Loading...
NPI 1578613253 · Saint Louis, MO · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Abbott Ambulance Inc is a land ambulance provider located in Saint Louis, Missouri. This profile covers 7 Medicare and 10 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 | Abbott Ambulance Inc |
| Address | 2500 Abbott Pl |
| City | Saint Louis |
| State | MO |
| ZIP | 63143 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | January 12, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $28.2M |
| Medicare | $4.7M |
This provider’s payer mix is heavily weighted toward Medicaid: lifetime Medicaid revenue is $28.2M compared with Medicare revenue of $4.7M, indicating Medicaid accounts for the majority of billed activity and receipts. Analysts should treat ABBOTT AMBULANCE INC as a Medicaid-focused operator in scale, with Medicare present but materially smaller.
Medicare revenue is highly concentrated in a few transport codes: the top three Medicare codes account for 79.1% of Medicare revenue, driven by A0428, A0425, and A0427. That concentration indicates the Medicare business is dominated by basic life support and mileage-related billing with a secondary contribution from advanced life support emergency transports.
Medicaid revenue shows even greater concentration: the top three Medicaid codes account for 86.6% of Medicaid revenue, largely attributable to A0429, A0425, and A0427. This mix signals the Medicaid book is concentrated on emergency BLS/ALS transports and extensive mileage billing rather than a broad diversity of ancillary ambulance services.
The code mix points to an operations model built around both emergency and non-emergency ambulance transports plus high mileage: core service codes include A0428 (BLS non-emergency), A0429 (BLS emergency), A0427 (ALS 1 emergency), and A0425 (ground mileage). Specialty transports such as A0434 appear but contribute only a small share of revenue, so the business is primarily point-to-point ambulance transport rather than niche SCT services.
On Medicare competitive standing ABBOTT AMBULANCE shows national-level high volume for specific codes: A0428 ranks #63 of 2772 (98th percentile) and A0425 ranks #69 of 8934 (99th percentile, labeled an "extreme outlier"), indicating materially higher-than-typical national volumes for BLS non-emergency and mileage. A0427 sits at #284 of 6841 (96th percentile) and is described as a typical volume for that code, so while ALS emergency is meaningful, it is less of an outlier nationally than mileage and BLS non-emergency.
Within Missouri Medicaid the provider is a dominant statewide player for core ambulance codes: A0429 ranks #3 of 135 (99th percentile; "extreme outlier"), A0425 ranks #2 of 203 (100th percentile; "extreme outlier"), and A0427 ranks #6 of 171 (97th percentile; notably above typical state volume). A0428 also ranks highly in-state (#3 of 61, 97th percentile), reinforcing that the firm captures unusually large share of both emergency and mileage billing in-state.
Specific statistical outlier patterns merit attention for utilization and network planning: A0425 (ground mileage) is flagged as an "extreme outlier" in Medicare and as an "extreme outlier" in-state for Medicaid, while A0429 is an "extreme outlier" on Medicaid. Several other codes (A0428, A0426) are described as "notably above typical" national or state volume, underscoring concentrated, high-volume billing behavior on a few transport-related codes.
The provider has long tenure in the NPI registry (enumerated 2007-01-12, ~19 years ago), indicating an established operational footprint. Combined with the high-volume, concentrated code mix across both payers, this tenure suggests entrenched transportation routes and referral patterns that have produced sustained revenue generation in Medicaid and a smaller but focused Medicare presence.
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) | 8,420 | $200 | $1.7M |
| A0425 | Ground mileage, per statute mile | 150,750 | $10 | $1.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,380 | $390 | $926.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,040 | $330 | $669.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 820 | $250 | $202.1K |
| A0434 | Specialty care transport (sct) | 150 | $670 | $98.6K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $560 | $10.1K |
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 42,160 | $210 | $8.8M |
| A0425 | Ground mileage, per statute mile | 126,600 | $60 | $8.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 31,610 | $240 | $7.6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 48,590 | $70 | $3.3M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4,190 | $90 | $393.7K |
| A0434 | Specialty care transport (sct) | 310 | $270 | $80.8K |
| A0998 | Ambulance response and treatment, no transport | 300 | $200 | $59.7K |
| A0999 | Unlisted ambulance service | 1,370 | $1 | $1.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 80 | $20 | $1.3K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 350 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 3 | 10 | 310 | $40 | $2.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6 | 170 | 1,670 | $230 | $1.1M |
| A0425 | Ground mileage, per statute mile | 2 | 200 | 3,230 | $90 | $827.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 140 | 1,010 | $200 | $803.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 60 | 880 | $160 | $725.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 40 | 220 | $350 | $320.8K |
| A0999 | Unlisted ambulance service | 3 | 10 | 19,340 | $10 | $233.4K |
| A0998 | Ambulance response and treatment, no transport | 13 | 30 | 300 | $120 | $129.4K |
| A0434 | Specialty care transport (sct) | 4 | 10 | 370 | $160 | $80.2K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 3 | 10 | 1,270 | $10 | $13.7K |
Other providers in the same ZIP code as Abbott Ambulance Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Bridges Community Support Services Inc. | MO | Developmentally Disabled Services Day Training Agency | $0 | $7.8M |
| Jeffrey Harris | MO | Pulmonary Disease Physician | $69.7K | $0 |
| Megan Bigley | MO | Speech-Language Pathologist | $24.6K | $0 |
| Kelly Bauman | MO | Clinical Social Worker | $1.3K | $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.