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NPI 1508905282 · Madison, WI · Land Ambulance
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Ryan Bros Ambulance LLC is a land ambulance provider located in Madison, Wisconsin. This profile covers 6 Medicare and 13 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 | Ryan Bros Ambulance LLC |
| Address | 922 S Park St |
| City | Madison |
| State | WI |
| ZIP | 53715 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 6, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.3M |
| Medicare | $1.5M |
Ryan Bros Ambulance LLC operates as a ground ambulance provider with a mixed emergency and non-emergency service footprint: its Medicare and Medicaid top codes include A0427 (ALS emergency transport), A0428 (BLS non-emergency transport) and mileage codes A0425/A0380, and it also bills for specialty care transport under A0434. The presence of both high-dollar ALS emergency lines and large volumes of BLS/non-emergency and mileage suggests the company runs both 911/advanced-care responses and scheduled or interfacility transports.
Revenue for this provider is highly concentrated in a few codes for each payer: the top 3 Medicare codes account for 77.9% of its Medicare revenue and are driven by A0425 (28.3% of Medicare revenue), A0427 (26.2%) and A0428 (23.4%). On the Medicaid side the top 3 codes account for 61.1% of Medicaid revenue, with A0427 (24.7%), A0380 (19.5%) and A0429 (17.0%) forming the bulk of that payer’s revenue. This concentration indicates operational dependence on a narrow set of transport and mileage services.
Payer mix is tilted toward Medicaid by scale: the provider reports $2.3M in total Medicaid revenue versus $1.5M in total Medicare revenue, so Medicaid is the larger revenue source on file. Because both payers are active and significant, analyses or contract negotiations should treat Medicaid as the primary revenue channel while still accounting for material Medicare activity.
Against national Medicare peers the provider shows a solid but not dominant presence on its top ambulance codes: A0425 ranks #356 of 8934 (96th percentile), A0427 ranks #755 of 6841 (89th percentile), and A0428 ranks #434 of 2772 (84th percentile), each labeled as "typical, unremarkable volume." These percentiles indicate the provider routinely bills these services at volumes above the median national peer, but the reporting language characterizes the volumes as within typical ranges rather than outlier dominance.
Within Wisconsin Medicaid peers the provider has comparatively stronger standing for multiple codes, including A0428 which ranks #4 of 28 (89th percentile) and A0427 which ranks #18 of 166 (90th percentile). Notably, A0425 (ground mileage) ranks #4 of 158 (98th percentile) in-state, signaling unusually high mileage claim volume relative to other in-state Medicaid providers and suggesting either a large geographic coverage area or frequent long-distance transports under Medicaid.
Payer rate and reimbursement patterns differ markedly across payers for the same services: for example, A0427 averages $389 paid/claim on Medicare versus $122 paid/claim on Medicaid, A0428 averages $205 on Medicare versus $32 on Medicaid, and A0429 shows $326 on Medicare versus $80 on Medicaid. These divergences imply the provider’s revenue per trip varies substantially by payer, which will affect profitability by service line and should be accounted for in rate negotiations and cost modeling.
The provider has a long-established NPI (enumerated 2007-02-06, ~19 years ago), and the consistency of top codes across Medicare and Medicaid—ALS/BLS transports and mileage—suggests a stable, enduring service mix rather than recent or transient line-item activity. Combined tenure and concentrated code mix point to an operationally mature ground-ambulance business with steady reliance on a few core transport 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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 53,010 | $10 | $424.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,010 | $390 | $393.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,710 | $210 | $350.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 460 | $330 | $151.3K |
| A0434 | Specialty care transport (sct) | 180 | $670 | $119.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 250 | $250 | $60.3K |
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.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,760 | $120 | $580.5K |
| A0380 | Bls mileage (per mile) | 5,670 | $80 | $459.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,990 | $80 | $399.3K |
| A0390 | Als mileage (per mile) | 3,370 | $100 | $350K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10,250 | $30 | $327.9K |
| A0434 | Specialty care transport (sct) | 780 | $170 | $135.1K |
| A0425 | Ground mileage, per statute mile | 12,700 | $1 | $50.8K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1,760 | $10 | $22.9K |
| A0398 | Als routine disposable supplies | 1,510 | $10 | $15.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 250 | $40 | $10.8K |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19 | 150 | 450 | $150 | $480.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 18 | 170 | 690 | $150 | $372.4K |
| A0434 | Specialty care transport (sct) | 4 | 20 | 80 | $260 | $242.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4 | 30 | 700 | $40 | $231.9K |
| A0380 | Bls mileage (per mile) | 13 | 110 | 290 | $30 | $113.7K |
| A0390 | Als mileage (per mile) | 20 | 140 | 440 | $50 | $103.4K |
| A0398 | Als routine disposable supplies | 17 | 40 | 740 | $10 | $35.6K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 6 | 30 | 490 | $10 | $27.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 12 | 30 | 120 | $60 | $21.9K |
| A0425 | Ground mileage, per statute mile | 4 | 160 | 770 | $10 | $20.6K |
Showing 1–10 of 13
Other providers in the same ZIP code as Ryan Bros Ambulance LLC, ranked by combined Medicare and Medicaid revenue.
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