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    OpenPayerNPI Medicare & MedicaidHoward County Maryland
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    Howard County Maryland — Billing Profile & Reimbursement Data

    NPI 1700449782 · Marriottsville, MD · Land Ambulance

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    Howard County Maryland is a land ambulance provider located in Marriottsville, Maryland. This profile covers 4 Medicare and 3 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
    OrganizationHoward County Maryland
    Address2201 Warwick Way
    CityMarriottsville
    StateMD
    ZIP21104
    TaxonomyLand Ambulance
    NPI EnumeratedApril 16, 2019

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$2M

    Key Findings

    HOWARD COUNTY MARYLAND operates as a land ambulance provider whose billed services are concentrated in emergency transport codes. Medicare activity is dominated by A0429 (3.5K claims, $1.2M, 44.9% of Medicare revenue) and A0427 (2.8K claims, $1.2M, 42.9% of Medicare revenue), with ground mileage A0425 showing a very high claim count (43.6K claims, $305.2K, 11.0%). This mix points to routine emergency BLS and ALS transport operations with substantial mileage-based transport activity.

    Medicare revenue is highly concentrated: the top 3 Medicare codes by revenue account for 98.9% of the provider's total Medicare revenue. That concentration indicates the business is heavily dependent on a narrow set of ambulance services (A0429, A0427, A0425) for nearly all Medicare receipts, which raises operational sensitivity to reimbursement or utilization changes for those codes.

    Medicaid billing is even more concentrated: the top 3 Medicaid codes by revenue account for 100.0% of the provider's Medicaid revenue. A0427 alone drives the majority of Medicaid revenue (14.8K claims, $1.4M, 70.1%), with A0425 contributing most of the remainder (6.5K claims, $588.7K, 29.6%), signalling a Medicaid book of business focused on ALS emergency transports and associated mileage.

    Payer mix shows Medicare scale larger than Medicaid: reported lifetime Medicare revenue is $2.8M versus $2M in lifetime Medicaid revenue. Both payers are material to the business, but Medicare represents the single larger revenue source on file, so shifts in Medicare policy or volume would likely have outsized impact.

    Competitive standing is strong nationally on at least one Medicare code: A0429 ranks #88 of 7808 providers nationally (99th percentile) and is explicitly labeled an "extreme outlier," indicating this provider is a dominant national billing outlier for BLS emergency transport. A0427 and A0425 also rank highly for Medicare (A0427: #238 of 6841, 97th percentile; A0425: #468 of 8934, 95th percentile), reflecting above-typical Medicare volumes for these ground-transport services.

    Within Maryland Medicaid, the provider is a major in-state participant for ALS emergency transports: A0427 ranks #9 of 88 in-state (91th percentile; typical, unremarkable volume descriptor provided) and accounts for 70.1% of Medicaid revenue. A0425 is more modest in-state (rank #21 of 79, 74th percentile) but still contributes nearly 30% of Medicaid revenue, underscoring the provider's role in mileage-billed transports for Medicaid patients.

    Reimbursement patterns differ markedly between payers on a per-claim basis: for example, A0429 average paid per claim is $359 on Medicare versus $2 on Medicaid, A0427 averages $427 on Medicare versus $94 on Medicaid, and A0425 averages $7 on Medicare versus $90 on Medicaid. These cross-payer per-claim differences reflect distinct payer-specific rate structures and mean the same codes generate very different revenue profiles depending on payer mix.

    The provider has been NPI-enumerated since 2019-04-16 (~7 years ago), indicating an operational tenure long enough to establish recurring billing patterns but still relatively recent compared with longer-standing EMS systems. Given the concentrated code mix and the strong national and in-state ranks on core transport codes, the organization appears operationally established with a focused, transport-heavy service line orientation.

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)3,460$360$1.2M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)2,780$430$1.2M
    A0425Ground mileage, per statute mile43,590$10$305.2K
    A0433Advanced life support, level 2 (als 2)50$590$31.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A04276100100$430$315.3K
    A0429711090$360$283.3K
    A0425141202,770$10$134.2K
    A043372030$600$35.3K

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)14,840$90$1.4M
    A0425Ground mileage, per statute mile6,540$90$588.7K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)3,850$1$7.7K

    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

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)9901,050$90$996.5K
    A0425Ground mileage, per statute mile21801,580$30$407.9K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)1150620$10$27.9K

    Nearby Providers

    Other providers in the same ZIP code as Howard County Maryland, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mahfuzul KhanMDEndocrinology, Diabetes & Metabolism Physician$70.1K$0
    Rani GeorgeMDPsychiatric/Mental Health Nurse Practitioner$59.4K$0
    Janet LeeMDCertified Registered Nurse Anesthetist$23.4K$0
    Chesahna KindredMDDermatology Physician$20.3K$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. Maryland Distribution
    Howard County Maryland — 0 of 4 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 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Howard County Maryland — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland