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NPI 1679550982 · Staten Island, NY · Land Ambulance
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Richmond County Ambulance Service, Inc is a land ambulance provider located in Staten Island, New York. This profile covers 6 Medicare and 13 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 | Richmond County Ambulance Service, Inc |
| Address | 1355 Castleton Ave |
| City | Staten Island |
| State | NY |
| ZIP | 10310 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $33.5M |
| Medicare | $12.1M |
RICHMOND COUNTY AMBULANCE SERVICE, INC operates as a high-volume ground ambulance operator: Medicare billing is dominated by A0428 (BLS non-emergency) and A0429 (BLS emergency), which together account for large shares of Medicare revenue (A0428: $4.9M, 40.3%; A0429: $4.2M, 34.9%) and reflect heavy dependence on basic life support transports. The Medicare mix also includes high-volume ground mileage billing (A0425: $1.2M, 10.1%), indicating the service performs long or frequent transports in addition to BLS runs, and it bills for specialty care transport and ALS 1 at smaller but material levels.
Revenue concentration is pronounced for both payers: the top 3 Medicare codes by revenue account for 85.3% of the provider’s total Medicare revenue, and the top 3 Medicaid codes by revenue account for 79.0% of its total Medicaid revenue. This concentration shows that a few transport codes—primarily BLS and mileage—drive the majority of reported reimbursement, increasing sensitivity to reimbursement changes for those specific codes.
Payer mix is skewed toward Medicaid in scale: total Medicaid revenue ($33.5M) is substantially larger than total Medicare revenue ($12.1M), indicating the business relies more on Medicaid-covered transports by overall dollars. Despite the larger Medicaid dollar volume, Medicare remains an important revenue source with high per-claim paid rates for emergency BLS (A0429, $383 avg paid/claim) and specialty care transport (A0434, $789 avg paid/claim).
Competitively, the provider is a dominant outlier on several high-volume codes. For Medicare, A0428 ranks #9 nationally (100th percentile, extreme outlier) and A0429 ranks #14 nationally (100th percentile, extreme outlier), while A0425 ranks #57 nationally (99th percentile), showing unusually large national-scale volumes for basic life support and mileage. For Medicaid, A0428 ranks #2 in-state (99th percentile, extreme outlier) and A0429 ranks #9 in-state (98th percentile), confirming a market-leading presence in New York Medicaid BLS transports.
The Medicaid portfolio shows additional coding diversity around non-emergency and alternative transport types: A0999 (unlisted ambulance service) generates $3.2M (9.5% of Medicaid revenue) and ranks #3 in-state (88th percentile), and A0130 (wheelchair van) contributes $998.7K (3.0%). This suggests the operation supplements ambulance runs with non-ambulance or atypical transport services under Medicaid, which may reflect contracts or programs serving non-emergent mobility needs.
Operational mix includes higher-acuity and specialized services but at lower relative shares: Medicare reports A0434 (specialty care transport) at $805.6K (6.6% of Medicare revenue) with a national rank of #9 (99th percentile), and Medicaid reports A0427 (ALS 1 emergency) at $2.3M (7.0% of Medicaid revenue). These entries indicate the provider is equipped to deliver specialty and advanced life support transports in addition to its dominant BLS workload, supporting a broader scope of ambulance services.
The provider’s billing volumes are not only large but consistently atypical versus peers, as multiple codes are labeled 'extreme outlier' or 'far above typical national/state volume.' For example, Medicare A0428 and A0429 are described as 'extreme outlier, far above typical national volume,' and Medicaid A0428 is an 'extreme outlier, far above typical state volume,' which signals unusually high utilization patterns for basic life support transports relative to comparators. Analysts should interpret these characterizations as strong statistical outlier signals rather than qualitative judgments about operations.
RICHMOND COUNTY AMBULANCE SERVICE has long-standing participation in federal programs, with its NPI enumerated on 2005-12-28 (~21 years ago). This tenure, combined with very high ranks on core transport codes, indicates an established regional operator with sustained, concentrated reliance on BLS and mileage billing streams across both Medicare and Medicaid.
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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 21,310 | $230 | $4.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11,090 | $380 | $4.2M |
| A0425 | Ground mileage, per statute mile | 174,660 | $10 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,940 | $460 | $887.6K |
| A0434 | Specialty care transport (sct) | 1,020 | $790 | $805.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 340 | $290 | $99.3K |
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.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 124,180 | $110 | $13.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 74,570 | $130 | $9.8M |
| A0999 | Unlisted ambulance service | 8,050 | $390 | $3.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 14,670 | $160 | $2.3M |
| A0425 | Ground mileage, per statute mile | 186,610 | $10 | $1.7M |
| A0130 | Non-emergency transportation: wheelchair van | 22,700 | $40 | $998.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4,320 | $220 | $951.3K |
| A0434 | Specialty care transport (sct) | 3,430 | $180 | $631.5K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 11,440 | $30 | $343.3K |
| A0100 | Non-emergency transportation; taxi | 1,600 | $40 | $57.6K |
Showing 1–10 of 13
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
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 3 | 20 | 1,140 | $790 | $2.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 90 | 2,220 | $120 | $1.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9 | 420 | 950 | $170 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 16 | 310 | 830 | $200 | $1.1M |
| A0130 | Non-emergency transportation: wheelchair van | 42 | 390 | 3,230 | $60 | $770.4K |
| A0100 | Non-emergency transportation; taxi | 360 | 530 | 3,870 | $30 | $616.9K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 5 | 40 | 1,060 | $40 | $332.8K |
| A0434 | Specialty care transport (sct) | 2 | 20 | 560 | $230 | $309.6K |
| S0209 | Wheelchair van, mileage, per mile | 103 | 160 | 1,330 | $30 | $249.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5 | 40 | 290 | $200 | $227K |
Showing 1–10 of 13
Other providers in the same ZIP code as Richmond County Ambulance Service, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Richmond Medical Center | NY | General Acute Care Hospital | $0 | $138.8M |
| Comprehensive Ambulance Services-bicounty LLC. | NY | Ambulance | $1.4M | $776.2K |
| Peggy Chan | NY | Nuclear Medicine Physician | $1.7M | $56.8K |
| Nidal Isber | NY | Cardiovascular Disease Physician | $300.2K | $275K |
| Vikram Shaker | NY | Diagnostic Radiology Physician | $543K | $220 |
| John L'insalata | NY | Sports Medicine (Orthopaedic Surgery) Physician | $485.2K | $3.9K |
| Jay Nfonoyim | NY | Critical Care Medicine (Internal Medicine) Physician | $248K | $168.8K |
| Matthew Stern | NY | Diagnostic Radiology Physician | $395.9K | $6.9K |
| Daniel Peterson | NY | Diagnostic Radiology Physician | $355K | $33.4K |
| Rita Bukhman-khobot | NY | Diagnostic Radiology Physician | $363.7K | $750 |
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