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    OpenPayerNPI Medicare & MedicaidLifestar Response Of Maryland, Inc
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    Lifestar Response Of Maryland, Inc — Billing Profile & Reimbursement Data

    NPI 1699774018 · Annapolis Junction, MD · Land Ambulance

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    Lifestar Response Of Maryland, Inc is a land ambulance provider located in Annapolis Junction, Maryland. This profile covers 5 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)

    FieldValue
    Entity TypeOrganization
    OrganizationLifestar Response Of Maryland, Inc
    Address10840 Guilford Rd Ste 414
    CityAnnapolis Junction
    StateMD
    ZIP20701
    TaxonomyLand Ambulance
    NPI EnumeratedJuly 18, 2005

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

    Payer SourceTotal Paid
    Medicare$6.5M
    Medicaid$6M

    Key Findings

    LIFESTAR RESPONSE OF MARYLAND, INC is a long-tenured land ambulance provider, with its NPI enumerated on 2005-07-18 (~21 years ago), indicating sustained operation in the ambulance transport space and likely established relationships with both Medicare and Medicaid payers. Its taxonomy and dominant CPT/HCPCS mix (A0428, A0425, A0426, A0434) confirm the organization operates primarily as a ground ambulance service offering both basic life support and advanced/specialty transports.

    Revenue concentration is high on both payers: the top 3 Medicare codes account for 95.8% of the provider's total Medicare revenue, and the top 3 Medicaid codes account for 88.4% of total Medicaid revenue. This concentration indicates that a very small set of transport services—predominantly mileage and basic BLS/ALS transports—drive the overwhelming majority of payments.

    On Medicare, the largest single revenue source is A0428 (BLS non-emergency) at $4M (62.3% of Medicare revenue) with A0425 (ground mileage) contributing $1.8M (27.6%), and A0426 (ALS1 non-emergency) adding $381.3K (5.9%). All three Medicare top codes are reported as extreme outliers in national rank (A0428: 99th percentile, A0425: 100th percentile, A0426: 99th percentile), which positions the provider well above typical national volumes for core ambulance services and suggests unusually large Medicare transport volume relative to peers.

    In the Medicaid program the largest revenue contributors are A0425 (ground mileage) at $2.5M (42.3%), A0428 (BLS non-emergency) at $1.6M (27.0%), and A0434 (specialty care transport) at $1.1M (19.1%). Each of these Medicaid top codes ranks at the top of in-state peers (A0428 and A0434 both 100th percentile, A0425 at 95th percentile), signaling that within Maryland this provider is a leading state-level supplier of both routine and specialty ground ambulance services.

    Payer mix shows comparable lifetime scale between Medicare and Medicaid: total Medicare revenue is $6.5M versus total Medicaid revenue of $6M, so the provider is not single-payer dependent but operates with substantial exposure to both programs. Given the similar revenue totals and concentrated code mix across both payers, operational capacity is likely focused on high-volume non-emergency transports and associated mileage.

    Competitive standing differs by payer and code: nationally for Medicare the provider is an outlier and sits in the top percentiles for core ambulance codes (e.g., A0425, A0428, A0426), indicating a major national-level presence for those services; in the Maryland Medicaid market it also ranks as a dominant in-state provider for multiple leading codes (A0428, A0434, A0426 all rank #1 in-state for certain codes). In contrast, some Medicare-specialty codes such as A0434 and A0427 show typical, unremarkable national percentiles, indicating more ordinary volumes for those specific services at the national level.

    The operational profile implied by the code mix—heavy volumes of A0428 (BLS non-emergency) and A0425 (ground mileage), plus meaningful A0434 (SCT) in Medicaid—suggests the organization runs high-frequency non-emergency and long-mileage transports and also maintains capability for specialty critical-care transfers. This combination supports a business model centered on recurrent patient transfers and significant mileage-driven revenue rather than episodic, high-acuity emergent ambulance runs.

    Several specific codes are flagged as statistical outliers or notably above typical: A0428, A0425, and A0426 are labeled "extreme outlier" nationally for Medicare, while A0428, A0434, A0426, and A0425 are described as "notably above typical" or top-ranked in-state for Medicaid. These descriptors reinforce that the provider’s volumes for foundational ambulance services are unusually large versus peers and that its Medicaid role in specialty transport (A0434) is especially prominent in-state.

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0428Ambulance service, basic life support, non-emergency transport, (bls)17,690$230$4M
    A0425Ground mileage, per statute mile255,710$10$1.8M
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)1,430$270$381.3K
    A0434Specialty care transport (sct)280$740$203.4K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)160$420$66.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A04281202,530$220$1.2M
    A042744100100$430$315.3K
    A0434610250$740$156.5K
    A042511202,770$10$134.2K
    A0426110310$270$116.6K

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0425Ground mileage, per statute mile57,790$40$2.5M
    A0428Ambulance service, basic life support, non-emergency transport, (bls)46,370$40$1.6M
    A0434Specialty care transport (sct)3,760$310$1.1M
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)7,180$90$610.4K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)260$130$34.7K
    A0888Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)440$70$29.2K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation1,820$10$21.8K
    A0999Unlisted ambulance service30$1$-30

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maryland median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)61901,050$90$996.5K
    A0425Ground mileage, per statute mile5801,580$30$407.9K
    A0434Specialty care transport (sct)110590$240$332K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)1205,240$30$289K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)110880$90$154.2K
    A0888Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)110440$70$29.1K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation210570$10$6.3K
    A0999Unlisted ambulance service31050$10$2K

    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. Maryland Distribution
    Lifestar Response Of Maryland, Inc — 3 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland
    Medicaid Revenue by Year vs. Maryland Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Lifestar Response Of Maryland, Inc — 3 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland