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NPI 1659753846 · Florence, AL · Land Ambulance
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Lifeguard Ambulance Service LLC is a land ambulance provider located in Florence, Alabama. This profile covers 6 Medicare and 7 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 | Lifeguard Ambulance Service LLC |
| Address | 610 Thompson St |
| City | Florence |
| State | AL |
| ZIP | 35630 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 24, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.9M |
| Medicaid | $1.6M |
Service mix is ground ambulance–centric with a clear emphasis on advanced life support emergency transports: the provider’s Medicare top revenue driver is A0427 (Ambulance service, advanced life support, emergency transport) which generates $1M and represents 53.1% of its Medicare revenue, and the Medicaid side also lists A0427 as the top code with $636.9K (39.6% of Medicaid revenue). The prominence of A0427 alongside high volumes of mileage (A0425) and basic life support codes (A0428/A0429) indicates daily operational focus on both emergency ALS responses and routine ground transport.
Revenue concentration is high in a narrow set of transport codes: the top three Medicare codes account for 86.8% of Medicare revenue and the top three Medicaid codes account for 87.2% of Medicaid revenue. This level of concentration means changes to reimbursement or utilization for a small number of codes (notably A0427, A0425 and one BLS code) would materially affect overall income.
On Medicare this entity reports $1.9M in lifetime revenue with particularly large share coming from A0427 and A0425; A0427 alone is $1M (53.1% of Medicare revenue) and A0425 contributes $425.6K (22.1%). A0427 ranks #236 of 6841 providers nationally (97th percentile) and is described in the data as a typical, unremarkable volume for that code, while A0425 is also 97th percentile and explicitly flagged as notably above typical national volume, suggesting unusually high mileage billing relative to many peers.
On Medicaid the provider reports $1.6M in lifetime revenue with the same two codes driving the largest shares: A0427 at $636.9K (39.6% of Medicaid revenue) and A0425 at $607.4K (37.8%). Both codes rank in the upper quartile of in‑state peers (A0427 at the 81st percentile and A0425 at the 73rd percentile), indicating strong but not dominant statewide standing for core transport and mileage services.
The provider’s payer mix is balanced between public payers with $1.9M in Medicare revenue versus $1.6M in Medicaid revenue, making it a dual‑payer operator rather than effectively single‑payer. This near parity means contract negotiations or policy changes on either side could have comparable financial impact.
Operational footprint implications are reinforced by very high claim counts for mileage: Medicare shows 60.8K A0425 claims and Medicaid shows 12.7K A0425 claims, with A0425 characterized as notably above typical national volume on Medicare. Such high mileage claim volumes are consistent with long‑distance or high-frequency transport operations and could be a differentiator in regional network contracting or cost negotiations.
Coding and utilization pattern shows reliance on both ALS emergency transports and mileage rather than a diverse bundle of ancillary ambulance supplies or exceptional ALS‑level 2 utilization: codes like A0433 and A0426 contribute only small shares on Medicare, and items such as A0382 appear modest on Medicaid. This suggests the business is optimized for staffed transport capacity and distance rather than revenue from a broad set of ancillary supplies or niche advanced procedures.
Tenure and operational stability are notable: the NPI was enumerated on 2015-06-24 (~11 years ago), indicating multiple years of established billing history to evaluate trends. Combined with concentrated revenue streams and high mileage volumes, the provider presents as a long‑standing, transport‑focused operator whose performance will track closely with reimbursement and utilization for a small set of ambulance transport codes.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,790 | $370 | $1M |
| A0425 | Ground mileage, per statute mile | 60,790 | $10 | $425.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,240 | $180 | $223.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 680 | $310 | $210.7K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $530 | $25.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 80 | $230 | $18.5K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6,430 | $100 | $636.9K |
| A0425 | Ground mileage, per statute mile | 12,650 | $50 | $607.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,410 | $110 | $158.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,380 | $40 | $135.1K |
| A0382 | Bls routine disposable supplies | 1,930 | $20 | $34.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 200 | $140 | $28.1K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 550 | $10 | $7.1K |
How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alabama median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 36 | 130 | 3,610 | $40 | $394K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 20 | 100 | 1,850 | $90 | $379.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 34 | 80 | 2,590 | $40 | $248.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 42 | 90 | 1,170 | $70 | $209.8K |
| A0382 | Bls routine disposable supplies | 20 | 40 | 1,930 | $20 | $77.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 18 | 40 | 140 | $100 | $46.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 9 | 20 | 410 | $10 | $12.1K |
Other providers in the same ZIP code as Lifeguard Ambulance Service LLC, ranked by combined Medicare and Medicaid revenue.
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