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NPI 1649356791 · Brooklyn, NY · Ambulance
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Crest Transportation Services, Inc. is a ambulance provider located in Brooklyn, New York. This profile covers 6 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 | Crest Transportation Services, Inc. |
| Address | 791 E 91st St |
| City | Brooklyn |
| State | NY |
| ZIP | 11236 |
| Taxonomy | Ambulance |
| NPI Enumerated | October 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $27.4M |
| Medicare | $4.6M |
Service-line profile: CREST TRANSPORTATION SERVICES, INC. is plainly a ground ambulance operator whose revenue mix is dominated by basic life support and emergency transport codes (A0429, A0428) with supplemental advanced life support (A0427) and occasional specialty care transports (A0434). The code mix and claim volumes indicate the organization provides both emergency and non-emergency BLS as a primary business line, with a smaller but material ALS capability reflected in reported A0427 activity.
Revenue concentration: the provider’s Medicare billing is highly concentrated, with the top 3 Medicare codes accounting for 88.2% of its total Medicare revenue, and the top 3 Medicaid codes accounting for 92.7% of its total Medicaid revenue. This level of concentration signals that most of the enterprise’s reimbursement is driven by a narrow set of ambulance transport services rather than a broad set of ancillary lines.
Payer mix and scale: CREST’s Medicaid business is substantially larger than its Medicare business by lifetime revenue, reporting $4.6M in Medicare revenue versus $27.4M in Medicaid revenue. In practical terms this is an effectively Medicaid-dominant operation where scale and network position in the state will be more consequential to financial performance than national Medicare volume.
Medicare competitive standing: for Medicare the provider is a national outlier on A0429 (A0429 ranks #39 of 7808 nationally and is labeled as a 100th percentile; extreme outlier), indicating unusually high national volume for BLS emergency transports under Medicare. The provider also posts strong, above-typical Medicare volume on A0428 (rank #127 of 2772, 95th percentile) and measurable ALS emergency activity on A0427 (rank #760 of 6841, 89th percentile), so its Medicare presence is concentrated but meaningful across the primary ambulance codes.
Medicaid competitive standing: within New York the provider shows very large Medicaid volumes on core transport codes, with A0429 at 99.7K claims and $15.2M revenue (rank #7 of 423, 99th percentile) and A0428 at 68.8K claims and $8.3M revenue (rank #6 of 85, 94th percentile and described as notably above typical state volume). Ground mileage (A0425) is also an in-state volume outlier (165K claims, $1.5M revenue, rank #8 of 483, 99th percentile; extreme outlier), together signaling a dominant operational footprint in-state for Medicaid transports.
Mileage billing pattern: ground mileage (A0425) shows a divergent profile across payers — on Medicaid A0425 is an extreme outlier in-state with 165K claims and $1.5M revenue (5.4% of Medicaid revenue), whereas on Medicare A0425 accounts for $370.2K (8.0% of Medicare revenue) with 52.9K claims and a rank described as typical even though it is high percentile. This suggests mileage-related activity is a significant driver of Medicaid volume and should be reviewed as a distinct operational metric when assessing cost drivers and utilization.
Payment-rate and volume dynamics: the same transport codes generate materially different average payments by payer — for A0429 the average paid/claim is $388 on Medicare versus $152 on Medicaid, and for A0428 it is $241 on Medicare versus $121 on Medicaid. Despite lower per-claim Medicaid rates, the much larger Medicaid claim volumes produce the majority of lifetime revenue, indicating the organization’s financial model depends on Medicaid claim volume rather than Medicare reimbursement levels.
Tenure and focused scale: the provider’s NPI was enumerated on 2006-10-31 (~20 years ago), and lifetime revenue totals ($4.6M Medicare and $27.4M Medicaid) reflect a long-tenured, focused ambulance business. The combination of long tenure, highly concentrated code-level revenue (top-3 shares of 88.2% Medicare and 92.7% Medicaid), and state-level dominance on key Medicaid codes point to an established operator with a narrow service focus and substantial in-state reach.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,190 | $390 | $2.4M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,990 | $240 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,010 | $460 | $463.3K |
| A0425 | Ground mileage, per statute mile | 52,890 | $10 | $370.2K |
| A0434 | Specialty care transport (sct) | 200 | $790 | $160.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 50 | $290 | $14.3K |
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 99,750 | $150 | $15.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 68,790 | $120 | $8.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 12,410 | $150 | $1.8M |
| A0425 | Ground mileage, per statute mile | 165,040 | $10 | $1.5M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,210 | $200 | $243K |
| A0434 | Specialty care transport (sct) | 830 | $180 | $151.2K |
| A0998 | Ambulance response and treatment, no transport | 100 | $700 | $66.5K |
| 99000 | Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory. | 140 | $230 | $32.4K |
| A0380 | Bls mileage (per mile) | 4,080 | $10 | $20.4K |
| A0170 | Transportation ancillary: parking fees, tolls, other | 3,470 | $1 | $6.9K |
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
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6 | 90 | 2,220 | $120 | $1.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 420 | 950 | $170 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 23 | 310 | 830 | $200 | $1.1M |
| A0434 | Specialty care transport (sct) | 7 | 20 | 560 | $230 | $309.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 13 | 40 | 290 | $200 | $227K |
| A0425 | Ground mileage, per statute mile | 8 | 480 | 1,360 | $20 | $191.3K |
| A0170 | Transportation ancillary: parking fees, tolls, other | 39 | 250 | 540 | $10 | $30.5K |
| A0998 | Ambulance response and treatment, no transport | 5 | 10 | 120 | $100 | $15.5K |
| A0380 | Bls mileage (per mile) | 3 | 20 | 470 | $10 | $13.6K |
| 99000 | Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory. | 813 | 1,420 | 240 | $1 | $4.7K |
Other providers in the same ZIP code as Crest Transportation Services, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Acare Hhc Inc | NY | Home Health Agency | $0 | $72.5M |
| Safe Haven Home Care | NY | Home Health Agency | $0 | $49.1M |
| Garden Court Surgical And Hospital Supply Corp | NY | Durable Medical Equipment & Medical Supplies | $0 | $40.2M |
| Aljud Licensed Home Care Services LLC | NY | Home Health Agency | $0 | $21.5M |
| Trivium Of New York | NY | Home Health Agency | $0 | $19.3M |
| Payman Rabiei | NY | Foot & Ankle Surgery Podiatrist | $415.6K | $691.3K |
| Walter Rogers | NY | Family Medicine Physician | $173.6K | $558.4K |
| Fred Grunseid | NY | Internal Medicine Physician | $277K | $17K |
| Ann-marie Campbell | NY | Gerontology Nurse Practitioner | $126.3K | $141.1K |
| Ilya Domnich | NY | Internal Medicine Physician | $227K | $28.1K |
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