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NPI 1811055569 · New Brunswick, NJ · Land Ambulance
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Robert Wood Johnson Health Network Inc is a land ambulance provider located in New Brunswick, New Jersey. This profile covers 5 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 | Robert Wood Johnson Health Network Inc |
| Address | Patterson St |
| City | New Brunswick |
| State | NJ |
| ZIP | 08903 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $33.7M |
| Medicare | $7.8M |
Service-line profile: The provider’s taxonomy (Land Ambulance) and the dominant CPT/HCPCS codes indicate an emergency and specialty ground-transport operation, with heavy reliance on basic life support emergency transports (A0429) and advanced life support emergency transports (A0427). Medicare and Medicaid top codes include A0429, A0427 and specialty or higher-level ALS codes (A0434/A0433), which is consistent with a provider operating 911/urgent-response and interfacility specialty transports rather than primarily non-emergency stretcher services.
Medicare revenue concentration: Medicare revenue is highly concentrated — the top three Medicare codes account for 93.5% of the provider’s total Medicare revenue. Specifically, A0429 accounts for $3.5M (44.4% of Medicare revenue, 9.3K claims), A0427 for $3.2M (40.4%, 7.1K claims), and A0425 for $677K (8.7%, 96.7K claims), so analysts should treat changes to these code utilizations or reimbursements as material to the Medicare business line.
Medicaid revenue concentration: Medicaid is also concentrated in a small set of codes, with the top three Medicaid codes responsible for 88.2% of total Medicaid revenue. A0429 drives $15.4M (45.8% of Medicaid revenue, 74.8K claims), A0427 contributes $8.9M (26.6%, 31.5K claims), and A0434 contributes $5.3M (15.8%, 8.1K claims), indicating Medicaid volume is similarly focused on emergency and specialty transports.
Payer mix and scale: This entity reports $7.8M in lifetime Medicare revenue versus $33.7M in lifetime Medicaid revenue, so Medicaid is the substantially larger payer relationship on file and the primary revenue engine. The provider is not effectively single-payer, but Medicaid dominates the revenue footprint and should be the focus for state-level network and reimbursement strategies.
National competitive standing (Medicare): For several Medicare codes the provider is a national outlier: A0429 ranks #18 of 7808 (100th percentile; extreme outlier) and A0427 ranks #84 of 6841 (99th percentile; extreme outlier), while A0433 ranks #7 of 1632 (100th percentile; extreme outlier). These rankings indicate unusually high national activity for emergency ground-transport codes and suggest the provider is a major national-volume reporter for select Medicare ambulance services.
State-level competitive standing (Medicaid): Within New Jersey the provider also appears dominant for core ambulance services: A0429 ranks #4 of 264 (99th percentile; extreme outlier) and A0427 ranks #2 of 29 (96th percentile; notably above typical), with A0434 ranking #2 of 25 (96th percentile; notably above typical). Several ancillary codes (A0425 mileage and A0998 response without transport) also show very high in-state ranks, supporting a strong statewide footprint for both emergency response and mileage-driven transports.
Operational and utilization signals: Extremely large claim counts for mileage and basic/advanced life support (e.g., Medicaid A0425 at 114.6K claims and Medicare A0425 at 96.7K claims alongside 74.8K Medicaid A0429 claims and 9.3K Medicare A0429 claims) point to high dispatch frequency and extensive transport distances or heavy trip volumes. For payers and auditors this pattern signals that operational policies (dispatch, trip acceptance, and mileage capture) materially influence both Medicaid and Medicare revenue.
Tenure and continuity: The NPI was enumerated on 2006-12-05 (~20 years ago), indicating a long-established provider presence; combined with the large lifetime Medicaid and Medicare revenue totals, this tenure increases the relevance of historical utilization trends when evaluating contracting, network adequacy, or policy changes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9,300 | $370 | $3.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7,060 | $450 | $3.2M |
| A0425 | Ground mileage, per statute mile | 96,720 | $10 | $677K |
| A0433 | Advanced life support, level 2 (als 2) | 470 | $640 | $304.1K |
| A0434 | Specialty care transport (sct) | 270 | $760 | $203.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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) | 74,830 | $210 | $15.4M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 31,450 | $280 | $8.9M |
| A0434 | Specialty care transport (sct) | 8,120 | $660 | $5.3M |
| A0425 | Ground mileage, per statute mile | 114,590 | $20 | $2.1M |
| A0998 | Ambulance response and treatment, no transport | 9,600 | $90 | $883.4K |
| A0433 | Advanced life support, level 2 (als 2) | 2,050 | $360 | $735K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,090 | $60 | $245.2K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 5,610 | $1 | $22.4K |
| A0390 | Als mileage (per mile) | 470 | $40 | $20.5K |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
9 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 | 30 | 9,660 | $310 | $3.4M |
| A0434 | Specialty care transport (sct) | 2 | 30 | 1,730 | $470 | $1.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 260 | 1,770 | $110 | $683K |
| A0433 | Advanced life support, level 2 (als 2) | 2 | 20 | 690 | $360 | $282.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 33 | 90 | 2,490 | $20 | $164.4K |
| A0425 | Ground mileage, per statute mile | 5 | 430 | 3,700 | $10 | $106.9K |
| A0998 | Ambulance response and treatment, no transport | 2 | 50 | 370 | $90 | $100.7K |
| A0390 | Als mileage (per mile) | 3 | 10 | 1,790 | $10 | $18K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 40 | 220 | $10 | $7K |
Other providers in the same ZIP code as Robert Wood Johnson Health Network Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rutgers Health-rwj Pediatric Critical Care | NJ | Emergency Medical Services (Emergency Medicine) Physician | $0 | $8.1M |
| Raffi Kapitanyan | NJ | Emergency Medical Services (Emergency Medicine) Physician | $179.2K | $0 |
| Deepa Iyer | NJ | Internal Medicine Physician | $40.2K | $0 |
| Gregory Riedlinger | NJ | Anatomic Pathology & Clinical Pathology Physician | $18K | $0 |
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