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NPI 1487837241 · Bridgeport, CT · Land Ambulance
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Skmp Enterprises, Inc. is a land ambulance provider located in Bridgeport, Connecticut. 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 | Skmp Enterprises, Inc. |
| Address | 279 Noble Ave |
| City | Bridgeport |
| State | CT |
| ZIP | 06608 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 14, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.7M |
| Medicare | $2.3M |
Payer mix and scale: SKMP ENTERPRISES, INC. reports $2.3M in lifetime Medicare revenue and $4.7M in lifetime Medicaid revenue, indicating Medicaid is the larger revenue source for this operator. Both payers are material to the business rather than it being single-payer, with Medicaid representing the majority of billed dollars on file.
High revenue concentration by a narrow code set: the provider's top three Medicare codes account for 96.6% of total Medicare revenue, and the top three Medicaid codes account for 93.7% of total Medicaid revenue. This level of concentration signals a tightly focused service mix where a few ambulance-coded services drive nearly all payer revenue.
Core service line: as a Land Ambulance taxonomy, the provider's billing is dominated by A0428 (BLS non-emergency transport), A0425 (ground mileage), and A0429 (BLS emergency transport). The mix—heavy A0428 and large mileage billing—indicates the operation is principally organized around basic life support transports, with extensive mileage-based non-emergency work rather than a broad menu of advanced clinical transport services.
Medicare competitive standing and volume on A0428: A0428 accounts for $1.7M and 73.9% of this provider's Medicare revenue, with 7.9K Medicare claims and an average paid per claim of $215. Nationally this provider ranks #69 of 2772 for A0428 (98th percentile; notably above typical national volume), signaling a strong national relative presence for that specific BLS non-emergency transport code.
Medicaid market position and volume on A0428: A0428 drives $3.4M and 73.1% of the provider's Medicaid revenue with 44.1K Medicaid claims and an average paid per claim of $78. In-state this places the provider at #6 of 17 (69th percentile), a solid but not dominant position among Connecticut peers for the same BLS non-emergency service.
Utilization and price differentials across payers: for the same code A0428 the provider reports 7.9K Medicare claims at $215 average paid/claim versus 44.1K Medicaid claims at $78 average paid/claim, showing substantially higher Medicaid volume but materially higher Medicare per-claim payment. Mileage codes are also a core revenue component—A0425 is active in both payers (54.7K Medicare claims at $7 avg paid/claim and 29K Medicaid claims at $8 avg paid/claim) underscoring long-distance or frequent transport workloads.
Limited role for advanced life support: ALS codes A0427 and A0426 represent small shares of revenue for both payers (each below roughly 1.5% of Medicare revenue and similarly low shares in Medicaid), and their national/state rank percentiles are modest to low. This pattern reinforces that advanced clinical transports are a minority of the provider's activity and that the operation is concentrated on BLS-level services.
Tenure and operational implication: the NPI was enumerated on 2007-12-14 (~19 years ago), indicating long-standing participation in public payers. Coupled with the extreme revenue concentration in a few ambulance codes, the data depict an established, specialized land-ambulance operator whose commercial footprint is driven primarily by high-volume BLS non-emergency transports and associated mileage billing.
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) | 7,870 | $220 | $1.7M |
| A0425 | Ground mileage, per statute mile | 54,710 | $10 | $383K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 380 | $360 | $137.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 80 | $430 | $32.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 110 | $270 | $30.8K |
| A0434 | Specialty care transport (sct) | 20 | $740 | $14.8K |
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) | 44,100 | $80 | $3.4M |
| S0215 | Non-emergency transportation; mileage, per mile | 17,510 | $30 | $542.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,930 | $150 | $424.4K |
| A0425 | Ground mileage, per statute mile | 29,050 | $10 | $232.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 230 | $210 | $49.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 110 | $140 | $15.3K |
| 4701Y | N/A | 80 | $20 | $1.2K |
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut 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) | 6 | 20 | 17,430 | $80 | $2.7M |
| S0215 | Non-emergency transportation; mileage, per mile | 7 | 20 | 10,360 | $20 | $2.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 45 | 120 | 1,930 | $180 | $1.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 57 | 80 | 900 | $190 | $1.3M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 11 | 10 | 360 | $120 | $206.1K |
| A0425 | Ground mileage, per statute mile | 12 | 130 | 2,510 | $10 | $141.8K |
| 4701Y | N/A | 9 | 10 | 390 | $20 | $8.1K |
Other providers in the same ZIP code as Skmp Enterprises, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Optimus Health Care Inc | CT | Federally Qualified Health Center (FQHC) | $0 | $100.4M |
| Optimus Health Care | CT | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $33.1M |
| Optimus Health Care | CT | Dental Clinic/Center | $0 | $8.4M |
| Chemical Abuse Services Agency, Inc. | CT | Community/Behavioral Health Agency | $0 | $3.2M |
| Vicarah, LLC | CT | Home Health Agency | $0 | $1.2M |
| Jennifer Gilbert | CT | Family Nurse Practitioner | $71.7K | $0 |
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