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NPI 1558399295 · Scarborough, ME · Ambulance
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Northeast Mobile Health Services is a ambulance provider located in Scarborough, Maine. This profile covers 6 Medicare and 18 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 | Northeast Mobile Health Services |
| Address | 24 Washington Ave |
| City | Scarborough |
| State | ME |
| ZIP | 04074 |
| Taxonomy | Ambulance |
| NPI Enumerated | June 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.5M |
| Medicare | $930.3K |
NORTHEAST MOBILE HEALTH SERVICES presents a service mix clearly centered on ambulance and non-emergency transport. Medicare billing is led by A0428 (Ambulance service, basic life support, non-emergency transport) and A0425 (Ground mileage), with A0434 (Specialty care transport) and ALS-level codes also present; the reported Medicare entries such as A0428 (1.8K claims, $210 avg paid/claim, $369.2K revenue (40.0% of this provider's total Medicare revenue)) indicate routine BLS non-emergency trips plus mileage-driven activity. This pattern points to an operations model built around high-volume ground transfers and some capacity for higher-acuity SCT and ALS services.
Revenue concentration is high on a small set of codes for Medicare: the top 3 Medicare codes by revenue account for 76.9% of this provider's total Medicare revenue. That concentration—dominated by A0428, A0425 and A0427—means changes in reimbursement or utilization for those specific transport and mileage codes would disproportionately affect the provider's Medicare receipts.
Medicaid billing is also heavily concentrated in a few transport codes: the top 3 Medicaid codes by revenue account for 75.5% of this provider's total Medicaid revenue. The three leading Medicaid drivers are A0428 (27.9K claims, $106 avg paid/claim, $3M revenue (31.1%)), A0425 (37.5K claims, $75 avg paid/claim, $2.8M revenue (29.6%)), and A0100 (93.8K claims, $15 avg paid/claim, $1.4M revenue (14.8%)), showing a mix of BLS non-emergency, mileage, and taxi-style non-emergency transportation concentrated in the Medicaid book.
The payer mix is heavily skewed toward Medicaid in scale: total Medicaid revenue is $9.5M versus total Medicare revenue of $930.3K. This roughly one-order-of-magnitude difference means the provider’s financial position and negotiating leverage are primarily tied to Medicaid business and reimbursement trends rather than Medicare.
Competitive standing differs sharply by payer and code. In-state Medicaid comparisons show NORTHEAST MOBILE HEALTH SERVICES as a standout: A0428 ranks #1 of 39 in-state (100th percentile; extreme outlier) and A0425 ranks #2 of 138 in-state (99th percentile; extreme outlier), indicating dominant volume in Maine for those non-emergency and mileage codes. By contrast, its national Medicare footprint for the same codes is more modest — A0428 ranks #417 of 2772 (85th percentile; typical, unremarkable volume) and A0425 ranks #670 of 8934 (93th percentile; typical, unremarkable volume) — suggesting strong local market share but not an outsized national presence.
Operational profile and potential capacity signals emerge from high Medicaid claim counts in low-unit-cost codes: A0100 shows 93.8K claims and S0215 shows 84K claims, which alongside 27.9K claims for A0428 and 37.5K claims for A0425 imply a large fleet and continuous trip volume supporting non-emergency and mileage-based transports. These volumes constitute an operational advantage for servicing frequent, scheduled Medicaid transports but also create concentration exposure to policy or rate changes affecting these specific program codes.
Tenure and stability: the provider’s NPI was enumerated on 2006-06-29 (~20 years ago), indicating a long-standing operational presence in the market. Combined with the dominant in-state Medicaid volumes, this tenure supports a view of an established regional operator focused on routine ground 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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,760 | $210 | $369.2K |
| A0425 | Ground mileage, per statute mile | 31,580 | $10 | $252.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 230 | $380 | $88.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 270 | $320 | $84.9K |
| A0434 | Specialty care transport (sct) | 100 | $690 | $66.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 240 | $250 | $62K |
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.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 27,890 | $110 | $3M |
| A0425 | Ground mileage, per statute mile | 37,510 | $80 | $2.8M |
| A0100 | Non-emergency transportation; taxi | 93,760 | $20 | $1.4M |
| S0215 | Non-emergency transportation; mileage, per mile | 83,960 | $10 | $671.7K |
| A0434 | Specialty care transport (sct) | 1,280 | $370 | $470.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,030 | $150 | $448.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,930 | $130 | $378.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,990 | $160 | $311.6K |
| A0999 | Unlisted ambulance service | 3,390 | $10 | $40.6K |
| A0130 | Non-emergency transportation: wheelchair van | 210 | $20 | $3.9K |
Showing 1–10 of 18
How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maine median
18 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0100 | Non-emergency transportation; taxi | 1 | 10 | 93,760 | $20 | $1.4M |
| S0215 | Non-emergency transportation; mileage, per mile | 1 | 10 | 83,960 | $10 | $656.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 23 | 100 | 670 | $200 | $363.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 30 | 100 | 660 | $180 | $316.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 40 | 590 | $90 | $243.4K |
| A0434 | Specialty care transport (sct) | 3 | 10 | 270 | $390 | $216.9K |
| A0425 | Ground mileage, per statute mile | 2 | 140 | 1,400 | $50 | $201.8K |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 2 | 10 | 10 | $530 | $114K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 20 | 90 | $130 | $55.1K |
| A0999 | Unlisted ambulance service | 1 | 10 | 3,390 | $10 | $40.9K |
Showing 1–10 of 18
Other providers in the same ZIP code as Northeast Mobile Health Services, ranked by combined Medicare and Medicaid revenue.
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