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NPI 1568416279 · Cambridge, MA · Land Ambulance
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Professional Ambulance & Oxygen Svc, Inc is a land ambulance provider located in Cambridge, Massachusetts. This profile covers 7 Medicare and 7 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 | Professional Ambulance & Oxygen Svc, Inc |
| Address | 31 Smith Pl |
| City | Cambridge |
| State | MA |
| ZIP | 02138 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $13.4M |
| Medicare | $2.8M |
Business/service-line signal: Billing is concentrated in ground ambulance transports with a mix of basic life support (BLS) and advanced life support (ALS) emergency work. The top revenue-driving CPT/HCPCS codes across payers are A0428, A0429 and A0427, and Medicare and Medicaid reports also include specialty care transport (A0434) and substantial mileage billing (A0425), indicating an operation that performs frequent patient transports across both emergency and non-emergency service lines.
Revenue concentration: This provider’s top three Medicare codes account for 85.0% of its Medicare revenue and its top three Medicaid codes account for 88.6% of its Medicaid revenue. That concentration shows the business is highly dependent on a small set of transport services for the bulk of its payer collections.
Payer mix and scale: Lifetime Medicaid revenue ($13.4M) substantially exceeds lifetime Medicare revenue ($2.8M), making this a Medicaid-dominant billing profile. Analysts should treat Medicaid utilization patterns as the primary driver of overall volume and revenue mix for the entity.
Medicare competitive standing by code: On Medicare the provider posts high-percentile volumes for key ambulance codes — A0429 is a national outlier (rank #187 of 7808, 98th percentile; notably above typical national volume), while A0428 (rank #162 of 2772, 94th percentile) and A0427 (rank #497 of 6841, 93rd percentile) are high-percentile but characterized as typical, unremarkable volumes. Taken together, these placements show above-average national presence on emergency BLS transports (A0429) while other core codes are consistent with many regional ambulance providers.
Medicaid competitive standing and state-level outliers: In-state the provider ranks among the top for emergency transport codes — A0429 is #9 of 242 (97th percentile) and A0427 is #9 of 218 (96th percentile) — reflecting a major in-state presence for emergency transports. The provider is also notable as the top reporter for A0998 (ambulance response and treatment, no transport) at #1 of 6 (100th percentile; notably above typical state volume), though A0998 contributes a smaller share of Medicaid revenue ($487.2K, 3.6% of Medicaid revenue).
Operational footprint suggested by claim counts: Medicaid claim volumes are large in absolute terms (for example, A0429 34K claims, A0428 17.7K claims, A0425 67.3K claims) and Medicare also shows substantial mileage and transport counts (A0425 40K claims). Those claim-level patterns are consistent with frequent, high-throughput ground transport operations and sustained trip-based reimbursement activity.
Tenure and stability: The provider’s NPI was enumerated 2006-05-19 (~20 years ago), indicating long-standing enrollment and an established operational history. That tenure, combined with concentrated revenue streams and high claim counts, suggests established local market positioning rather than a newly emergent biller.
Implications for payers and utilization review: Given the Medicaid-dominant revenue profile, high claim volumes for A0429 and A0427, and a state-level outlier status on A0998, payers may prioritize utilization monitoring and focused audit or policy reviews around emergency BLS/ALS dispatch and no-transport response billing patterns. Monitoring should be framed as utilization and policy-alignment review rather than presuming coding error, because several high-volume code ranks are characterized in the data as "typical, unremarkable" while others are specifically flagged as "notably above typical."
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,050 | $240 | $976K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,030 | $380 | $766.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,470 | $450 | $663.9K |
| A0425 | Ground mileage, per statute mile | 40,030 | $10 | $280.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 220 | $290 | $63.8K |
| A0434 | Specialty care transport (sct) | 70 | $780 | $50.7K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $640 | $30K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 33,990 | $210 | $7M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 14,120 | $200 | $2.8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 17,690 | $120 | $2.1M |
| A0425 | Ground mileage, per statute mile | 67,320 | $10 | $875.2K |
| A0998 | Ambulance response and treatment, no transport | 4,510 | $110 | $487.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 560 | $180 | $100.6K |
| A0434 | Specialty care transport (sct) | 180 | $350 | $64.6K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 21 | 60 | 9,300 | $90 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9 | 240 | 980 | $180 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9 | 220 | 1,290 | $180 | $740.6K |
| A0434 | Specialty care transport (sct) | 18 | 30 | 210 | $390 | $404.6K |
| A0425 | Ground mileage, per statute mile | 14 | 300 | 2,300 | $20 | $267.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 19 | 40 | 510 | $140 | $137K |
| A0998 | Ambulance response and treatment, no transport | 1 | 10 | 180 | $120 | $105.5K |
Other providers in the same ZIP code as Professional Ambulance & Oxygen Svc, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mount Auburn Hospital | MA | General Acute Care Hospital | $0 | $28M |
| Cambridge Medical Supply Inc | MA | Durable Medical Equipment & Medical Supplies | $0 | $5.6M |
| Howard Ying | MA | Ophthalmology Physician | $2.5M | $149K |
| Shilpa Desai | MA | Ophthalmology Physician | $1.6M | $0 |
| Christopher Robinson | MA | Ophthalmology Physician | $1M | $0 |
| Katherine Wang | MA | Neurological Surgery Physician | $489.5K | $0 |
| Nelson Aweh | MA | Internal Medicine Physician | $425.3K | $0 |
| Kyle Pond | MA | Cardiovascular Disease Physician | $366.6K | $1.2K |
| Jeffrey Leavitt | MA | Cardiovascular Disease Physician | $356.8K | $370 |
| Charles Barsam | MA | Ophthalmology Physician | $335.4K | $0 |
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