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NPI 1700985348 · Stamford, CT · Land Ambulance
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Stamford Emergency Medical Services, Inc. is a land ambulance provider located in Stamford, Connecticut. This profile covers 4 Medicare and 7 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 | Stamford Emergency Medical Services, Inc. |
| Address | 684 Long Ridge Rd |
| City | Stamford |
| State | CT |
| ZIP | 06902 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | September 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.3M |
| Medicare | $1.5M |
STAMFORD EMERGENCY MEDICAL SERVICES, INC. operates as a ground ambulance emergency transporter: its top Medicare and Medicaid revenue drivers are ambulance transport codes A0427 (advanced life support, emergency), A0429 (basic life support, emergency) and mileage A0425, with Medicare claims including A0427 (2.2K claims, $424 avg paid/claim, $920.5K revenue) and A0429 (1.4K claims, $355 avg paid/claim, $484.9K revenue), and Medicaid claims including A0427 (19.4K claims, $161 avg paid/claim, $3.1M revenue) and A0429 (21K claims, $139 avg paid/claim, $2.9M revenue). This mix indicates primary operations are emergency ALS and BLS transport rather than scheduled or non-emergency services.
Revenue concentration is extremely high for both payers: the provider’s top 3 Medicare codes by revenue account for 98.9% of its Medicare revenue, and the top 3 Medicaid codes by revenue account for 99.8% of its Medicaid revenue. For Medicare specifically, A0427 represents 62.0% and A0429 32.7% of Medicare revenue (A0425 contributes 4.2%), showing the Medicare book is almost entirely driven by emergency transport services.
On the Medicaid side those same three codes likewise dominate: A0427 is 49.7% and A0429 is 46.5% of Medicaid revenue (A0425 contributes 3.7%), reinforcing that Medicaid billing is concentrated in emergency ambulance transports and mileage. The absolute scale is different across payers — total Medicaid revenue is $6.3M versus total Medicare revenue of $1.5M — so Medicaid is the substantially larger revenue source for this provider.
In payer-mix terms the entity is effectively Medicaid-dominant: the provider reports $6.3M in total Medicaid revenue compared with $1.5M in total Medicare revenue, indicating the business generates most of its billed volume and revenue from Medicaid patients and payers. Analysts should treat Medicare as a smaller but still important complementary revenue stream rather than the primary book of business.
National competitive standing for its Medicare codes is above median but described as "typical, unremarkable volume for this code": A0427 ranks #317 of 6841 providers nationally (95th percentile), A0429 ranks #328 of 7808 (96th percentile), and A0425 ranks #1960 of 8934 (78th percentile). Those ranks place the provider in the higher-volume band nationally for emergency ambulance transports, but the dataset labels these volumes as typical rather than extreme outliers.
State-level standing for Medicaid shows the provider is a leading in-state biller for ambulance services: A0427 ranks #7 of 80 providers in-state (92th percentile), A0429 ranks #10 of 122 (93th percentile), and A0425 ranks #9 of 128 (94th percentile), with each code’s state-level volume characterized as "typical, unremarkable volume for this code." Collectively these ranks indicate a major regional position in Medicaid emergency transport billing rather than marginal participation.
The provider’s NPI was enumerated on 2006-09-21 (~20 years ago), which signals long tenure and an established operational presence in the market. Combined with the concentrated revenue mix and consistent ranking in high percentiles, the tenure supports interpreting current billing patterns as stable, operationally mature activity rather than a short-lived billing spike.
There are small but notable zero- or low-payment Medicaid items that may reflect non-covered services or reporting patterns: A0888 shows 194 claims with $0 avg paid/claim and $0 revenue, A0428 shows 45 claims with $0 avg paid/claim and $0 revenue, while smaller-revenue codes include A0998 (105 claims, $72 avg paid/claim, $7.6K revenue) and 4701Y (369 claims, $11 avg paid/claim, $4.1K revenue). These line items are immaterial to overall revenue but are worth reviewing for contract/coverage nuances or coding practice differences that produce claim volume with little or no paid revenue.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,170 | $420 | $920.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,370 | $360 | $484.9K |
| A0425 | Ground mileage, per statute mile | 10,490 | $10 | $63K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $610 | $15.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 19,410 | $160 | $3.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21,040 | $140 | $2.9M |
| A0425 | Ground mileage, per statute mile | 38,310 | $10 | $229.8K |
| A0998 | Ambulance response and treatment, no transport | 110 | $70 | $7.6K |
| 4701Y | N/A | 370 | $10 | $4.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 50 | $0 | $0 |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 190 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 17 | 20 | 17,430 | $80 | $2.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10 | 120 | 1,930 | $180 | $1.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7 | 80 | 900 | $190 | $1.3M |
| A0425 | Ground mileage, per statute mile | 9 | 130 | 2,510 | $10 | $141.8K |
| A0998 | Ambulance response and treatment, no transport | 8 | 20 | 100 | $60 | $18.3K |
| 4701Y | N/A | 7 | 10 | 390 | $20 | $8.1K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 3 | 10 | 190 | $1 | $910 |
Other providers in the same ZIP code as Stamford Emergency Medical Services, Inc., ranked by combined Medicare and Medicaid revenue.
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