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NPI 1558681700 · Indianapolis, IN · Land Ambulance
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Heartland Ambulance Service, LLC is a land ambulance provider located in Indianapolis, Indiana. This profile covers 6 Medicare and 16 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 | Heartland Ambulance Service, LLC |
| Address | 4180 Elmhurst Dr Ste 3 |
| City | Indianapolis |
| State | IN |
| ZIP | 46226 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 9, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.6M |
| Medicare | $1.9M |
HEARTLAND AMBULANCE Service’s Medicare and Medicaid billing profile is dominated by basic life‑support and ground‑mileage services; the provider reports $1.9M in lifetime Medicare revenue and $8.6M in lifetime Medicaid revenue, with the top three Medicare codes accounting for 90.2% of Medicare revenue and the top three Medicaid codes accounting for 83.9% of Medicaid revenue. This concentration indicates the business is largely focused on routine ground ambulance transports rather than a broad mix of advanced clinical services.
On Medicare, A0428 (BLS non‑emergency) and A0425 (ground mileage) together drive the bulk of revenue: A0428 accounts for $878.2K (4.8K claims) and ranks #139 of 2772 nationally (95th percentile; typical, unremarkable volume), while A0425 accounts for $701K (100.1K claims) and ranks #154 of 8934 nationally (98th percentile; notably above typical national volume). The presence of A0427 (ALS 1 emergency) as a smaller contributor ($167.4K, 444 claims) shows that emergency ALS responses are a minority of Medicare revenue.
In the Medicaid book of business the same operational emphasis appears but at a much larger scale: A0428 is the single largest Medicaid revenue driver with $3.4M from 66.3K claims and ranks #1 of 112 in‑state (100th percentile; extreme outlier, far above typical state volume), and A0425 contributes $2.8M from 81.4K claims and ranks #7 of 327 in‑state (98th percentile; notably above typical state volume). This statewide dominance on BLS non‑emergency trips and very high mileage billing suggests HEARTLAND is a leading provider of non‑emergency ground transport in Indiana Medicaid.
Payer mix is heavily skewed toward Medicaid: lifetime Medicaid revenue ($8.6M) substantially exceeds lifetime Medicare revenue ($1.9M), indicating the provider’s operations and revenue streams are primarily rooted in Medicaid transportation volumes rather than Medicare. Analysts should treat Medicaid performance as the primary driver of scale and competitive positioning for this entity.
Competitive standing differs by payer: for Medicare the provider shows strong but not top national placement on core codes (A0428 at the 95th percentile and A0425 at the 98th percentile nationally), reflecting high volume but not national dominance; by contrast, Medicaid positioning is dominant for A0428 (rank #1 in‑state, 100th percentile, extreme outlier) and very strong for A0425 (rank #7 in‑state, 98th percentile). This pattern implies regional market leadership in Medicaid non‑emergency BLS and mileage, while Medicare activity is sizable but more typical relative to the national peer set.
Operational detail: the provider bills substantial counts of ground mileage across both payers (100.1K Medicare claims for A0425 and 81.4K Medicaid claims for A0425), which indicates long or frequent transport legs and a business model that monetizes mileage as a major revenue component. Coupled with large volumes of A0428 claims on Medicaid (66.3K), the mix points to a high‑throughput ground transport operation focused on non‑emergency and routine patient movement rather than specialty interfacility critical care.
Data artifacts worth noting for payer-level reconciliation: multiple Medicaid codes appear with large claim counts but $0 reported paid revenue (for example A0382 with 11.8K claims $0 and A0398 with 2.4K claims $0), which may reflect non‑reimbursed supply reporting or set‑aside line items in state claims processing. Analysts should review claim‑level details when comparing paid amounts to billed encounters to ensure those supply and ancillary lines are handled consistently in contract or encounter reconciliations.
Tenure and registry: the NPI was enumerated on 2010-06-09 (~16 years ago), indicating the provider has an established presence in the market and a long operational history that aligns with the large cumulative Medicaid volumes reported. Longevity combined with the in‑state ranking data supports interpreting the supplier as an entrenched regional transport provider rather than a recent entrant.
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) | 4,800 | $180 | $878.2K |
| A0425 | Ground mileage, per statute mile | 100,150 | $10 | $701K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 440 | $380 | $167.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 500 | $320 | $159.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 70 | $240 | $15.5K |
| A0434 | Specialty care transport (sct) | 20 | $650 | $14.9K |
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.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 66,250 | $50 | $3.4M |
| A0425 | Ground mileage, per statute mile | 81,400 | $40 | $2.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,940 | $150 | $878.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,850 | $210 | $812.1K |
| A0130 | Non-emergency transportation: wheelchair van | 10,450 | $30 | $323.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,040 | $110 | $222.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1,800 | $10 | $12.6K |
| T2003 | Non-emergency transportation; encounter/trip | 130 | $30 | $3.3K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 540 | $1 | $540 |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 360 | $1 | $360 |
Showing 1–10 of 16
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 50 | 180 | 1,730 | $180 | $744.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 32 | 200 | 1,130 | $160 | $730.5K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 103 | 130 | 3,770 | $60 | $617.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 110 | 1,050 | $60 | $342.7K |
| A0425 | Ground mileage, per statute mile | 7 | 330 | 2,010 | $30 | $266.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | 60 | 210 | $120 | $112.3K |
| A0130 | Non-emergency transportation: wheelchair van | 7 | 80 | 730 | $30 | $88.7K |
| T2003 | Non-emergency transportation; encounter/trip | 114 | 140 | 980 | $20 | $74.1K |
| A0999 | Unlisted ambulance service | 5 | 10 | 460 | $1 | $14.7K |
| J3490 | Unclassified drugs | 46 | 50 | 120 | $10 | $10.4K |
Showing 1–10 of 16
Other providers in the same ZIP code as Heartland Ambulance Service, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| National Seating & Mobility, Inc. | IN | Durable Medical Equipment & Medical Supplies | $0 | $19.4M |
| Lawrence Recovery LLC | IN | Substance Abuse Rehabilitation Facility | $0 | $13.5M |
| The Health And Hospital Corporation Of Marion County | IN | Federally Qualified Health Center (FQHC) | $0 | $6.9M |
| City Optical Co., Inc. | IN | Optometrist | $0 | $3.5M |
| Rhonda Frais | IN | Family Nurse Practitioner | $37.8K | $0 |
| Becky Sayre | IN | Mental Health Counselor | $36.7K | $0 |
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