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NPI 1780790501 · North Haven, CT · Land Ambulance
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Efk Of Connecticut, Inc. is a land ambulance provider located in North Haven, Connecticut. This profile covers 6 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 | Efk Of Connecticut, Inc. |
| Address | 208 Quinnipiac Ave |
| City | North Haven |
| State | CT |
| ZIP | 06473 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.1M |
| Medicare | $2.2M |
EFK OF CONNECTICUT, INC. is a land-ambulance operator whose code mix is dominated by basic life support non-emergency and emergency transports plus mileage, consistent with a ground-ambulance fleet. Medicare activity shows large volumes for A0428 (5.2K claims, $218 avg paid/claim, $1.1M revenue) while Medicaid shows even higher volume for the same code (51.3K claims, $103 avg paid/claim, $5.3M revenue), indicating primary business in routine patient transport rather than specialty or facility-based services.
Revenue is highly concentrated by a small number of codes in both payers: the top 3 Medicare codes account for 86.2% of Medicare revenue and the top 3 Medicaid codes account for 85.7% of Medicaid revenue. On Medicare the largest single driver is A0428 (52.1% of Medicare revenue) while on Medicaid A0428 also dominates (58.2% of Medicaid revenue), showing reliance on BLS non-emergency transports across payers.
The provider’s payer mix is weighted toward Medicaid by dollars: lifetime Medicaid revenue is $9.1M versus $2.2M in Medicare. This means Medicaid billing represents the larger revenue stream on file and that any payer-rate or policy changes in state Medicaid could materially affect the business.
Nationally for Medicare the provider ranks in high percentiles on core codes: A0428 and A0425 are at the 96th percentile and A0427 at the 85th percentile, yet the dataset characterizes these as "typical, unremarkable volume for this code." That combination indicates the provider operates at higher-than-average volume on common ambulance codes but not at extreme statistical outlier levels against national peers.
Within Connecticut Medicaid comparisons the provider is a leading in-state participant for key lines: A0428 ranks #4 of 17 in-state (81st percentile) and S0215 ranks #3 of 16 (87th percentile), while A0425 is notable at #10 of 128 (93rd percentile). Despite these strong ranks, the reporting labels these volumes as "typical, unremarkable volume for this code," implying strong market position without being flagged as an outlier in state comparisons.
Specialty and less-common services represent a small share of reported revenue and are low relative to peers. For Medicare A0434 (specialty care transport) produced $13.3K (0.6% of Medicare revenue) and ranks at the 18th percentile, and for Medicaid A0426 (ALS non-emergency) the revenue contribution is $15.3K (0.2% of Medicaid revenue) with a low 18th-percentile state rank; both suggest limited activity in specialty or ALS non-emergency lines.
Operationally the provider bills large mileage volumes across payers, which signals extensive ground coverage: Medicare A0425 shows 59.3K claims while Medicaid A0425 shows 34.7K claims and S0215 shows 27K claims in Medicaid. High mileage and claim counts are consistent with a fleet-oriented transport model where distance-based reimbursement is a significant component of revenue.
EFK OF CONNECTICUT, INC. is long-tenured on public records, with an NPI enumerated on 2006-08-22 (~20 years ago), supporting that the observed pattern of Medicaid-dominant revenue and a BLS-focused code mix reflects an established local/regional ambulance operator rather than a newly entered provider.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5,220 | $220 | $1.1M |
| A0425 | Ground mileage, per statute mile | 59,340 | $10 | $415.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 760 | $430 | $329.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 730 | $360 | $264.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 90 | $270 | $24.6K |
| A0434 | Specialty care transport (sct) | 20 | $740 | $13.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 51,340 | $100 | $5.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8,380 | $190 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,250 | $220 | $914K |
| S0215 | Non-emergency transportation; mileage, per mile | 26,990 | $30 | $728.6K |
| A0425 | Ground mileage, per statute mile | 34,660 | $20 | $554.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 110 | $140 | $15.3K |
| 4701Y | N/A | 100 | $20 | $1.7K |
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) | 4 | 20 | 17,430 | $80 | $2.7M |
| S0215 | Non-emergency transportation; mileage, per mile | 3 | 20 | 10,360 | $20 | $2.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19 | 120 | 1,930 | $180 | $1.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 19 | 80 | 900 | $190 | $1.3M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | 10 | 360 | $120 | $206.1K |
| A0425 | Ground mileage, per statute mile | 10 | 130 | 2,510 | $10 | $141.8K |
| 4701Y | N/A | 8 | 10 | 390 | $20 | $8.1K |
Other providers in the same ZIP code as Efk Of Connecticut, Inc., ranked by combined Medicare and Medicaid revenue.
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