M |
This provider is materially Medicaid-weighted: lifetime Medicare revenue is $2M while lifetime Medicaid revenue is $4.8M, indicating Medicaid accounts for the larger share of its billed volume and receipts. Analysts should treat this entity as primarily dependent on state Medicaid reimbursement patterns rather than Medicare as its principal payer.
Revenue is highly concentrated within a few ambulance-related codes for both payers: the top 3 Medicare codes by revenue account for 87.2% of the provider's Medicare revenue, and the top 3 Medicaid codes by revenue account for 84.2% of the provider's Medicaid revenue. This concentration signals that a small set of transport and mileage services (notably A0428, A0425, A0426) drive the business economics and any pricing or utilization shifts in those codes will disproportionately affect overall revenue.
The code mix indicates an operational focus on non-emergency transports plus heavy mileage billing: A0428 (BLS non-emergency) is the single largest Medicare line with $938.1K revenue and is also the largest Medicaid line with $2.5M revenue, while A0425 (ground mileage) generates $567.2K in Medicare and $981.1K in Medicaid revenue. Together with significant A0426 (ALS non-emergency) volume, this suggests the organization runs routine BLS and ALS non-emergency transports and captures substantial ground-mileage revenue as a core service line.
National competitive standing (Medicare) is mixed but includes notable outlier behavior: A0426 ranks #24 of 1568 providers nationally (99th percentile) and is labeled an "extreme outlier, far above typical national volume for this code," indicating unusually high ALS non-emergency activity versus peers. A0425 (ground mileage) also ranks highly at #213 of 8934 (98th percentile, "notably above typical national volume"), while A0428 (BLS non-emergency) ranks #144 of 2772 (95th percentile, "typical, unremarkable volume"); collectively this profile is not a broad national dominance but shows exceptional strength in select ambulance and mileage services.
State-level competitive standing (Medicaid) shows major in-state presence for the same core services: A0428 ranks #9 of 126 in-state (94th percentile, "typical, unremarkable volume"), A0425 ranks #15 of 675 (98th percentile, "notably above typical state volume"), and A0426 ranks #5 of 76 (95th percentile, "notably above typical state volume"). These rankings indicate the provider is a leading in-state supplier of ground mileage and ALS non-emergency transports and a high-volume BLS non-emergency operator within Ohio's Medicaid market.
Payer-level rate differentials are notable and may drive mix effects: average paid per claim for A0426 is $237 on Medicare versus $94 on Medicaid, while for A0425 the averages are $7 on Medicare and $21 on Medicaid. Those per-claim differences mean that the same code volumes will yield materially different revenue outcomes depending on payer mix, so contracting and reimbursement policy changes could shift which payer provides more revenue per trip.
The provider has long tenure in the Medicare/Medicaid ecosystem, with NPI enumerated on 2005-07-28 (~21 years ago). This extended presence supports the likelihood of established operational processes and payer relationships; analysts should consider historical stability when evaluating utilization trends and any changes in rank or volume over time.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,740 | $200 | $938.1K |
| A0425 | Ground mileage, per statute mile | 81,020 | $10 | $567.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,020 | $240 | $242.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 390 | $320 | $123.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 320 | $380 | $121K |
| A0434 | Specialty care transport (sct) | 20 | $650 | $11.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 35,010 | $70 | $2.5M |
| A0425 | Ground mileage, per statute mile | 46,720 | $20 | $981.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 6,790 | $90 | $638.1K |
| A0130 | Non-emergency transportation: wheelchair van | 10,510 | $20 | $252.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,780 | $90 | $236K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,710 | $120 | $205.4K |
| S0209 | Wheelchair van, mileage, per mile | 10,360 | $10 | $72.5K |
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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9 | 130 | 3,720 | $50 | $544.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 197 | 510 | 1,080 | $120 | $365.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 111 | 480 | 880 | $90 | $260K |
| A0130 | Non-emergency transportation: wheelchair van | 37 | 150 | 3,580 | $20 | $208K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5 | 80 | 380 | $80 | $132.1K |
| A0425 | Ground mileage, per statute mile | 15 | 680 | 2,020 | $10 | $98.4K |
| S0209 | Wheelchair van, mileage, per mile | 38 | 150 | 3,580 | $10 | $73.5K |
Other providers in the same ZIP code as J&c Ambulance Service, Inc., ranked by combined Medicare and Medicaid revenue.
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