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NPI 1659383719 · Bakersfield, CA · Ambulance
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Hall Ambulance Service Inc is a ambulance provider located in Bakersfield, California. 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 | Hall Ambulance Service Inc |
| Address | 1001 21st St. |
| City | Bakersfield |
| State | CA |
| ZIP | 93301 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $44.4M |
| Medicare | $7.6M |
HALL AMBULANCE SERVICE INC is an ambulance-focused operator: its top billed CPT/HCPCS codes are A0427 (ALS emergency), A0429 (BLS emergency) and A0425 (ground mileage), which together drive the majority of transport activity on both payers. The code mix — heavy emergency ALS/BLS transports plus extensive mileage billing — indicates an operation centered on high-volume ground emergency response rather than a diversified clinical services portfolio.
Revenue is highly concentrated in a few codes for both payers: the top three Medicare codes account for 96.1% of the provider's total Medicare revenue, and the top three Medicaid codes account for 94.1% of total Medicaid revenue. This concentration suggests financial exposure to volume or reimbursement changes for a small set of transport and mileage codes.
The provider is Medicaid-dominant by scale: total Medicaid revenue is $44.4M versus total Medicare revenue of $7.6M, so Medicaid comprises the bulk of billed dollars. Analysts should treat this entity as effectively a Medicaid-majority ambulance provider when assessing payor risk and negotiating state-level agreements.
HALL AMBULANCE is a market-leading volume player for its core transport codes. For Medicare, A0427 ($3.4M, ranks #64 of 6841, 99th percentile), A0429 ($2.5M, ranks #28 of 7808, 100th percentile) and A0425 ($1.4M, ranks #59 of 8934, 99th percentile) are extreme outlier volumes nationally. For Medicaid, A0427 ($22.2M, rank #6 of 248, 98th percentile), A0429 ($11.5M, rank #5 of 386, 99th percentile) and A0425 ($8M, rank #7 of 580, 99th percentile) likewise sit in the top state ranks, signaling dominant statewide share for emergency ground transport.
Specific Medicaid billing patterns show unusually large ancillary activity: the provider reports 45.8K claims for 93041 ($640.6K; rank #3 of 98, 98th percentile), making this EKG/technical-component code an extreme outlier in-state. This elevated diagnostic-technical volume alongside high transport counts could reflect standardized on-scene monitoring or bundled prehospital workflows used during transports.
Non-emergency and specialty services appear present but materially smaller: A0426 (non-emergency ALS) and A0428 (non-emergency BLS) produce far less revenue than emergency transports on both payers (Medicare A0426 $129.3K, Medicare A0428 $66.1K; Medicaid A0426 $638K, Medicaid A0428 $718.1K). These figures indicate operations are primarily emergency-response oriented, with non-emergency transports and specialty care transport representing minor lines.
The provider has long tenure in the NPI registry, enumerated 2006-08-13 (~20 years ago), indicating an established presence in its service area. Combined with its outsized volume ranks on core ambulance codes, the tenure supports a stable, high-volume ground transport business rather than a new entrant or marginal operator.
Air transport and certain low-revenue categories exist but are immaterial to total dollars: Medicaid shows limited A0431/A0436 rotary-wing activity and small-dollar items like A0998 and A0424. These ancillary lines are present but do not meaningfully change the business profile dominated by A0427, A0429 and A0425.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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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) | 7,890 | $440 | $3.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7,140 | $360 | $2.5M |
| A0425 | Ground mileage, per statute mile | 172,080 | $10 | $1.4M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 430 | $300 | $129.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 270 | $240 | $66.1K |
| A0434 | Specialty care transport (sct) | 70 | $780 | $53.3K |
| A0433 | Advanced life support, level 2 (als 2) | 80 | $640 | $50.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
View: State1 / 2
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 154,210 | $140 | $22.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 78,250 | $150 | $11.5M |
| A0425 | Ground mileage, per statute mile | 205,760 | $40 | $8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6,300 | $110 | $718.1K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 45,750 | $10 | $640.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5,750 | $110 | $638K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 21,300 | $10 | $191.7K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 24,030 | $10 | $168.2K |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 70 | $1,780 | $117.3K |
| A0436 | Rotary wing air mileage, per statute mile | 50 | $1,180 | $61.2K |
Showing 1–10 of 16
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 6 | 10 | 590 | $1,530 | $7.2M |
| A0436 | Rotary wing air mileage, per statute mile | 6 | 10 | 580 | $1,200 | $5.4M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6 | 250 | 2,420 | $220 | $3.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 390 | 1,270 | $220 | $1.5M |
| A0425 | Ground mileage, per statute mile | 7 | 580 | 3,120 | $30 | $963.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 66 | 190 | 2,470 | $80 | $674.3K |
| A0434 | Specialty care transport (sct) | 48 | 60 | 700 | $350 | $672.4K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 105 | 760 | 1,930 | $20 | $196K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4 | 80 | 280 | $130 | $148.2K |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 58 | 80 | 520 | $20 | $112.5K |
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Other providers in the same ZIP code as Hall Ambulance Service Inc, ranked by combined Medicare and Medicaid revenue.
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