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NPI 1548522584 · Belleville, NJ · Ambulance
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123 Medical Transport LLC is a ambulance provider located in Belleville, New Jersey. This profile covers 3 Medicare and 2 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 | 123 Medical Transport LLC |
| Address | 321 Franklin Ave |
| City | Belleville |
| State | NJ |
| ZIP | 07109 |
| Taxonomy | Ambulance |
| NPI Enumerated | June 14, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.6M |
| Medicaid | $95.5K |
123 MEDICAL TRANSPORT LLC is an ambulance-focused provider (Taxonomy: Ambulance) based in BELLEVILLE, NJ with an NPI enumerated on 2012-06-14 (~14 years ago), indicating over a decade of active billing presence. The code mix and long tenure are consistent with an established non-emergency medical transport operator rather than a diverse multi-specialty provider.
Medicare revenue is concentrated almost entirely in basic life support non-emergency transports: A0428 accounts for $2.4M of the $2.6M total Medicare revenue and represents 93.7% of this provider's Medicare receipts, with A0425 and A0429 making up the remainder; precomputed top-3 Medicare codes account for 100.0% of Medicare revenue. This concentration shows the business is heavily dependent on BLS non-emergency trips billed to Medicare.
At the Medicare level, the provider is an extreme national outlier on A0428: 13.2K claims, $185 avg paid/claim, $2.4M revenue for A0428 and a rank of #28 of 2772 providers nationally (99th percentile; extreme outlier). That standing indicates a nationally dominant volume for BLS non-emergency ambulance service relative to peers, which could reflect a large local market share or a high-volume contract footprint for Medicare BLS transports.
Medicare A0425 (ground mileage) contributes $151.9K (5.8% of Medicare revenue) with 30.4K claims and a rank of #694 of 8934 providers nationally (92th percentile; typical, unremarkable volume). This suggests mileage billing is a meaningful secondary revenue stream but not the primary driver of Medicare income.
Medicaid billing is also overwhelmingly BLS non-emergency: A0428 accounts for $88.2K of $95.5K total Medicaid revenue and represents 92.3% of this provider's Medicaid receipts, with A0425 providing the remaining 7.7%; precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue. The Medicaid mix mirrors Medicare in service type, indicating a consistent operational focus across payers on non-emergency BLS transports.
On Medicaid competitiveness, the provider's A0428 volume ranks #37 of 86 in-state (58th percentile; typical, unremarkable volume) and A0425 ranks #216 of 426 in-state (49th percentile; typical). Those mid‑range state percentiles imply the provider is a routine participant in the NJ Medicaid ambulance market but not a clear statewide leader.
Payer mix shows Medicare scale dominance: total Medicare revenue is $2.6M versus total Medicaid revenue of $95.5K, meaning Medicare represents the vast majority of reported lifetime public-payer revenue. This indicates that financial exposure is concentrated in Medicare reimbursement trends and policies for ambulance BLS services rather than Medicaid.
The provider’s code-level concentration (precomputed top-3 codes = 100.0% of revenue for both Medicare and Medicaid) creates operational and reimbursement concentration risk: changes in coverage, payment rates, or audit focus for A0428 or related ambulance codes could disproportionately affect overall revenue. Monitoring policy and local contracting changes for BLS non-emergency transport and ground mileage (A0425) would be especially important for payers and analysts evaluating this entity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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.
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
Other providers in the same ZIP code as 123 Medical Transport LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Clara Maass Medical Center | NJ | General Acute Care Hospital | $0 | $156.9M |
| Northwest Essex Community Healthcare | NJ | Community/Behavioral Health Agency | $0 | $23.5M |
| Belleville Senior Services, LLC | NJ | Adult Day Care Clinic/Center | $0 | $19.9M |
| Elder Care Of Belleville LLC | NJ | Adult Day Care Clinic/Center | $0 | $11.1M |
| Joel Eichler | NJ | Ophthalmology Physician | $2M | $5.6K |
| Susan Morrison | NJ | Allergy & Immunology Physician | $71.3K | $593.8K |
| Said Saleh | NJ | Hematology & Oncology Physician | $531.4K | $0 |
| James Orsini | NJ | Hematology & Oncology Physician | $413.3K | $0 |
| Shailendra Hajela | NJ | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $406.6K | $0 |
| Amit Seth | NJ | Endocrinology, Diabetes & Metabolism Physician | $364.6K | $0 |
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