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    OpenPayerNPI Medicare & MedicaidMcgonigle Ambulance Service, Inc.
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    Mcgonigle Ambulance Service, Inc. — Billing Profile & Reimbursement Data

    NPI 1528054970 · Hermitage, PA · Ambulance

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    Mcgonigle Ambulance Service, Inc. is a ambulance provider located in Hermitage, Pennsylvania. 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)

    FieldValue
    Entity TypeOrganization
    OrganizationMcgonigle Ambulance Service, Inc.
    Address1615 E State St
    CityHermitage
    StatePA
    ZIP16148
    TaxonomyAmbulance
    NPI EnumeratedSeptember 21, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.7M
    Medicare$644.8K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)690$380$261.4K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)580$310$180.6K
    A0425Ground mileage, per statute mile12,850$10$102.8K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)370$200$73.8K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)70$240$17.4K
    A0433Advanced life support, level 2 (als 2)20$550$8.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A042746460120$390$118.2K
    A042866210150$210$103.4K
    A042955540110$330$86.9K
    A0425576002,630$10$42.8K
    A0426359050$250$24.2K
    A0433396020$570$15.3K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)6,620$300$2M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)5,040$220$1.1M
    A0428Ambulance service, basic life support, non-emergency transport, (bls)1,640$140$229.5K
    A0425Ground mileage, per statute mile7,210$30$201.7K
    A0998Ambulance response and treatment, no transport1,760$80$143.9K
    A0130Non-emergency transportation: wheelchair van2,700$20$48.6K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)110$260$29K
    S0209Wheelchair van, mileage, per mile2,120$10$14.9K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)16290710$300$631.5K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)27390510$250$557.8K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)49160460$150$316.4K
    A0130Non-emergency transportation: wheelchair van320790$60$215.8K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)3260120$270$160.6K
    A0425Ground mileage, per statute mile27440400$30$76K
    A0998Ambulance response and treatment, no transport660140$100$56.6K
    S0209Wheelchair van, mileage, per mile110300$10$8.6K

    Nearby Providers

    Other providers in the same ZIP code as Mcgonigle Ambulance Service, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Counseling Center Of Mercer CountyPAMental Health Clinic/Center (Including Community Mental Health Center)$0$6.2M
    Farooq HassanPARheumatology Physician$1.6M$120.2K
    Christopher BairPARetina Specialist (Ophthalmology) Physician$429.6K$3.4K
    Charles D'auriaPAFamily Medicine Physician$268.2K$30.7K
    Robert PistonPAOrthopaedic Surgery Physician$131.5K$69.8K
    Chad MathewsPAMedical Physician Assistant$188.8K$0
    Douglas OrendiPAPhysical Therapist$125.9K$61.3K
    Chinedu IgwePAInterventional Cardiology Physician$157.8K$4.1K
    Sabeeh SiddiquiPACardiovascular Disease Physician$150.9K$7.9K
    Brian ShannonPAOrthopaedic Surgery Physician$126.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Mcgonigle Ambulance Service, Inc. — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Mcgonigle Ambulance Service, Inc. — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania