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NPI 1821091893 · Cleveland, OH · Land Ambulance
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Donald Martens & Sons Ambulance Service Inc. is a land ambulance provider located in Cleveland, Ohio. This profile covers 6 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 | Donald Martens & Sons Ambulance Service Inc. |
| Address | 10830 Brookpark Rd |
| City | Cleveland |
| State | OH |
| ZIP | 44130 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 24, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.1M |
| Medicare | $2.6M |
DONALD MARTENS & SONS AMBULANCE SERVICE INC. is a long-tenured land ambulance operator, with NPI enumeration dating to 2005-05-24 (~21 years ago), consistent with an established emergency and non-emergency transport business serving Cleveland, OH. The billed codes and volumes reflect sustained ambulance operations rather than a new entrant.
Medicaid revenue ($9.1M) exceeds Medicare revenue ($2.6M) by a wide margin, indicating this provider is primarily driven by state Medicaid business rather than federal Medicare volume. The payer mix suggests operational focus and capacity are oriented toward Medicaid-covered transports and non-emergency wheelchair van services.
Revenue concentration is high on both payers: the top three Medicare codes account for 90.4% of Medicare revenue, and the top three Medicaid codes account for 82.2% of Medicaid revenue. This concentration indicates that a small set of transport services (primarily BLS transports and mileage) drive the vast majority of billed revenue to both payers.
On Medicare the provider’s top code A0428 (BLS non-emergency) generates $1.5M and comprises 57.4% of its Medicare revenue; combined with A0425 (ground mileage) these two codes dominate Medicare receipts. The precomputed top-3 share (90.4%) underscores that Medicare revenue is heavily clustered in basic life support transports and mileage-related billing.
On Medicaid the provider is a clear statewide leader for core transport codes: A0428 (BLS non-emergency) ranks #3 of 126 in-state and is labeled an "extreme outlier, far above typical state volume," producing $5.2M (57.1% of Medicaid revenue). A0425 (ground mileage) and A0130 (wheelchair van) are also highly elevated in-state, indicating market dominance in Medicaid-funded basic transports and non-emergency wheelchair van services.
Volume and rank details show national strength on select Medicare codes as well: A0428 ranks in the 97th percentile nationally and A0425 in the 98th percentile, signaling that the provider’s Medicare activity for BLS non-emergency and mileage is notably above typical national peers rather than marginal or incidental. However, some Medicare codes such as A0429 and A0427 are in more typical percentiles, indicating emergency transports are a smaller share of Medicare business.
The code mix reflects an operational profile centered on high-volume non-emergency and wheelchair van transports (A0428, A0425, A0130), with advanced life support (A0426/A0427) and specialty care transport (A0434) present but contributing smaller revenue shares. This pattern suggests routing and logistics for routine community and Medicaid transportation are a core competency.
Several codes are flagged as "notably above typical" or "extreme outlier" in-state or nationally, which positions this provider as a major regional Medicaid supplier and a high-volume Medicare BLS/mileage provider. These percentile and rank signals are consistent with a provider that captures large share of routine transport demand in its market rather than being a diversified high-acuity EMS system.
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) | 7,460 | $200 | $1.5M |
| A0425 | Ground mileage, per statute mile | 99,090 | $10 | $693.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 480 | $320 | $152.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 520 | $240 | $122.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 270 | $380 | $102.1K |
| A0434 | Specialty care transport (sct) | 30 | $620 | $19.9K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 70,740 | $70 | $5.2M |
| A0425 | Ground mileage, per statute mile | 87,870 | $20 | $1.5M |
| A0130 | Non-emergency transportation: wheelchair van | 34,030 | $20 | $782.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7,710 | $80 | $578K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,230 | $100 | $414.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,360 | $70 | $318.4K |
| S0209 | Wheelchair van, mileage, per mile | 34,210 | $10 | $239.5K |
| A0434 | Specialty care transport (sct) | 530 | $110 | $58.8K |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 130 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio 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) | 3 | 130 | 3,720 | $50 | $544.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 75 | 510 | 1,080 | $120 | $365.4K |
| A0434 | Specialty care transport (sct) | 13 | 20 | 660 | $190 | $317.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 72 | 480 | 880 | $90 | $260K |
| A0130 | Non-emergency transportation: wheelchair van | 10 | 150 | 3,580 | $20 | $208K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4 | 80 | 380 | $80 | $132.1K |
| A0425 | Ground mileage, per statute mile | 8 | 680 | 2,020 | $10 | $98.4K |
| S0209 | Wheelchair van, mileage, per mile | 9 | 150 | 3,580 | $10 | $73.5K |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 1 | 10 | 130 | $0 | $0 |
Other providers in the same ZIP code as Donald Martens & Sons Ambulance Service Inc., ranked by combined Medicare and Medicaid revenue.
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