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NPI 1821464678 · Towson, MD · Ambulance
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Baltimore County Maryland Office Of Finance is a ambulance provider located in Towson, Maryland. This profile covers 4 Medicare and 4 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 | Baltimore County Maryland Office Of Finance |
| Address | 700 E Joppa Rd Fl 4 |
| City | Towson |
| State | MD |
| ZIP | 21286 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 17, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $16.1M |
| Medicare | $12.2M |
BALTIMORE COUNTY MARYLAND OFFICE OF FINANCE operates as a high-volume ambulance/EMS billing entity: its top codes are emergency transport services A0427 (ALS 1) and A0429 (BLS emergency), with ground mileage billed under A0425. The presence of large claim counts for A0427 and A0429 across both payers and large mileage volume indicates this entity is functioning as a county-level emergency transport fleet rather than a sporadic or specialty service provider.
Medicare revenue is concentrated almost entirely in emergency transport and mileage: the top 3 Medicare codes by revenue account for 99.3% of the provider's Medicare receipts. Those codes are A0427 ($5.5M, 45.3% of Medicare revenue), A0429 ($5.3M, 43.8%), and A0425 ($1.2M, 10.2%), and together they drive virtually all of the $12.2M in recorded Medicare revenue.
This provider is a major volume outlier for core ambulance services nationally and in-state. For Medicare, A0429 ranks #5 of 7808 providers and A0427 ranks #16 of 6841 providers (both described as 100th percentile, extreme outliers); A0425 ranks #55 of 8934 (99th percentile, extreme outlier). For Medicaid, A0425 ranks #1 of 79 providers in-state (100th percentile, extreme outlier) and A0427 ranks #2 of 88 (99th percentile, extreme outlier), indicating dominance in Maryland for ground ambulance claims.
The payer mix shows meaningful dual-payer scale but with Medicaid larger: total Medicare revenue is $12.2M versus total Medicaid revenue of $16.1M, so Medicaid is the single largest revenue source. The entity is not single-payer focused; instead it runs a high-volume operation with a heavier reliance on Medicaid revenue flows.
The provider has been enumerated since 2015-08-17 (~11 years ago), indicating an established operating history consistent with the large, sustained claim volumes reported across both payers. Longevity plus consistently high national/state ranks suggests an enduring operational footprint rather than a temporary spike in billing.
There are small but notable anomalies in lower-volume codes that may reflect adjustments or reporting artifacts rather than material revenue drivers. For Medicare, A0433 (ALS 2) contributes $87.6K (0.7% of Medicare revenue) and ranks #81 of 1632 providers (95th percentile, notably above typical national volume). For Medicaid, A0433 shows $-1.5K in revenue on 125 claims with a negative average paid/claim ($-12), representing 0.0% of Medicaid revenue and ranking #2 of 2 providers in-state; this likely reflects post-payment adjustments, recoveries, or data artifacts rather than substantive service-line revenue.
Operational and payer strategy implications: revenue is heavily tied to emergency transport volumes and ground mileage, so changes in transport demand, dispatcher routing, or mileage reimbursement rates would materially affect topline. Given that three codes account for 99.3% of Medicare revenue and 100.0% of Medicaid revenue, analysts should prioritize audit of transport coding, mileage capture, and payer agreements for A0427, A0429, and A0425 when assessing financial risk and negotiation leverage.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 12,920 | $430 | $5.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14,870 | $360 | $5.3M |
| A0425 | Ground mileage, per statute mile | 177,550 | $10 | $1.2M |
| A0433 | Advanced life support, level 2 (als 2) | 150 | $590 | $87.6K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 164,350 | $80 | $13.3M |
| A0425 | Ground mileage, per statute mile | 174,420 | $20 | $2.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 22,950 | $1 | $45.9K |
| A0433 | Advanced life support, level 2 (als 2) | 130 | $-10 | $-1500 |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
4 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 | 90 | 1,050 | $90 | $996.5K |
| A0425 | Ground mileage, per statute mile | 1 | 80 | 1,580 | $30 | $407.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 50 | 620 | $10 | $27.9K |
| A0433 | Advanced life support, level 2 (als 2) | 2 | 10 | 140 | $1 | $-420 |
Other providers in the same ZIP code as Baltimore County Maryland Office Of Finance, ranked by combined Medicare and Medicaid revenue.
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