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NPI 1649386087 · Wayne, NJ · Ambulance
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Pulse Medical Transportation is a ambulance provider located in Wayne, New Jersey. This profile covers 4 Medicare and 5 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 | Pulse Medical Transportation |
| Address | 30 Galesi Dr Ste 102 |
| City | Wayne |
| State | NJ |
| ZIP | 07470 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4M |
| Medicare | $2.6M |
PULSE MEDICAL TRANSPORTATION is an ambulance-focused operation dominated by basic life support and specialty transport services across both payers. Medicare billing is led by BLS non-emergency (A0428), BLS emergency (A0429), and ground mileage (A0425), while Medicaid revenues are concentrated in BLS emergency (A0429), specialty care transport (A0434), and BLS non-emergency (A0428), reflecting a mixed runtime of routine non-emergency moves, frequent emergency BLS responses, and a material SCT capability.
Revenue concentration is highly focused for each payer: the top 3 Medicare codes account for 91.0% of this provider's total Medicare revenue, and the top 3 Medicaid codes account for 91.1% of its total Medicaid revenue. This indicates the business is heavily dependent on a small set of transport services rather than a broad mix of ancillary ambulance codes.
Payer mix favors Medicaid by scale: total Medicare revenue is $2.6M versus total Medicaid revenue of $4M, so Medicaid represents the larger single source of billed revenue for this provider. The presence of substantial activity on both payers shows a dual-payer operational footprint, but Medicaid is the dominant revenue stream in absolute terms.
Medicare competitive standing is mixed by code: A0429 generates $908.4K (35.5% of Medicare revenue) with 2.4K claims and ranks #150 of 7808 nationally (98th percentile; notably above typical national volume), indicating above-typical national activity for emergency BLS. By contrast, A0428 ($1.1M; 4.9K claims) ranks #135 of 2772 (95th percentile; typical, unremarkable volume) and A0425 ($334.2K; 55.7K claims) ranks #341 of 8934 (96th percentile; typical, unremarkable volume), which together portray solid but not dominant national placement outside the emergency BLS niche.
Medicaid competitive standing shows pronounced statewide leadership on emergency BLS: A0429 accounts for $2.7M and 43.2K claims (68.0% of Medicaid revenue) and ranks #9 of 264 in-state (97th percentile; notably above typical state volume), marking this provider as a major in Medicaid emergency transports within New Jersey. Specialty care transport A0434 ($580K; 1.9K claims) and A0428 ($330.6K; 18.4K claims) are present but rank more modestly in-state (63rd and 91st percentiles respectively), so SCT is a meaningful secondary revenue line but not as dominant as A0429.
Operational intensity differs between payers: claim counts and average payments contrast sharply — for example, Medicaid shows 43.2K claims for A0429 at $62 avg paid/claim totaling $2.7M, versus Medicare's 2.4K claims for A0429 at $382 avg paid/claim totaling $908.4K. This pattern suggests high-volume, lower-unit-payment Medicaid contracts for emergency BLS coexist with lower-volume, higher-unit-payment Medicare emergency transports, which has implications for cash-flow and contract negotiation priorities.
Mileage and SCT are meaningful adjunct services in both programs: A0425 contributes materially across payers (Medicare $334.2K, 55.7K claims; Medicaid $316.9K, 63.4K claims) and A0434 is a high-revenue specialty line especially in Medicaid ($580K, 1.9K claims) and visible in Medicare ($229.4K, 296 claims). These lines support a business model that combines routine mileage-driven billing with higher-acuity SCT cases, indicating a mixed fleet capability and the need to manage both volume and specialized staffing.
Tenure and service stability are notable: the NPI was enumerated on 2006-08-21 (~20 years ago), indicating longstanding market presence. Combined with the high percentile ranks on several core codes, the data portray an established ambulance operator with entrenched Medicaid emergency-BLS volume and a consistent Medicare presence concentrated in the same service types.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,910 | $220 | $1.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,380 | $380 | $908.4K |
| A0425 | Ground mileage, per statute mile | 55,690 | $10 | $334.2K |
| A0434 | Specialty care transport (sct) | 300 | $780 | $229.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 43,170 | $60 | $2.7M |
| A0434 | Specialty care transport (sct) | 1,930 | $300 | $580K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 18,370 | $20 | $330.6K |
| A0425 | Ground mileage, per statute mile | 63,390 | $10 | $316.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 3,210 | $10 | $32.1K |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0434 | Specialty care transport (sct) | 10 | 30 | 1,730 | $470 | $1.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9 | 260 | 1,770 | $110 | $683K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9 | 90 | 2,490 | $20 | $164.4K |
| A0425 | Ground mileage, per statute mile | 24 | 430 | 3,700 | $10 | $106.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 4 | 40 | 220 | $10 | $7K |
Other providers in the same ZIP code as Pulse Medical Transportation, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Circle Of Care For Families & Children, Inc. | NJ | Case Management Agency | $0 | $60.3M |
| Podiatry Center Of New Jersey, LLC | NJ | Podiatric Clinic/Center | $0 | $57.1M |
| Visiting Homemaker Service Of Passaic County | NJ | Home Health Agency | $0 | $13.1M |
| Basic Home Infusion, LLC | NJ | Home Infusion Therapy Pharmacy | $0 | $11.6M |
| Jonathan Greenberg | NJ | Ophthalmology Physician | $2.6M | $0 |
| Valley Medical Transportation, LLC | NJ | Non-emergency Medical Transport (VAN) | $1.3M | $396K |
| Michael Sakowitz | NJ | Psychologist | $24.2K | $1.1M |
| Wayne Surgical Center LLC | NJ | Ambulatory Surgical Clinic/Center | $667.5K | $0 |
| William Grella | NJ | Internal Medicine Physician | $664.1K | $0 |
| Michael Pereira | NJ | Radiation Oncology Physician | $559.6K | $0 |
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