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NPI 1578869665 · Terre Haute, IN · Land Ambulance
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Ambulance Management Services Ltd is a land ambulance provider located in Terre Haute, Indiana. This profile covers 7 Medicare and 9 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 | Ambulance Management Services Ltd |
| Address | 1299 E Voorhees St |
| City | Terre Haute |
| State | IN |
| ZIP | 47802 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 7, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $14.7M |
| Medicare | $2.9M |
This provider reports $2.9M in lifetime Medicare revenue and $14.7M in lifetime Medicaid revenue, indicating a materially larger Medicaid footprint relative to Medicare and an operational focus on state-payor business rather than being Medicare-dominant. The scale gap suggests payer mix exposure concentrated in Medicaid volume and reimbursement.
Medicare revenue is highly concentrated: the top 3 Medicare codes account for 82.3% of this provider's Medicare revenue, dominated by A0428 and A0425 with A0428 generating $1.1M and A0425 generating $927.5K. That concentration implies the provider’s Medicare business is driven primarily by basic life support/non-emergency transports and per-mile billing rather than a broad mix of services.
Medicaid revenue is similarly concentrated with the top 3 Medicaid codes accounting for 80.1% of Medicaid revenue; A0425 alone accounts for $6M and A0428 for $4.6M. This pattern indicates Medicaid business relies heavily on mileage and BLS transports, reinforcing a narrow set of service lines as the revenue engine for state-payor activity.
The code mix (A0428, A0425, A0427 and related ambulance codes plus A0130 wheelchair van) points to a ground-ambulance operator whose core services are non-emergency BLS transports, high-volume mileage billing, and some wheelchair-van non-emergency trips. Specific counts underline that operational profile: Medicare A0428 shows 5.8K claims and A0425 shows 132.5K claims, while Medicaid A0130 reports 31.5K claims, signaling routine, high-frequency transport workflows rather than low-volume specialty ambulance work.
On Medicare competitive standing the provider ranks prominently on key volume codes: A0425 is #88 of 8934 providers (99th percentile; extreme outlier) and A0428 is #102 of 2772 providers (96th percentile; notably above typical national volume). Those rankings characterize the provider as a high-volume national outlier for mileage and an above-typical performer for BLS non-emergency Medicare billing, while other Medicare codes like A0427 are in more typical percentile ranges.
Within Indiana Medicaid the provider is a market leader for multiple lines: A0428 ranks #2 of 112 providers (99th percentile; extreme outlier) and A0426 ranks #1 of 58 providers (100th percentile; extreme outlier), with A0425 at #8 of 327 (98th percentile; notably above typical state volume). These standings indicate dominant in-state presence on both mileage and BLS/ALS non-emergency categories and merit recognition as a major state-level transport supplier.
The combination of heavy revenue concentration in a few codes and multiple "extreme outlier"/"notably above typical" rank labels suggests utilization and billing patterns that warrant targeted review by payers and contracting teams. Specifically, the extremely high counts for A0425 mileage across both payers and the very large Medicaid A0428 and A0130 volumes merit closer audit of trip documentation, route/mileage logic, and eligibility for non-emergency transport rates.
The provider’s NPI was enumerated 2011-02-07 (~15 years ago), indicating an established operational history. Coupled with sustained high-volume Medicaid billing ($14.7M) and significant Medicare activity ($2.9M), this tenure supports the conclusion that the organization is a longstanding, state-focused ambulance and non-emergency transport operator rather than a new 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5,790 | $200 | $1.1M |
| A0425 | Ground mileage, per statute mile | 132,500 | $10 | $927.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 800 | $370 | $294K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 730 | $310 | $224.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 710 | $240 | $167.1K |
| A0434 | Specialty care transport (sct) | 170 | $650 | $106.6K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $500 | $7.5K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 79,910 | $80 | $6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 54,350 | $80 | $4.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7,750 | $160 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8,740 | $130 | $1.1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7,840 | $140 | $1.1M |
| A0130 | Non-emergency transportation: wheelchair van | 31,510 | $20 | $693.2K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1,080 | $20 | $16.2K |
| T2003 | Non-emergency transportation; encounter/trip | 610 | $20 | $9.7K |
| A0998 | Ambulance response and treatment, no transport | 10 | $80 | $1.1K |
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
9 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) | 24 | 180 | 1,730 | $180 | $744.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21 | 200 | 1,130 | $160 | $730.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 110 | 1,050 | $60 | $342.7K |
| A0425 | Ground mileage, per statute mile | 8 | 330 | 2,010 | $30 | $266.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 60 | 210 | $120 | $112.3K |
| A0130 | Non-emergency transportation: wheelchair van | 2 | 80 | 730 | $30 | $88.7K |
| T2003 | Non-emergency transportation; encounter/trip | 78 | 140 | 980 | $20 | $74.1K |
| A0998 | Ambulance response and treatment, no transport | 26 | 30 | 160 | $50 | $27.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 5 | 20 | 120 | $10 | $9K |
Other providers in the same ZIP code as Ambulance Management Services Ltd, ranked by combined Medicare and Medicaid revenue.
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