Loading...
NPI 1770585812 · Texarkana, TX · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Lifenet, Inc. is a land ambulance provider located in Texarkana, Texas. This profile covers 7 Medicare and 6 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 | Lifenet, Inc. |
| Address | 6300 Hampton Rd |
| City | Texarkana |
| State | TX |
| ZIP | 75503 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 1, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $19.9M |
| Medicare | $7.2M |
LIFENET, INC. operates as a ground ambulance operator with a heavy emphasis on advanced life support emergency transports: A0427 is the single largest Medicare revenue driver at $4M (56.0% of Medicare revenue) and the largest Medicaid driver at $10.3M (51.8% of Medicaid revenue), reflecting a core business built around high-acuity emergency response. The presence of both A0427 and A0433 (advanced life support, level 2) in the Medicare top codes confirms substantial ALS capability rather than a primarily non-emergency transport focus.
Revenue concentration is extremely high for both payers. The top three Medicare codes account for 87.2% of the provider's Medicare revenue (with A0427, A0425, A0429 the leading contributors) and the top three Medicaid codes account for 89.8% of Medicaid revenue (A0427, A0425, A0429), indicating the provider’s financial performance is tightly tied to a small set of ambulance services.
Payer mix skews toward Medicaid: lifetime Medicaid revenue is $19.9M versus $7.2M in Medicare, so Medicaid represents the larger payer relationship by scale. This suggests the provider’s operations and utilization are more heavily concentrated in Medicaid-covered transports, which may influence payer negotiations and network participation considerations.
Nationally and in-state rankings signal a dominant operational footprint for specific ambulance services. For Medicare A0427 ranks #27 of 6841 providers nationally (100th percentile; extreme outlier) and A0425 ranks #56 of 8934 (99th percentile; extreme outlier), marking LIFENET as a very large national biller for these codes. In Texas Medicaid, A0427 ranks #2 of 317 providers (100th percentile; extreme outlier) and A0425 ranks #6 of 496 (99th percentile), positioning the provider as a top in-state performer for high-volume ambulance and mileage billing.
Several codes show asymmetric standing across payers: A0433 is an extreme outlier for Medicare (268 claims, $145.8K revenue; ranks #22 of 1632, 99th percentile) but is a relatively minor contributor to Medicaid ($21.1K revenue; ranks #10 of 25, 63rd percentile). Conversely, A0429 is a meaningful revenue source for both payers but ranks notably higher in-state for Medicaid (25.4K claims, $3.2M; ranks #8 of 310, 98th percentile) than it does nationally for Medicare, highlighting payer-specific utilization patterns.
Operational scale is evident in mileage volumes, which are exceptionally large: A0425 shows 177.3K Medicare claims and 113.6K Medicaid claims, together driving substantial mileage revenue ($1.4M Medicare, $4.3M Medicaid). High mileage counts imply an extensive service area or high trip frequency that buyers, payers, and competitors should consider when assessing network coverage and cost exposure.
The provider has long tenure in the Medicare/Medicaid landscape, with NPI enumeration on 2005-06-01 (~21 years ago). Combined with the concentrated revenue mix and top-percentile rankings on several ALS and mileage codes, this tenure is consistent with an established ambulance operator that is a major regional Medicaid player and a notable national outlier on select Medicare ambulance services.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 10,770 | $370 | $4M |
| A0425 | Ground mileage, per statute mile | 177,290 | $10 | $1.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,630 | $310 | $818.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,840 | $200 | $557K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 630 | $240 | $149.4K |
| A0433 | Advanced life support, level 2 (als 2) | 270 | $540 | $145.8K |
| A0434 | Specialty care transport (sct) | 100 | $650 | $61.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 66,390 | $160 | $10.3M |
| A0425 | Ground mileage, per statute mile | 113,590 | $40 | $4.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 25,390 | $130 | $3.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 17,190 | $80 | $1.4M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3,600 | $170 | $607.6K |
| A0433 | Advanced life support, level 2 (als 2) | 230 | $90 | $21.1K |
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
6 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) | 2 | 320 | 920 | $180 | $720.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8 | 310 | 500 | $160 | $474.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | 190 | 2,590 | $60 | $427.4K |
| A0425 | Ground mileage, per statute mile | 6 | 500 | 1,970 | $40 | $284.3K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | 30 | 110 | $560 | $224.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 40 | 130 | $70 | $45.6K |
Other providers in the same ZIP code as Lifenet, Inc., ranked by combined Medicare and Medicaid revenue.
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.