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NPI 1700801222 · Middleton, MA · Land Ambulance
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Northeast Regional Ambulance Service, Inc. is a land ambulance provider located in Middleton, 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 | Northeast Regional Ambulance Service, Inc. |
| Address | 3 Ajootian Way |
| City | Middleton |
| State | MA |
| ZIP | 01949 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.4M |
| Medicare | $1.6M |
NORTHEAST REGIONAL AMBULANCE SERVICE, INC. is a land ambulance operator whose revenue mix is dominated by basic and advanced life-support transports; the top Medicare revenue codes are A0429, A0428 and A0427 and the top Medicaid revenue codes are the same three codes, indicating the organization’s core service line is emergency and non-emergency ground ambulance transport rather than ancillary services. The code mix (A0429, A0428, A0427) and inclusion of ground mileage (A0425) and wheelchair van (A0130) in Medicaid further suggest the provider operates both BLS and ALS units and also supports non-emergency wheelchair/van transports. It reports 1.6M in lifetime Medicare revenue and 5.4M in lifetime Medicaid revenue.
Revenue concentration is high for both payers: the precomputed top-three Medicare codes account for 86.1% of this provider’s Medicare revenue, and the top-three Medicaid codes account for 77.9% of its Medicaid revenue. This concentration indicates the business is heavily dependent on a small set of transport services (A0429, A0428, A0427) for the majority of its reimbursement, which has implications for sensitivity to rate changes or utilization shifts in those specific codes.
Payer mix is skewed toward Medicaid by scale: the provider’s lifetime Medicaid revenue ($5.4M) substantially exceeds its lifetime Medicare revenue ($1.6M), indicating the organization serves a larger Medicaid population or receives more payments from state programs relative to Medicare. Operational planning, contractual negotiations, and community outreach are likely to be driven by Medicaid-volume considerations given that imbalance.
National competitive standing for Medicare shows strength on its top emergency BLS code: A0429 generated $662.1K (40.2% of Medicare revenue) and the provider ranks #211 of 7808 nationally (97th percentile), described in the data as notably above typical national volume. That rank signals this provider is a major national outlier specifically for BLS emergency transports under Medicare, while its other Medicare codes (A0428 rank #412/2772, A0427 rank #864/6841) are in solid but less exceptional percentiles and characterized as typical or unremarkable.
State-level competitive positioning for Medicaid is also strong on core transport codes: A0429 is $2.1M (39.3% of Medicaid revenue) with a rank of #20 of 242 in-state (92nd percentile), and A0427 is $879K (16.2%) at #38 of 218 (83rd percentile). These in-state percentiles indicate the provider is among the higher-volume Medicaid ambulance suppliers in Massachusetts for emergency BLS and ALS services, while other Medicaid codes like A0428 and A0425 show typical, unremarkable volumes relative to peers.
Operational footprint indicators: ground mileage (A0425) appears as a meaningful revenue contributor for both payers (11.5% of Medicare revenue, 12.3% of Medicaid revenue) with large claim counts (27.1K Medicare claims, 26.6K Medicaid claims), suggesting frequent but lower-value per-claim transports and potentially long or numerous trips. The presence of A0130 (wheelchair van) and S0215 (non-emergency mileage) in Medicaid billing also points to a mixed fleet that handles both stretcher/ALS/BLS ambulance and wheelchair-van non-emergency transport.
Tenure and continuity: the provider’s NPI was enumerated on 2006-07-13 (~20 years ago), indicating a long-established operation with multi-year participation in Medicare and Medicaid programs; this longevity supports the interpretation that observed high-volume coding patterns are persistent rather than transient. Long tenure combined with concentrated code dependence means historical performance will be important when assessing future risk or contract negotiations.
Statistical outliers and relative labels align with service focus: the data explicitly marks the provider as "notably above typical national volume" for Medicare A0429, and other high-ranking entries are described as typical or unremarkable; this mix means the organization is a standout on emergency BLS transports but otherwise operates at typical volumes for many common ambulance codes. Analysts should treat A0429 as a defining characteristic of the provider’s Medicare presence while recognizing that Medicaid volumes are more broadly distributed across similar transport codes.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,900 | $350 | $662.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,760 | $220 | $386.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 890 | $420 | $368.5K |
| A0425 | Ground mileage, per statute mile | 27,070 | $10 | $189.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 90 | $270 | $23.7K |
| A0434 | Specialty care transport (sct) | 10 | $720 | $8.6K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $610 | $7.3K |
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11,700 | $180 | $2.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9,770 | $120 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,730 | $190 | $879K |
| A0425 | Ground mileage, per statute mile | 26,570 | $30 | $664.3K |
| A0130 | Non-emergency transportation: wheelchair van | 8,670 | $30 | $286.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 950 | $150 | $141.8K |
| S0215 | Non-emergency transportation; mileage, per mile | 8,650 | $10 | $103.8K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 230 | $20 | $4.5K |
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) | 28 | 60 | 9,300 | $90 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 20 | 240 | 980 | $180 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 38 | 220 | 1,290 | $180 | $740.6K |
| A0130 | Non-emergency transportation: wheelchair van | 31 | 80 | 5,670 | $30 | $449K |
| A0425 | Ground mileage, per statute mile | 29 | 300 | 2,300 | $20 | $267.6K |
| S0215 | Non-emergency transportation; mileage, per mile | 50 | 100 | 8,500 | $10 | $253.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 12 | 40 | 510 | $140 | $137K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 137 | 280 | 200 | $10 | $11.8K |
Other providers in the same ZIP code as Northeast Regional Ambulance Service, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Jennifer Braimon | MA | Endocrinology, Diabetes & Metabolism Physician | $301.8K | $0 |
| Bethany Saunders | MA | Physician Assistant | $112.8K | $0 |
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