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NPI 1811949779 · West Berlin, NJ · Land Ambulance
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Exceptional Medical Transportation is a land ambulance provider located in West Berlin, New Jersey. This profile covers 4 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 | Exceptional Medical Transportation |
| Address | 301 Allied Pkwy |
| City | West Berlin |
| State | NJ |
| ZIP | 08091 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.3M |
| Medicare | $2.9M |
This provider is Medicaid-dominant by revenue: reported total Medicaid revenue is $8.3M compared with total Medicare revenue of $2.9M, so Medicaid represents the larger payer relationship for this entity. The distribution suggests the business relies far more on state-program volume and reimbursement than on Medicare.
Medicare revenue is highly concentrated: the precomputed top three Medicare codes account for 83.4% of this provider's total Medicare revenue, driven primarily by A0428 ($962.7K, 33.3%), A0434 ($915.6K, 31.7%), and A0429 ($532.9K, 18.4%). This concentration indicates that a small set of transport services produce most Medicare receipts.
Medicaid revenue is extremely concentrated around three codes: the precomputed top three Medicaid codes account for 98.2% of this provider's total Medicaid revenue, led by A0434 ($4.2M, 51.2%), A0429 ($3.3M, 39.5%), and A0425 ($618.2K, 7.5%). The Medicaid book of business is therefore dominated by specialty care transport and BLS emergency transports.
Code mix and descriptions indicate a land-ambulance operator with a heavy emphasis on higher-acuity and interfacility work: A0434 (specialty care transport) is a leading revenue source across both payers, while A0429 (BLS emergency) and A0428 (BLS non-emergency) are also material, and A0425 (ground mileage) contributes substantially to billed activity. Together this pattern is consistent with an operation that performs frequent long-distance or resource-intensive transfers in addition to routine BLS calls.
On Medicare, competitive position varies by code: A0434 ranks #5 of 591 providers nationally (99th percentile; labeled an "extreme outlier"), signaling unusually high national volume for specialty care transport, while A0428 ranks #154 of 2772 (94th percentile; typical) and A0425 ranks #256 of 8934 (97th percentile; notably above typical). This mix suggests the provider is a national outlier specifically for specialty care transport but more typical for basic life-support non-emergency work.
On Medicaid within New Jersey, the provider is a dominant in-state player for key services: A0434 ranks #1 of 25 providers in-state (100th percentile; notably above typical state volume) and A0429 ranks #5 of 264 in-state (98th percentile; extreme outlier), with A0425 also notably above typical in-state volume (rank #17 of 426, 96th percentile). These rankings portray a strong market position in-state for specialty care and emergency BLS transports.
Claims volume signals a high-utilization ground-ambulance operation: A0425 appears with 68.7K claims, A0429 has 52.6K Medicaid claims and 1.5K Medicare claims, and A0434 has 9.7K Medicaid claims and 1.2K Medicare claims, indicating very large trip counts and consistent mileage billing activity across payers. The combination of large mileage claims and high counts for specialty and emergency transport codes points to sustained operational throughput rather than sporadic episodic billing.
The provider is long-tenured with an NPI enumerated on 2006-05-17 (~20 years ago), consistent with an established ambulance service. There is also an unusual Medicaid pattern worth flagging: A0999 shows 24.6K claims with $0 revenue (0.0% of Medicaid revenue) and ranks #1 of 3 in-state (100th percentile), which suggests frequent use of an unlisted ambulance code that did not generate paid revenue and may reflect billing or reimbursement practices to review.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,240 | $230 | $962.7K |
| A0434 | Specialty care transport (sct) | 1,220 | $750 | $915.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,470 | $360 | $532.9K |
| A0425 | Ground mileage, per statute mile | 68,740 | $10 | $481.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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 |
|---|---|---|---|---|
| A0434 | Specialty care transport (sct) | 9,730 | $430 | $4.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 52,590 | $60 | $3.3M |
| A0425 | Ground mileage, per statute mile | 68,690 | $10 | $618.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7,210 | $10 | $100.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 5,040 | $10 | $50.4K |
| A0999 | Unlisted ambulance service | 24,580 | $0 | $0 |
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
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0434 | Specialty care transport (sct) | 1 | 30 | 1,730 | $470 | $1.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 260 | 1,770 | $110 | $683K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 25 | 90 | 2,490 | $20 | $164.4K |
| A0425 | Ground mileage, per statute mile | 17 | 430 | 3,700 | $10 | $106.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2 | 40 | 220 | $10 | $7K |
| A0999 | Unlisted ambulance service | 1 | 10 | 680 | $1 | $1.2K |
Other providers in the same ZIP code as Exceptional Medical Transportation, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ambulnz Nj, LLC | NJ | Ambulance | $973.3K | $467.9K |
| Colin Campbell | NJ | Internal Medicine Physician | $197.1K | $0 |
| Wal-mart Stores East LP | NJ | Community/Retail Pharmacy | $147.2K | $0 |
| Daniel Deitz | NJ | Physical Therapist | $141.9K | $0 |
| Sarah Obuchowski | NJ | Physical Therapist | $141.8K | $0 |
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