Loading...
NPI 1568631471 · Bohemia, NY · Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Emergency Ambulance Service, Inc. is a ambulance provider located in Bohemia, New York. This profile covers 6 Medicare and 8 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 | Emergency Ambulance Service, Inc. |
| Address | 1580 Ocean Ave |
| City | Bohemia |
| State | NY |
| ZIP | 11716 |
| Taxonomy | Ambulance |
| NPI Enumerated | February 25, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.4M |
| Medicare | $5.1M |
EMERGENCY AMBULANCE SERVICE, INC. operates primarily as an ambulance transport provider with a heavy emphasis on basic life support non-emergency runs and mileage-based transports; its Medicare and Medicaid top codes are dominated by A0428, A0425 and A0429 which correspond to BLS non-emergency transport, ground mileage, and BLS emergency transport respectively. The code mix implies day-to-day operations are driven by high-volume, point-to-point patient transfers and long or frequent trip distances rather than a predominant focus on advanced-life-support interventions.
Medicare revenue is highly concentrated: the top 3 Medicare codes account for 94.2% of this provider's total Medicare revenue, led by A0428 at $3M (58.8%), A0425 at $1M (19.5%), and A0429 at $821.4K (15.9%). This concentration around a small set of transport and mileage codes makes Medicare revenue sensitive to reimbursement or utilization changes for those specific services.
On Medicare competitive standing, the provider is a national-volume outlier for key ambulance lines: A0428 ranks #30 of 2772 (99th percentile; extreme outlier), A0425 ranks #75 of 8934 (99th percentile; extreme outlier), and A0429 ranks #171 of 7808 (98th percentile; notably above typical national volume). Those high ranks indicate this entity is unusually large on these Medicare-coded services compared with national peers.
Medicaid revenue is also concentrated but slightly less so: the top 3 Medicaid codes account for 83.8% of total Medicaid revenue, with A0428 at $4.3M (45.9%), A0429 at $2.5M (26.4%), and A0425 at $1.1M (11.5%). This pattern shows Medicaid is capturing the majority of the provider's transport revenue through the same core BLS and mileage services that drive Medicare billing.
Within its state, the provider shows strong market presence for those same Medicaid lines: A0428 ranks #9 of 85 (90th percentile), A0429 ranks #22 of 423 (95th percentile), and A0425 ranks #15 of 483 (97th percentile). These in-state percentiles indicate a competitive footprint in Medicaid for both mileage and BLS emergency/non-emergency transports, making it a major regional participant in those service categories.
Payer mix skews toward Medicaid in scale: reported Medicaid revenue is $9.4M compared with Medicare revenue of $5.1M, so Medicaid is the larger revenue stream for this provider. The carrier mix and claim volumes suggest the business relies more heavily on state-funded transports while maintaining significant Medicare operations.
Operational tenure and throughput are substantial: the NPI was enumerated on 2008-02-25 (~18 years ago), indicating an established operator, and the claim counts on high-volume lines are significant (e.g., Medicare A0428 at 12.9K claims, Medicare A0425 at 144K claims, Medicaid A0428 at 47.6K claims, Medicaid A0425 at 67.9K claims). These volumes are consistent with a mature, high-activity EMS transport organization rather than a small or new entrant.
Higher-acuity and specialty services exist but represent a minority of billings: Medicare shows A0434 (SCT) at $155.6K (3.0%) and A0427 (ALS 1 emergency) at $104.7K (2.0%), while Medicaid shows A0426 (ALS 1 non-emergency) at $542.9K (5.8%), A0427 at $475.7K (5.0%), and A0999 (unlisted ambulance) at $513.7K (5.4%). These entries indicate some ALS and specialty-care capacity alongside the dominant BLS/mileage business, but higher-acuity transports do not drive the revenue base.
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) | 12,880 | $240 | $3M |
| A0425 | Ground mileage, per statute mile | 144,010 | $10 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,160 | $380 | $821.4K |
| A0434 | Specialty care transport (sct) | 200 | $790 | $155.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 230 | $460 | $104.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 130 | $290 | $37.7K |
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 47,580 | $90 | $4.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 17,790 | $140 | $2.5M |
| A0425 | Ground mileage, per statute mile | 67,880 | $20 | $1.1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,330 | $230 | $542.9K |
| A0999 | Unlisted ambulance service | 680 | $750 | $513.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,800 | $170 | $475.7K |
| A0380 | Bls mileage (per mile) | 170 | $1 | $500 |
| A0170 | Transportation ancillary: parking fees, tolls, other | 450 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 10 | 20 | 1,140 | $790 | $2.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9 | 90 | 2,220 | $120 | $1.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 22 | 420 | 950 | $170 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 79 | 310 | 830 | $200 | $1.1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7 | 40 | 290 | $200 | $227K |
| A0425 | Ground mileage, per statute mile | 15 | 480 | 1,360 | $20 | $191.3K |
| A0170 | Transportation ancillary: parking fees, tolls, other | 137 | 250 | 540 | $10 | $30.5K |
| A0380 | Bls mileage (per mile) | 13 | 20 | 470 | $10 | $13.6K |
Other providers in the same ZIP code as Emergency Ambulance Service, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Anthony Marullo | NY | Specialist | $246.7K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.