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NPI 1689621047 · Grand Rapids, MI · Land Ambulance
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Life Ems Inc is a land ambulance provider located in Grand Rapids, Michigan. This profile covers 7 Medicare and 8 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 | Life Ems Inc |
| Address | 1275 Cedar St Ne |
| City | Grand Rapids |
| State | MI |
| ZIP | 49503 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $22M |
| Medicare | $3.1M |
LIFE EMS INC is effectively Medicaid-dominant by revenue: reported lifetime Medicaid revenue is $22M versus $3.1M in Medicare, indicating the provider’s payer mix is heavily weighted toward state Medicaid business rather than Medicare reimbursements. This scale difference suggests operations and contracting are oriented primarily around Medicaid fee-for-service volume and state-level payor relationships.
The provider’s service mix is centered on ambulance transports with a clear emphasis on advanced life support emergency services and high-mileage ground transports. Medicare and Medicaid top codes include A0427 (ALS emergency), A0425 (ground mileage), and A0428 (BLS non-emergency), which together reflect an operation running both high-acuity emergency ALS runs and routine BLS transports along long routes.
Revenue concentration on a few codes is high for Medicare: the top three Medicare codes account for 82.4% of the provider’s Medicare revenue, led by A0427 at 42.1%, A0425 at 22.5%, and A0428 at 17.8%. This concentration means the Medicare revenue stream is largely dependent on emergency ALS, mileage, and basic non-emergency transports.
Medicaid revenue is likewise concentrated: the top three Medicaid codes account for 81.5% of Medicaid revenue, with A0427 generating 46.5%, A0425 21.3%, and A0428 13.8% of Medicaid revenue. The dominance of these codes in Medicaid mirrors the Medicare pattern and signals that a small set of transport services drive the vast majority of state-paid revenue.
On national Medicare comparisons the provider is a major volume participant for certain codes: A0427 ranks #193 of 6841 providers (97th percentile) and A0425 ranks #156 of 8934 providers (98th percentile), both described as "notably above typical" national volume. Those placements indicate LIFE EMS operates at substantially higher than typical national volume for ALS emergency runs and ground mileage on Medicare, while its A0428 ranking (#263 of 2772, 91st percentile) is elevated but more typical for BLS non-emergency work.
Within Michigan Medicaid the provider is an outlier for ALS emergency services: A0427 ranks #5 of 163 providers (98th percentile) and is labeled an "extreme outlier, far above typical state volume for this code." A0425 also ranks highly in-state (#7 of 199, 97th percentile), confirming the organization is a dominant mileage and ALS emergency player in its Medicaid market.
Operationally, the raw claim counts underscore a high-volume transport operation and significant mileage exposure: Medicare shows 99.7K A0425 claims and 3.5K A0427 claims, while Medicaid shows 85.1K A0425 claims and 46.4K A0427 claims. Those claim volumes, especially the very large ground mileage counts, suggest extensive trip distances or large fleet utilization that will materially affect cost structure and contracting considerations.
The provider has long tenure on file—NPI enumerated 2006-05-30 (~20 years ago)—which, combined with the heavy Medicaid footprint ($22M) and concentrated code mix, implies an established regional EMS operator with sustained state-level billing relationships. This longevity plus the high percentile rankings for core transport codes supports a profile of a mature, high-volume ambulance service focused on ALS emergency and mileage-driven revenue streams.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,500 | $370 | $1.3M |
| A0425 | Ground mileage, per statute mile | 99,740 | $10 | $698.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,820 | $200 | $552.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,150 | $320 | $362.5K |
| A0434 | Specialty care transport (sct) | 170 | $640 | $111.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 210 | $240 | $49K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $540 | $22.5K |
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 46,380 | $220 | $10.2M |
| A0425 | Ground mileage, per statute mile | 85,100 | $60 | $4.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 21,180 | $140 | $3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13,600 | $150 | $2.1M |
| A0998 | Ambulance response and treatment, no transport | 6,420 | $200 | $1.3M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,740 | $240 | $643K |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 580 | $180 | $102.8K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 590 | $30 | $15.3K |
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
8 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) | 5 | 160 | 1,880 | $230 | $1.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7 | 70 | 1,790 | $130 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 18 | 150 | 1,570 | $150 | $951.3K |
| A0425 | Ground mileage, per statute mile | 7 | 200 | 2,950 | $50 | $648.5K |
| A0998 | Ambulance response and treatment, no transport | 7 | 50 | 1,100 | $180 | $553.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 8 | 50 | 540 | $220 | $285.3K |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 3 | 10 | 590 | $180 | $128K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 1 | 10 | 380 | $30 | $11.9K |
Other providers in the same ZIP code as Life Ems Inc, ranked by combined Medicare and Medicaid revenue.
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