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NPI 1689659351 · North Adams, MA · Ambulance
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North Adams Ambulance Service Inc is a ambulance provider located in North Adams, Massachusetts. 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 | North Adams Ambulance Service Inc |
| Address | 10 Harris St |
| City | North Adams |
| State | MA |
| ZIP | 01247 |
| Taxonomy | Ambulance |
| NPI Enumerated | December 14, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.8M |
| Medicare | $1.7M |
NORTH ADAMS AMBULANCE SERVICE INC is an ambulance-specialty provider based in NORTH ADAMS, MA with an NPI enumeration date of 2005-12-14 (~21 years ago), indicating multi-decade tenure in the market. The taxonomy and sustained enrollment support a stable operational presence that bills both emergency and non-emergency ambulance services to public payers.
This provider’s payer mix is skewed toward Medicaid in scale: reported total Medicare revenue is $1.7M while total Medicaid revenue is $3.8M, so Medicaid represents the larger share of lifetime public-payer receipts for this entity. Analysts should treat this as a Medicaid-weighted ambulatory transport operation when evaluating contract and reimbursement risk.
Revenue concentration is high on a very small set of transport codes for both payers: the top three Medicare codes account for 76.9% of Medicare revenue, and the top three Medicaid codes account for 81.8% of Medicaid revenue. That concentration — dominated by a narrow set of ambulance and mileage CPT/HCPCS codes — suggests sensitivity to reimbursement or utilization changes for those specific services.
The provider’s billed service mix centers on emergency and mileage-driven transports: A0427, A0425, and A0429 are the largest revenue contributors across both payers (they are the top three by revenue on Medicare and Medicaid lists). The presence of A0434 (Specialty care transport) and both ALS (A0427/A0426) and BLS (A0429/A0428) codes indicates capabilities for higher-acuity interfacility moves as well as routine emergency and non-emergency ground transport, while A0425 (ground mileage) shows the operation generates substantial mileage-based billing.
National competitive standing on Medicare for the top codes shows relatively high rank percentiles but the supplied labels characterize volumes as typical: A0425 ranks #349 of 8934 providers nationally (96th percentile; typical, unremarkable volume for this code), A0427 ranks #573 of 6841 (92th percentile; typical, unremarkable volume for this code), and A0429 ranks #769 of 7808 (90th percentile; typical, unremarkable volume for this code). In plain terms, the provider posts above-average national activity on key ambulance and mileage codes but the dataset’s accompanying language does not flag these as extreme outliers.
In-state (Medicaid) competitive positioning is stronger on core emergency codes: A0427 ranks #19 of 218 providers in-state (92th percentile; typical, unremarkable volume for this code) and A0429 ranks #40 of 242 (84th percentile; typical, unremarkable volume for this code), while A0425 ranks #33 of 295 (89th percentile; typical, unremarkable volume for this code). Those ranks indicate the provider is a meaningful, higher-volume participant in Massachusetts Medicaid for ALS, BLS emergency transports and mileage relative to most in-state peers.
Non‑emergency and ancillary transport lines are present but represent smaller revenue shares on Medicaid and modest competitive standing; A0428 accounts for 10.0% of Medicaid revenue and ranks #33 of 56 providers in-state (42th percentile; typical, unremarkable volume for this code), while wheelchair van A0130 and mileage S0215 are low-revenue, lower-percentile items (A0130: $35.4K, ranks #59 of 79, 26th percentile; S0215: $35.2K, ranks #79 of 101, 22th percentile). This pattern suggests non-emergency wheelchair/van service is a peripheral business line versus core emergency and mileage billing.
There are no flagged extreme statistical outliers in the supplied code-level ranks; most codes carry the dataset label "typical, unremarkable volume for this code," and even lower-ranked codes (for example A0433 on Medicare at the 49th percentile) fall near median ranges. For contract negotiation or utilization management, focus should therefore remain on the few high-revenue codes (notably A0427, A0425, A0429) because their top-3 concentration (76.9% Medicare, 81.8% Medicaid) drives overall financial exposure.
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) | 1,300 | $420 | $548.2K |
| A0425 | Ground mileage, per statute mile | 54,160 | $10 | $487.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 730 | $360 | $260.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 880 | $220 | $194.9K |
| A0434 | Specialty care transport (sct) | 170 | $720 | $124.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 210 | $270 | $56.8K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $610 | $14.1K |
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8,250 | $160 | $1.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,150 | $160 | $990.6K |
| A0425 | Ground mileage, per statute mile | 21,330 | $40 | $767.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,710 | $80 | $381.1K |
| A0434 | Specialty care transport (sct) | 460 | $320 | $146.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 880 | $110 | $94.3K |
| A0130 | Non-emergency transportation: wheelchair van | 1,610 | $20 | $35.4K |
| S0215 | Non-emergency transportation; mileage, per mile | 1,680 | $20 | $35.2K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 33 | 60 | 9,300 | $90 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 40 | 240 | 980 | $180 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 19 | 220 | 1,290 | $180 | $740.6K |
| A0130 | Non-emergency transportation: wheelchair van | 59 | 80 | 5,670 | $30 | $449K |
| A0434 | Specialty care transport (sct) | 13 | 30 | 210 | $390 | $404.6K |
| A0425 | Ground mileage, per statute mile | 33 | 300 | 2,300 | $20 | $267.6K |
| S0215 | Non-emergency transportation; mileage, per mile | 79 | 100 | 8,500 | $10 | $253.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 13 | 40 | 510 | $140 | $137K |
Other providers in the same ZIP code as North Adams Ambulance Service Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Berkshire Family And Individual Resources, Inc | MA | Developmentally Disabled Services Day Training Agency | $0 | $12.5M |
| Estela Ogiste | MA | Ophthalmology Physician | $357.5K | $21.3K |
| Victoria Cavalli | MA | Dermatology Physician | $326.1K | $0 |
| Gerardo Torres | MA | Clinical Psychologist | $155.2K | $0 |
| Suk Namkoong | MA | Orthopaedic Surgery Physician | $104K | $0 |
| Wal-mart Stores East , LP | MA | Community/Retail Pharmacy | $86.8K | $0 |
| Oscar Rodriguez | MA | Emergency Medicine Physician | $46.9K | $14.9K |
| Paul Donovan | MA | Emergency Medicine Physician | $60.2K | $0 |
| Victoria Maxwell | MA | Physician Assistant | $33K | $7.5K |
| Sarah Chenail | MA | Physician Assistant | $34.2K | $4.4K |
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