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NPI 1548361934 · Butte, MT · Ambulance
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A-1 Ambulance, Inc. is a ambulance provider located in Butte, Montana. This profile covers 4 Medicare and 5 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 | A-1 Ambulance, Inc. |
| Address | 507 Centennial Ave |
| City | Butte |
| State | MT |
| ZIP | 59701 |
| Taxonomy | Ambulance |
| NPI Enumerated | September 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.2M |
| Medicare | $485.8K |
A-1 AMBULANCE, INC. is a long-tenured ambulance operator, with an NPI enumerated on 2006-09-26 (about 20 years ago), indicating sustained enrollment in federal programs and likely established relationships with local payers and facilities. Its taxonomy is Ambulance and the billing mix supports a ground ambulance service profile rather than air or specialty transport.
Medicare revenue is $485.8K while Medicaid revenue is larger at $1.2M, so the provider generates materially more lifetime revenue from Medicaid than Medicare and appears to be driven more by state Medicaid volume. This payer mix suggests operational focus or market positioning that favors Medicaid-covered transports in its service area.
Revenue concentration is very high on both payers: the top 3 Medicare codes account for 97.5% of the provider's total Medicare revenue, and the top 3 Medicaid codes account for 98.4% of its total Medicaid revenue. This concentration indicates that a small set of transport services — primarily basic life support emergency and mileage — drive nearly all billings and collections.
Medicare billing is dominated by A0429 (basic life support, emergency transport), which represents $384.8K and 79.7% of the provider's Medicare revenue and ranks #441 of 7808 providers nationally (94th percentile). Nationally this places the provider in the higher-volume tier for A0429, signaling it is an important BLS-emergency supplier relative to peers rather than a marginal user of that code.
On the Medicaid side A0429 is similarly dominant: 6.3K claims, $963.1K and 83.4% of Medicaid revenue, with a state rank of #4 of 41 providers (93th percentile). This high in-state ranking combined with the code's 83.4% share shows the business is primarily an emergency BLS transport provider in-state and is one of the leading Medicaid BLS billers locally.
Mileage codes are a secondary but meaningful revenue source: for Medicare A0425 (ground mileage) contributes $61.9K (12.8% of Medicare revenue) while for Medicaid A0380 (BLS mileage) accounts for $132.3K (11.5% of Medicaid revenue) and ranks #2 of 30 in-state (97th percentile; notably above typical state volume). The elevated in-state standing on BLS mileage suggests long or frequent transport distances compared with most state peers, reinforcing a ground-ambulance operational footprint.
Advanced life support emergency transport (A0427) appears in the top lists for both payers but at much lower shares — 5.0% of Medicare revenue ($24K) and 3.6% of Medicaid revenue ($41.3K) — and with modest percentiles (25th nationally for Medicare; 54th in-state for Medicaid). That pattern indicates the provider performs some ALS1 emergency responses but predominantly operates at the BLS level.
Overall competitive standing is mixed: A-1 AMBULANCE ranks highly in-state on Medicaid BLS volumes (top 5) and also sits in the 94th percentile nationally for Medicare A0429, marking it as a meaningful regional BLS emergency provider. At the same time, lower national and state rankings on ALS-related codes indicate it is not a leading ALS provider and its service mix is concentrated on basic life support and mileage.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,130 | $340 | $384.8K |
| A0425 | Ground mileage, per statute mile | 6,880 | $10 | $61.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 60 | $410 | $24K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 60 | $210 | $12.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,300 | $150 | $963.1K |
| A0380 | Bls mileage (per mile) | 4,560 | $30 | $132.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 250 | $170 | $41.3K |
| A0425 | Ground mileage, per statute mile | 2,070 | $10 | $16.5K |
| A0390 | Als mileage (per mile) | 80 | $20 | $1.4K |
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 40 | 450 | $160 | $374.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 14 | 30 | 240 | $180 | $270.7K |
| A0380 | Bls mileage (per mile) | 2 | 30 | 180 | $60 | $63.9K |
| A0425 | Ground mileage, per statute mile | 7 | 50 | 390 | $30 | $48.3K |
| A0390 | Als mileage (per mile) | 13 | 20 | 110 | $20 | $42.3K |
Other providers in the same ZIP code as A-1 Ambulance, Inc., ranked by combined Medicare and Medicaid revenue.
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