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NPI 1609814607 · Princeton, WV · Land Ambulance
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Princeton Rescue Squad Inc is a land ambulance provider located in Princeton, West Virginia. This profile covers 5 Medicare and 17 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 | Princeton Rescue Squad Inc |
| Address | 701 Stafford Dr |
| City | Princeton |
| State | WV |
| ZIP | 24740 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 2, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.4M |
| Medicare | $1.1M |
PRINCETON RESCUE SQUAD INC operates as a Land Ambulance provider based on its taxonomy and the dominant HCPCS/CPT mix (A0425, A0427, A0428, A0429). The Medicare and Medicaid top codes are all ambulance-related (ground mileage and ALS/BLS transports), indicating core operations are emergency and non-emergency patient transport rather than ancillary services. This code mix is consistent with a staffed ambulance service providing both emergency ALS and BLS responses plus substantial mileage-based transports.
Revenue concentration is high on the major transport codes for both payers: the top three Medicare codes account for 79.8% of the provider's total Medicare revenue, while the top three Medicaid codes account for 86.7% of its total Medicaid revenue. This concentration implies that a small set of transport services (mileage, ALS 1 emergency, and BLS variants) drive the bulk of financial activity for each payer.
Payer mix is heavily skewed toward Medicaid in scale: lifetime Medicaid revenue is $10.4M versus lifetime Medicare revenue of $1.1M. In practical terms, the provider is effectively Medicaid-dominant by revenue and depends far more on state Medicaid volumes than on Medicare for its business operations.
Competitive standing diverges between payers: for Medicare, the provider ranks in high-to-moderate national percentiles on key codes (A0425 at the 95th percentile, A0427 at the 86th, A0428 at the 81st), indicating solid but not unique national presence for these ambulance codes. For Medicaid, the provider is a significant in-state participant on the same core codes (A0425 at the 95th percentile, A0427 at the 97th percentile, A0429 at the 95th percentile), suggesting it is a major Medicaid ambulance supplier within West Virginia for mileage and emergency transport services.
Several Medicaid codes are flagged as state-level statistical outliers where this provider ranks #1: 0002A, 0001A, 0003A, 0124A and multiple vaccine-related codes (91300, 91312, etc.) are described as extreme or notable outliers (100th percentile for several). These rank patterns indicate uncommon volume concentrations on certain Medicaid-only codes relative to in-state peers and merit further operational review to understand service mix or contractual arrangements driving those volumes.
Medicare payment details show a different revenue profile by unit economics: A0425 contributes $356.4K to Medicare with $8 avg paid/claim while on Medicaid A0425 yields $3.6M with $92 avg paid/claim, illustrating materially higher average payments per claim on Medicaid for the mileage code. That spread, together with the overall Medicaid revenue dominance, suggests reimbursement rates and/or billing volumes under Medicaid materially shape the provider's revenue model.
Tenure is long-standing: the NPI was enumerated on 2006-06-02 (approximately 20 years ago), indicating an established local presence and multi-year operational history that aligns with its sizable Medicaid footprint. This longevity supports the interpretation that current billing patterns reflect sustained service lines rather than a recent shift.
The provider’s Medicaid coding mix includes both emergency (A0427, A0429) and non-emergency transports (A0428), with non-emergency BLS accounting for 12.4% of Medicaid revenue while emergency codes together account for the majority. This balance suggests the organization operates across emergency response and scheduled/non-emergent transport segments, which may reflect mixed payer contracts or county/state transport responsibilities.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 44,560 | $10 | $356.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 800 | $350 | $283.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,280 | $180 | $224.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 740 | $300 | $218.6K |
| 0124A | N/A | 10 | $40 | $550 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 38,630 | $90 | $3.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 11,360 | $250 | $2.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 12,790 | $210 | $2.6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 14,030 | $90 | $1.3M |
| 0002A | N/A | 2,200 | $20 | $39.7K |
| 0001A | N/A | 2,100 | $20 | $37.8K |
| 0003A | N/A | 490 | $20 | $8.3K |
| 0124A | N/A | 270 | $10 | $2.7K |
| 0004A | N/A | 80 | $10 | $950 |
| 0072A | N/A | 30 | $20 | $540 |
Showing 1–10 of 17
How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. West Virginia median
17 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 8 | 140 | 2,710 | $100 | $955.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 12 | 70 | 3,360 | $110 | $830K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4 | 100 | 840 | $260 | $730.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 110 | 950 | $220 | $703.7K |
| 0002A | N/A | 1 | 60 | 70 | $10 | $2.4K |
| 0001A | N/A | 1 | 70 | 50 | $10 | $2K |
| 0072A | N/A | 17 | 30 | 30 | $20 | $1.2K |
| 0071A | N/A | 16 | 30 | 40 | $20 | $1.1K |
| 0012A | N/A | 26 | 30 | 70 | $10 | $980 |
| 0003A | N/A | 1 | 30 | 50 | $10 | $850 |
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Other providers in the same ZIP code as Princeton Rescue Squad Inc, ranked by combined Medicare and Medicaid revenue.
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