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NPI 1750676870 · Beaumont, TX · Ambulance
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Acadian Ambulance Service Of Texas LLC is a ambulance provider located in Beaumont, Texas. This profile covers 9 Medicare and 12 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 | Acadian Ambulance Service Of Texas LLC |
| Address | 3720 Corley St |
| City | Beaumont |
| State | TX |
| ZIP | 77701 |
| Taxonomy | Ambulance |
| NPI Enumerated | June 16, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $48.8M |
| Medicare | $16.8M |
ACADIAN AMBULANCE SERVICE OF TEXAS LLC's billing mix centers on core ambulance services: high-volume ground mileage (A0425), basic life support non-emergency transport (A0428), and advanced life support emergency transport (A0427), with specialty care transport (A0434) also present on both payers. The presence of both BLS and ALS codes, plus high mileage and SCT, indicates an operator that runs a mix of emergency responses, non-emergency transfers, and higher-acuity interfacility transports rather than a narrow niche service line.
Medicare revenue is concentrated in a very small set of codes: the top 3 Medicare codes by revenue account for 86.7% of this provider's total Medicare revenue, and individually A0428 represents 36.4% of Medicare revenue while A0425 and A0427 represent 26.1% and 24.3% respectively. Total reported Medicare lifetime revenue is $16.8M, underscoring that a handful of routine ambulance and mileage services drive nearly all Medicare receipts for this entity.
Medicaid revenue shows a similar concentration: the top 3 Medicaid codes by revenue account for 72.3% of this provider's total Medicaid revenue, with A0427 at 28.0%, A0425 at 26.0%, and A0429 at 18.4%. Lifetime Medicaid receipts are $48.8M, indicating that a few high-volume Medicaid codes dominate payer income and that emergency and mileage services are central to the Medicaid business line.
In payer-mix terms, Medicaid is materially larger than Medicare for this provider: Medicaid lifetime revenue ($48.8M) substantially exceeds Medicare lifetime revenue ($16.8M), so the operation is effectively Medicaid-focused by scale. That imbalance suggests contracting, reimbursement sensitivity, and utilization patterns that will be more influenced by state Medicaid policy and reimbursement rates than by Medicare.
The provider is a volume leader on several codes at the relevant competitive levels: for Medicare A0428 ranks #5 of 2772 and A0425 ranks #4 of 8934 (both 100th percentile; characterized as extreme outlier), while A0427 ranks #34 of 6841 nationally (100th percentile; extreme outlier). These national rank positions indicate the organization is a major national-volume participant for routine ambulance and mileage services in the Medicare market.
State-level competitive standing in Texas is dominant for core Medicaid codes: A0427, A0425, and A0428 each rank #1 in-state (100th percentile; extreme outlier), and A0434 also ranks #1 in-state for SCT. Being the top-ranked in-state reporter on multiple high-revenue Medicaid codes signals market leadership in Texas for both emergency and non-emergency ground transport.
Several individual-code statistical flags are notable: many of the provider’s top codes are labeled "extreme outlier" or similarly elevated in volume across national or state peer sets, which points to exceptionally high utilization relative to peers for A0425, A0428, and A0427. By contrast, air transport codes such as A0431 and A0436 appear at typical, unremarkable national volumes, indicating air services are a much smaller and conventional part of the mix.
This entity has been enumerated since 2011-06-16 (~15 years ago), which, together with the reported lifetime Medicare ($16.8M) and Medicaid ($48.8M) revenues, supports the interpretation of an established ambulance operator with sustained, high-throughput ground transport activity. Tenure plus concentrated, high-volume coding suggests operational scale and infrastructure consistent with large regional EMS and interfacility transfer capacity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 30,750 | $200 | $6.2M |
| A0425 | Ground mileage, per statute mile | 629,310 | $10 | $4.4M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 10,530 | $390 | $4.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,840 | $330 | $925.8K |
| A0434 | Specialty care transport (sct) | 840 | $670 | $564.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,930 | $250 | $478.4K |
| A0433 | Advanced life support, level 2 (als 2) | 330 | $560 | $183.3K |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 10 | $4,110 | $57.6K |
| A0436 | Rotary wing air mileage, per statute mile | 1,260 | $30 | $32.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 72,490 | $190 | $13.6M |
| A0425 | Ground mileage, per statute mile | 274,920 | $50 | $12.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 50,840 | $180 | $8.9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 139,270 | $60 | $8.8M |
| A0434 | Specialty care transport (sct) | 6,430 | $350 | $2.2M |
| A0382 | Bls routine disposable supplies | 79,290 | $10 | $1M |
| A0398 | Als routine disposable supplies | 41,330 | $20 | $702.6K |
| A0433 | Advanced life support, level 2 (als 2) | 1,070 | $300 | $326.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4,290 | $60 | $236K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 15,100 | $10 | $166K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1 | 320 | 920 | $180 | $720.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 310 | 500 | $160 | $474.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 190 | 2,590 | $60 | $427.4K |
| A0434 | Specialty care transport (sct) | 1 | 30 | 200 | $450 | $322.2K |
| A0425 | Ground mileage, per statute mile | 1 | 500 | 1,970 | $40 | $284.3K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 30 | 110 | $560 | $224.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 40 | 130 | $70 | $45.6K |
| A0382 | Bls routine disposable supplies | 1 | 220 | 460 | $10 | $31.6K |
| A0398 | Als routine disposable supplies | 1 | 180 | 420 | $10 | $29.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 90 | 270 | $20 | $15.6K |
Showing 1–10 of 12
Other providers in the same ZIP code as Acadian Ambulance Service Of Texas LLC, ranked by combined Medicare and Medicaid revenue.
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