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NPI 1790844785 · Norwich, CT · Land Ambulance
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American Ambulance Service, Inc. is a land ambulance provider located in Norwich, Connecticut. This profile covers 7 Medicare and 9 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 | American Ambulance Service, Inc. |
| Address | 1 American Way |
| City | Norwich |
| State | CT |
| ZIP | 06360 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.4M |
| Medicare | $2.2M |
AMERICAN AMBULANCE SERVICE, INC. is a land-ambulance operator based in NORWICH, CT with an NPI enumerated on 2006-12-06 (~20 years ago), indicating long tenure in Medicare/Medicaid billing and established operations in the market. The taxonomy and dominant codes indicate core business activity is ground ambulance transport across both emergency and non-emergency BLS/ALS service lines.
The provider’s payer mix is heavily skewed toward Medicaid: total Medicaid revenue is $12.4M compared with total Medicare revenue of $2.2M, so Medicaid is the larger revenue stream and likely the primary payer relationship to manage for this organization. This scale difference suggests state-level reimbursement policy and managed Medicaid contracts will be more material to overall financial performance than Medicare.
Medicare revenue is concentrated: the top three Medicare codes (A0428, A0425, A0427) together account for 74.9% of the provider’s Medicare revenue. Those codes—A0428 ($777.9K, basic life support non-emergency), A0425 ($456.3K, ground mileage), and A0427 ($409.4K, ALS1 emergency)—drive the bulk of Medicare receipts and point to a mix of non-emergency BLS transports, billed mileage, and some ALS emergency responses.
Medicaid revenue is even more concentrated: the top three Medicaid codes (A0429, A0428, A0427) together account for 80.3% of the provider’s Medicaid revenue. Those Medicaid top codes—A0429 ($4.3M, BLS emergency), A0428 ($3.2M, BLS non-emergency), and A0427 ($2.4M, ALS1 emergency)—show heavy reliance on both emergency BLS and non-emergency BLS transports plus a material ALS emergency component.
Operational volume signals: very high claim counts on mileage and BLS codes suggest a large ground-transport footprint—Medicare A0425 shows 65.2K claims and Medicaid A0425 shows 47.6K claims, while Medicaid A0428 and A0429 have 38.9K and 23.3K claims respectively. This pattern is consistent with an operator running many trips and billing mileage frequently, so utilization management, trip scheduling, and mileage reimbursement policies will strongly affect revenue.
National competitive standing on key Medicare codes is mixed: A0425 (ground mileage) is flagged as notably above typical national volume for this code (rank #278 of 8934, 97th percentile), marking it as a national outlier on mileage billing; other Medicare top codes such as A0428 and A0429 are described as typical, unremarkable volume despite high percentile ranks, and A0427 is likewise typical, unremarkable volume, indicating strong activity but not dominant national market share on clinical transport lines beyond mileage.
State-level competitive standing on Medicaid shows meaningful position in core emergency BLS and ALS lines: A0429 ranks #8 of 122 (94th percentile) and A0427 and A0428 are among the provider’s top Medicaid drivers, while A0426 (ALS non-emergency) is ranked #2 of 12 in-state (91th percentile) and explicitly noted as notably above typical state volume. This suggests the provider is a major in-state participant for certain ALS and BLS services even if some code-level volumes are characterized as typical.
Revenue-concentration and business risk: because top-three codes account for 74.9% of Medicare and 80.3% of Medicaid revenue, the provider’s financial performance is highly concentrated in a small set of transport codes (BLS emergency/non-emergency, mileage, and ALS1 emergency). Any policy, reimbursement, or utilization shift affecting those specific codes—especially ground mileage and BLS emergency—would have an outsized impact on overall revenue, so payers and analysts should prioritize monitoring those code lines when assessing contract or audit priorities.
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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,640 | $210 | $777.9K |
| A0425 | Ground mileage, per statute mile | 65,190 | $10 | $456.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 950 | $430 | $409.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,120 | $360 | $405.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 410 | $270 | $112.2K |
| A0434 | Specialty care transport (sct) | 30 | $740 | $22.2K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $620 | $11.1K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 23,270 | $190 | $4.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 38,920 | $80 | $3.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 13,080 | $190 | $2.4M |
| S0215 | Non-emergency transportation; mileage, per mile | 12,830 | $80 | $1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5,460 | $120 | $666.5K |
| A0425 | Ground mileage, per statute mile | 47,610 | $10 | $618.9K |
| A0432 | Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers | 1,340 | $110 | $140.6K |
| 4701Y | N/A | 500 | $20 | $7.5K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 3,660 | $1 | $3.7K |
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
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7 | 20 | 17,430 | $80 | $2.7M |
| S0215 | Non-emergency transportation; mileage, per mile | 8 | 20 | 10,360 | $20 | $2.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8 | 120 | 1,930 | $180 | $1.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9 | 80 | 900 | $190 | $1.3M |
| A0432 | Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers | 10 | 20 | 1,490 | $110 | $321.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 10 | 360 | $120 | $206.1K |
| A0425 | Ground mileage, per statute mile | 7 | 130 | 2,510 | $10 | $141.8K |
| 4701Y | N/A | 5 | 10 | 390 | $20 | $8.1K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 2 | 10 | 190 | $1 | $910 |
Other providers in the same ZIP code as American Ambulance Service, Inc., ranked by combined Medicare and Medicaid revenue.
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