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NPI 1477583672 · Windsor Mill, MD · Land Ambulance
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Butler Medical Transport, LLC is a land ambulance provider located in Windsor Mill, Maryland. This profile covers 6 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 | Butler Medical Transport, LLC |
| Address | 3108 Lord Baltimore Dr Ste 100 |
| City | Windsor Mill |
| State | MD |
| ZIP | 21244 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 3, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.7M |
| Medicaid | $1.7M |
BUTLER MEDICAL TRANSPORT, LLC bills materially to both Medicare and Medicaid but is Medicare-dominant by dollar scale: lifetime Medicare revenue is $3.7M versus $1.7M from Medicaid. This is not a single-payer profile — both payers contribute meaningfully to operations, with Medicare representing the larger revenue stream.
Revenue is highly concentrated in a very small set of ambulance codes for each payer: the top 3 Medicare codes account for 94.0% of Medicare revenue, and the top 3 Medicaid codes account for 98.0% of Medicaid revenue. For Medicare the dominant codes are A0428, A0425, and A0434; for Medicaid the mix is led by A0425, A0428, and A0426, indicating most dollars flow through a few service lines.
The service-line mix points to a ground ambulance operation focused on non-emergency and mileage-driven transports plus a material specialty-care transfer capability. High revenue shares and counts for A0428 (BLS non-emergency) and A0425 (ground mileage) alongside A0434 (specialty care transport) suggest the business model centers on inter-facility transfers and long-haul or high-mileage patient moves rather than primarily emergency 911 response.
On Medicare claims volume and national standing this provider is a large outlier for several core codes: A0425 (151.9K claims; ranks #68 of 8934, labeled an extreme outlier) and A0428 (8.7K claims; ranks #61 of 2772, notably above typical national volume) together generate the majority of Medicare dollars. A0434 also ranks strongly (460 claims; ranks #28 of 591, 95th percentile), so on Medicare this entity performs at or above top-tier national volumes for its principal transport services.
Medicaid competitive standing is more mixed but shows in-state strength on key lines: A0425 (35.6K claims) and A0428 (31K claims) are among the higher-volume providers in-state, with A0428 specifically noted as notably above typical state volume. The data also show A0424 listed with no state peers for comparison, indicating at least one ancillary service line where this provider is the sole reporter in the dataset.
Paid amounts diverge markedly between payers on the same codes, which has operational and contracting implications. For example A0425 average paid is $7 per claim on Medicare versus $45 per claim on Medicaid, while A0428 averages $230 per claim on Medicare versus $3 per claim on Medicaid; these payer-specific pricing patterns will materially affect unit economics depending on payer mix.
Claim counts indicate heavy operational throughput that implies significant fleet, mileage exposure, and logistics needs: 151.9K Medicare claims for A0425 and 35.6K Medicaid claims for the same code point to very high mileage billing volumes across payers. Coupled with thousands of A0428 BLS non-emergency claims (8.7K Medicare, 31K Medicaid), the pattern is consistent with sustained, high-frequency non-emergency transport operations that would require robust scheduling and vehicle utilization.
The provider has established tenure in the marketplace, with an NPI enumeration date of 2006-07-03 (about 20 years), and the lifetime revenue totals ($3.7M Medicare, $1.7M Medicaid) position it as a mid-sized regional ambulance operator. Combined with the concentrated code mix and the national/state rank signals, this is an experienced operator that dominates a narrow set of high-mileage and non-emergency transport services rather than a broadly diversified provider.
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) | 8,750 | $230 | $2M |
| A0425 | Ground mileage, per statute mile | 151,940 | $10 | $1.1M |
| A0434 | Specialty care transport (sct) | 460 | $730 | $337.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 730 | $270 | $194.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 40 | $410 | $18.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 20 | $360 | $6.9K |
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 35,560 | $50 | $1.6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 31,010 | $1 | $93K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,780 | $20 | $33.7K |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 540 | $30 | $15.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 150 | $60 | $8.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 260 | $30 | $6.7K |
| A0434 | Specialty care transport (sct) | 1,000 | $1 | $3K |
| A0999 | Unlisted ambulance service | 30 | $60 | $1.5K |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland 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) | 69 | 90 | 1,050 | $90 | $996.5K |
| A0425 | Ground mileage, per statute mile | 8 | 80 | 1,580 | $30 | $407.9K |
| A0434 | Specialty care transport (sct) | 4 | 10 | 590 | $240 | $332K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 20 | 5,240 | $30 | $289K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4 | 10 | 880 | $90 | $154.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 29 | 50 | 620 | $10 | $27.9K |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 1 | 10 | 540 | $30 | $15.6K |
| A0999 | Unlisted ambulance service | 4 | 10 | 50 | $10 | $2K |
Other providers in the same ZIP code as Butler Medical Transport, LLC, ranked by combined Medicare and Medicaid revenue.
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