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NPI 1649416041 · Medford, OK · Ambulance
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Miller Ems LLC is a ambulance provider located in Medford, Oklahoma. This profile covers 7 Medicare and 6 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)
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.5M |
| Medicare | $2M |
MILLER EMS LLC reports materially more Medicaid revenue than Medicare, with Total Medicare revenue: $2M versus Total Medicaid revenue: $4.5M, indicating Medicaid is the larger payer relationship on file rather than a single-payer operation. This scale difference should shape contract and utilization review priorities because Medicaid accounts for the majority of billed dollars.
Revenue concentration is high on both payers: the top 3 Medicare codes (dominated by A0425, A0428, A0426) account for 85.2% of Medicare revenue, and the top 3 Medicaid codes (A0425, A0428, A0426) account for 90.4% of Medicaid revenue. Those precomputed shares signal that a very small set of ambulance/mileage services drive nearly all billed Medicare and Medicaid dollars.
The provider’s code mix and Ambulance taxonomy align with a ground-transport specialty: A0425 (ground mileage) is the single largest line, complemented by transport-level services A0428 (BLS non-emergency) and A0426 (ALS 1 non-emergency). This combination—heavy mileage plus both basic and advanced life support non-emergency transports—indicates an operation focused on trip-based ambulance services rather than facility-based procedures.
A0425 is a clear statistical outlier on Medicare: A0425 (152.9K claims, $7 avg paid/claim, $1.1M revenue, 55.6% of Medicare revenue) ranks #66 of 8934 providers nationally (99th percentile; extreme outlier). That rank and label indicate MILLER EMS bills far more ground mileage to Medicare than almost all peers, making mileage policy and claims adjudication a primary competitive and compliance focus.
On Medicaid the provider is also a strong in-state performer for core transport codes: A0425 (14.8K claims, $182 avg paid/claim, $2.7M revenue, 59.9% of Medicaid revenue) ranks #11 of 111 in-state (91th percentile) and A0426 ranks #3 of 40 in-state (95th percentile; notably above typical state volume). These ranks show MILLER EMS is a major regional supplier of both high-mileage transports and ALS non-emergency services in Oklahoma.
Medicare-level ALS activity is also concentrated and above typical national volume: A0426 on Medicare (687 claims, $241 avg paid/claim, $165.6K revenue, 8.6% of Medicare revenue) ranks #45 of 1568 nationally (97th percentile; notably above typical national volume). That national standing for ALS 1 non-emergency suggests capability and capacity for higher-acuity ground transports beyond routine BLS work.
There is a pronounced payer-level payment-rate divergence for the same dominant mileage code: A0425 shows $7 avg paid/claim on Medicare versus $182 avg paid/claim on Medicaid in these data (with $1.1M Medicare revenue and $2.7M Medicaid revenue tied to that code). This disparity highlights that unit payment and claim-count dynamics differ sharply by payer and should inform revenue projections and contract negotiations.
MILLER EMS has a long-tenured enrollment profile (NPI enumerated 2009-01-06, ~17 years ago), which, combined with the heavy volumes and high state/national ranks on core ambulance codes, suggests an established regional operation whose financial performance will be sensitive to mileage reimbursement policy and transport-level rate changes.
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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 152,850 | $10 | $1.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,060 | $200 | $404.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 690 | $240 | $165.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 420 | $390 | $161.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 260 | $330 | $86.3K |
| A0434 | Specialty care transport (sct) | 40 | $650 | $28.5K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $560 | $7.9K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 14,750 | $180 | $2.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8,950 | $100 | $876.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3,250 | $150 | $494.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,180 | $240 | $287.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 640 | $210 | $137K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $180 | $4.5K |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
6 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) | 49 | 90 | 1,320 | $240 | $1.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 44 | 80 | 760 | $210 | $554.1K |
| A0425 | Ground mileage, per statute mile | 11 | 110 | 2,080 | $60 | $501.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6 | 50 | 370 | $120 | $286.5K |
| A0433 | Advanced life support, level 2 (als 2) | 7 | 10 | 100 | $340 | $187.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 40 | 90 | $160 | $132.4K |
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