Loading...
NPI 1619911971 · Springfield, MA · Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
American Medical Response Of Massachusetts Inc is a ambulance provider located in Springfield, Massachusetts. This profile covers 7 Medicare and 16 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 | American Medical Response Of Massachusetts Inc |
| Address | 595 Cottage St |
| City | Springfield |
| State | MA |
| ZIP | 01104 |
| Taxonomy | Ambulance |
| NPI Enumerated | June 16, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $51.7M |
| Medicare | $8.7M |
AMERICAN MEDICAL RESPONSE OF MASSACHUSETTS INC operates as a high-volume ambulance provider concentrated on emergency and non-emergency ground transports: its Medicare top revenue drivers are A0427, A0429 and A0428, and the precomputed top-3 codes account for 77.4% of the provider's Medicare revenue. The Medicare code-level data show thousands of claims and substantial per-claim payments for core transport services (e.g., A0429: 6.7K claims, $347 avg paid/claim, $2.3M), confirming the business is centered on point-to-point ambulance transports rather than ancillary outpatient services.
Medicare revenue concentration is heavily focused on a small set of transport codes: the precomputed top-3 share is 77.4% of Medicare revenue and individual code contributions include A0427 $2.4M (27.9%), A0429 $2.3M (26.7%), and A0428 $2M (22.7%). In addition, ground mileage (A0425) generates $1.4M (15.9%) from 197.6K claims, reinforcing that mileage and core ALS/BLS transports drive the bulk of Medicare receipts.
On Medicaid the revenue concentration is even stronger: total Medicaid revenue is $51.7M and the precomputed top-3 codes account for 85.6% of that total. The three dominant Medicaid codes are A0429 $24.5M (47.2%), A0427 $14.7M (28.3%), and A0428 $5.2M (10.1%), indicating Medicaid billing is overwhelmingly composed of basic and advanced life support emergency and non-emergency ground transports.
The payer mix is skewed toward Medicaid at scale: Medicaid revenue ($51.7M) is materially larger than Medicare revenue ($8.7M), indicating this provider’s operational footprint and cash flow are driven primarily by state Medicaid business rather than Medicare. This makes the organization effectively Medicaid-dominant in its revenue profile.
Competitive standing: nationally the provider is a high-volume outlier on multiple Medicare transport codes—A0429 ranks #32 of 7808 providers nationally (100th percentile; extreme outlier) and A0427 ranks #104 of 6841 (98th percentile; extreme outlier), which signals activity far above typical national peers for emergency transport services. State-level Medicaid rankings echo national dominance: A0427 ranks #2 of 218 (100th percentile; extreme outlier) and A0429 ranks #4 of 242 (99th percentile; extreme outlier), marking the provider as one of the largest ambulance billers in Massachusetts for core transport codes.
Operational implications from claims volume and code mix suggest broad geographic coverage and sustained trip volumes: very large mileage counts (Medicare A0425 197.6K claims; Medicaid A0425 275.7K claims) combined with high counts for BLS and ALS emergency transports imply frequent long-distance or high-traffic routing typical of a large ambulance fleet. Those patterns are consistent with an organization that bills both high-frequency basic life support runs and a meaningful volume of advanced life support emergency responses.
Service-line nuance: while the bulk of revenue is emergency and non-emergency ground transport, the provider also bills specialty and higher-acuity transports at smaller but nontrivial levels—Medicare A0434 479 claims ($344.4K, 4.0%) and Medicaid A0434 2.9K claims ($969.4K, 1.9%) plus ALS level 2 activity (A0433) on both payers. These secondary codes indicate capability for specialty care transport and higher-acuity interfacility services, but they remain minority contributors compared with core ALS/BLS transport codes.
Tenure and continuity: the NPI was enumerated on 2006-06-16 (~20 years ago), indicating long-tenured billing activity. That longevity combined with consistently large claim volumes across both Medicare and Medicaid suggests an established operator with sustained Medicaid-dominant revenue streams and entrenched billing patterns.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5,890 | $410 | $2.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,710 | $350 | $2.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9,010 | $220 | $2M |
| A0425 | Ground mileage, per statute mile | 197,600 | $10 | $1.4M |
| A0434 | Specialty care transport (sct) | 480 | $720 | $344.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 710 | $260 | $187.4K |
| A0433 | Advanced life support, level 2 (als 2) | 100 | $600 | $58.8K |
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.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 131,560 | $190 | $24.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 88,420 | $170 | $14.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 53,890 | $100 | $5.2M |
| A0425 | Ground mileage, per statute mile | 275,680 | $20 | $5M |
| A0434 | Specialty care transport (sct) | 2,910 | $330 | $969.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3,210 | $130 | $417.7K |
| A0433 | Advanced life support, level 2 (als 2) | 1,290 | $280 | $356.9K |
| A0999 | Unlisted ambulance service | 31,730 | $10 | $253.8K |
| A0130 | Non-emergency transportation: wheelchair van | 7,390 | $30 | $221.6K |
| S0215 | Non-emergency transportation; mileage, per mile | 6,810 | $10 | $95.3K |
Showing 1–10 of 16
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
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7 | 60 | 9,300 | $90 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 240 | 980 | $180 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2 | 220 | 1,290 | $180 | $740.6K |
| A0130 | Non-emergency transportation: wheelchair van | 33 | 80 | 5,670 | $30 | $449K |
| A0434 | Specialty care transport (sct) | 4 | 30 | 210 | $390 | $404.6K |
| A0425 | Ground mileage, per statute mile | 4 | 300 | 2,300 | $20 | $267.6K |
| S0215 | Non-emergency transportation; mileage, per mile | 54 | 100 | 8,500 | $10 | $253.8K |
| A0433 | Advanced life support, level 2 (als 2) | 2 | 10 | 790 | $300 | $231.1K |
| A0999 | Unlisted ambulance service | 2 | 20 | 690 | $30 | $155.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4 | 40 | 510 | $140 | $137K |
Showing 1–10 of 16
Other providers in the same ZIP code as American Medical Response Of Massachusetts Inc, ranked by combined Medicare and Medicaid revenue.
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.