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    OpenPayerNPI Medicare & MedicaidHuron Valley Ambulance Inc
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    Huron Valley Ambulance Inc — Billing Profile & Reimbursement Data

    NPI 1689600975 · Ann Arbor, MI · Ambulance

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    Huron Valley Ambulance Inc is a ambulance provider located in Ann Arbor, Michigan. This profile covers 7 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)

    FieldValue
    Entity TypeOrganization
    OrganizationHuron Valley Ambulance Inc
    Address1200 State Cir
    CityAnn Arbor
    StateMI
    ZIP48108
    TaxonomyAmbulance
    NPI EnumeratedJune 25, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$27.4M
    Medicare$6.1M

    Key Findings

    HURON VALLEY AMBULANCE operates as a high‑volume ambulance service with its revenue dominated by transport and mileage codes, most notably A0427 (advanced life support, emergency transport), A0425 (ground mileage), and A0428/A0429 (BLS transports). The presence of large claim counts for A0427 and A0425 across both payers and the prominence of transport codes in the top line indicate the organization’s core service line is emergency and non‑emergency ground ambulance transport rather than ancillary or facility‑based services.

    Revenue concentration is pronounced for both payers: the top 3 Medicare codes by revenue account for 79.5% of this provider's total Medicare revenue, and the top 3 Medicaid codes by revenue account for 79.1% of this provider's total Medicaid revenue. This concentration shows the business is heavily dependent on a small set of transport and mileage codes for the majority of its payer revenue.

    Payer mix is skewed toward Medicaid in scale: Total Medicaid revenue ($27.4M) substantially exceeds Total Medicare revenue ($6.1M), indicating the provider’s operational footprint and payer exposure are weighted toward Medicaid-managed care or state Medicaid programs rather than Medicare as the primary revenue driver. Analyses of utilization or contracting should therefore prioritize Medicaid arrangements and reimbursement terms.

    On Medicare, HURON VALLEY AMBULANCE is a national outlier for key codes: A0427 generates $2.5M and ranks #98 of 6841 providers nationally (99th percentile; extreme outlier), and A0425 produces $1.3M from 188.6K claims and ranks #47 of 8934 providers nationally (99th percentile; extreme outlier). These rankings indicate the provider operates at an unusually high national volume for ALS emergency and mileage billing compared with peers.

    On Medicaid, the provider is a regional leader for core transport codes: A0427 accounts for $10.7M (38.8% of Medicaid revenue) and ranks #4 of 163 in‑state (98th percentile; extreme outlier), while A0425 accounts for $6.5M (23.6% of Medicaid revenue) and ranks #5 of 199 in‑state (98th percentile; notably above typical state volume). This statewide dominance on ALS emergency and mileage billing suggests significant market share or a concentrated service area for Medicaid transports.

    The provider also shows a high volume of non‑transport response activity on Medicaid: A0998 (ambulance response and treatment, no transport) accounts for 12.6K claims and $1.9M (7.1% of Medicaid revenue) and ranks #2 of 48 in‑state (98th percentile; notably above typical state volume). This pattern indicates a substantial portion of Medicaid encounters involve on‑scene care without transport, which has operational and reimbursement implications for staffing and resource allocation.

    Several additional Medicare and Medicaid codes appear at elevated percentiles but with modest revenue shares, such as Medicare A0429 ($1M, 16.5% of Medicare revenue; 99th percentile) and Medicaid A0429 ($4.6M, 16.7% of Medicaid revenue; 97th percentile). These consistent elevations across both payers reinforce that both ALS and BLS emergency transports are central to the provider’s mix rather than isolated to a single payer.

    The provider’s tenure is long-standing, with an NPI enumerated on 2006-06-25 (~20 years ago), suggesting established operations and experience in the regional emergency transport market. Given the concentration of revenue in a few transport codes and the extreme/statewide outlier rankings, payers and analysts should treat HURON VALLEY AMBULANCE as a mature, transport‑focused provider whose financial and utilization profile will be sensitive to changes in ambulance reimbursement policy and mileage/response coding practices.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)6,230$400$2.5M
    A0425Ground mileage, per statute mile188,560$10$1.3M
    A0428Ambulance service, basic life support, non-emergency transport, (bls)5,100$200$1M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)3,010$330$1M
    A0434Specialty care transport (sct)180$670$123K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)270$250$67K
    A0433Advanced life support, level 2 (als 2)100$560$53.8K

    Medicare: Competitive Analysis & Benchmarks

    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

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A04273200180$390$217.2K
    A0428470150$200$210.6K
    A0429421090$320$104.6K
    A042542302,880$10$98.6K
    A043433060$670$83.9K
    A042656050$250$30.7K
    A043324020$560$17.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)47,490$230$10.7M
    A0425Ground mileage, per statute mile106,340$60$6.5M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)31,060$150$4.6M
    A0428Ambulance service, basic life support, non-emergency transport, (bls)24,720$130$3.2M
    A0998Ambulance response and treatment, no transport12,580$160$1.9M
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)2,100$230$481.6K
    A0433Advanced life support, level 2 (als 2)180$280$49.9K
    M0244Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's…20$370$6.2K
    M0243Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring10$310$3.7K
    M0247Intravenous infusion, sotrovimab, includes infusion and post administration monitoring10$280$3.6K

    Showing 1–10 of 13

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Michigan median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)41601,880$230$1.3M
    A0428Ambulance service, basic life support, non-emergency transport, (bls)5701,790$130$1M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)61501,570$150$951.3K
    A0425Ground mileage, per statute mile52002,950$50$648.5K
    A0998Ambulance response and treatment, no transport2501,100$180$553.8K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)950540$220$285.3K
    A0433Advanced life support, level 2 (als 2)410140$270$108.9K
    M0244Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's…21020$540$23.3K
    M0243Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring455050$270$20.2K
    M0245Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring445040$260$15.2K

    Showing 1–10 of 13

    Nearby Providers

    Other providers in the same ZIP code as Huron Valley Ambulance Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Moriah, IncorporatedMIMental Health Clinic/Center (Including Community Mental Health Center)$0$48.1M
    Progenity Inc.MIClinical Medical Laboratory$0$39.6M
    Joak American Homes, Inc.MIAdult Care Home Facility$0$37.3M
    Aba Pathways, LLCMIBehavior Analyst$0$31.5M
    Jackson Community Ambulance Inc.MIAmbulance$2.2M$11.7M
    Carnegie Adult Foster Care, Inc.MIAdult Care Home Facility$0$5.6M
    Lynx Dx IncMIClinical Medical Laboratory$21.5K$1.7M
    Said IssaMIOphthalmology Physician$139.9K$505.2K
    Louis BojrabMIInterventional Pain Medicine Physician$185K$0
    Hong ChengMIAnatomic Pathology & Clinical Pathology Physician$179.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    Huron Valley Ambulance Inc — 5 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan
    Medicaid Revenue by Year vs. Michigan Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Huron Valley Ambulance Inc — 4 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan