Loading...
NPI 1851451207 · Milbank, SD · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Grant-roberts Ambulance Inc is a land ambulance provider located in Milbank, South Dakota. This profile covers 5 Medicare and 5 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 | Grant-roberts Ambulance Inc |
| Address | 305 E Railway Ave |
| City | Milbank |
| State | SD |
| ZIP | 57252 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $590.9K |
| Medicare | $472.8K |
This provider bills materially to both Medicaid and Medicare but leans modestly toward Medicaid in scale, reporting $590.9K in lifetime Medicaid revenue versus $472.8K in lifetime Medicare revenue. That split indicates a dual-payer operational footprint in the local market rather than a single-payer focus, with Medicaid representing the larger share of lifetime payments.
Revenue is highly concentrated into just a few ambulance services: the top three Medicare codes account for 88.0% of Medicare revenue and the top three Medicaid codes account for 97.4% of Medicaid revenue. This concentration means changes to reimbursement or utilization for a very small set of codes could materially affect overall revenue.
The code mix (heavy billing for A0425 ground mileage and A0427 ALS 1 emergency) characterizes the operation as a land ambulance service that both moves patients long distances and provides advanced life support emergency care; the presence of A0426 and A0429 in the top Medicare codes also indicates the vendor performs both emergency and non-emergency transports. High share of mileage (A0425) on both payers suggests long transport distances or frequent mileage billing is a core part of the business model rather than limited local hops.
On Medicare, A0425 supplies $193.4K (40.4% of Medicare revenue) and ranks #869 of 8934 providers nationally (90th percentile; typical, unremarkable volume for this code), while A0427 contributes $172.6K (36.1%) and ranks at the 70th percentile nationally. A0426 provides $54.7K (11.4%) and ranks #291 of 1568 providers (81th percentile; typical, unremarkable volume for this code). These positions indicate above-typical national standing on ground mileage and a solid but not dominant presence in ALS services at the national level.
On Medicaid, A0425 is especially dominant, with 3K claims yielding $318.6K (54.0% of Medicaid revenue) and a state rank of #8 of 57 providers (88th percentile; typical, unremarkable volume for this code), while A0427 adds $228.8K (38.8%) and ranks #11 of 36 in-state (71th percentile). The Medicaid portfolio is therefore extremely concentrated in mileage and ALS emergency transports, making the provider a comparatively strong in-state biller for those two services.
Competitive standing is mixed by market: nationally the provider shows relatively high percentiles for key Medicare codes (for example A0425 at the 90th percentile) but is not among the largest national ambulance organizations by revenue, while in-state for Medicaid the provider is one of the more prominent mileage billers (A0425 at #8 of 57, 88th percentile). Overall, this profile suggests a meaningful regional presence especially for mileage-driven Medicaid billing, but only a mid-tier national footprint for the same service lines.
The provider has a long tenure in the Medicare/Medicaid system, with the NPI enumerated on 2006-12-08 (~20 years ago). That duration signals an established operating history which should be considered when evaluating contracting, network stability, or continuity of ambulance services in the region.
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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 24,180 | $10 | $193.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 350 | $490 | $172.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 180 | $310 | $54.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 120 | $400 | $48.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 30 | $250 | $8.6K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 2,950 | $110 | $318.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,260 | $180 | $228.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 210 | $130 | $27.9K |
| A0380 | Bls mileage (per mile) | 90 | $150 | $12.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $90 | $2.6K |
How this provider's Medicaid billing volume and revenue compare to other South Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Dakota median
5 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) | 11 | 40 | 270 | $180 | $281.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19 | 30 | 300 | $150 | $195.3K |
| A0425 | Ground mileage, per statute mile | 8 | 60 | 680 | $50 | $106.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4 | 10 | 40 | $160 | $81.3K |
| A0380 | Bls mileage (per mile) | 8 | 10 | 110 | $80 | $12.4K |
Other providers in the same ZIP code as Grant-roberts Ambulance Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Avera Mckennan | SD | Rural Health Clinic/Center | $0 | $899.8K |
| Park Place Sd Assisted Living Facility LLC | SD | Assisted Living Facility | $0 | $340.9K |
| Prairie Winds Counseling, LLC | SD | Clinical Social Worker | $0 | $314.1K |
| Ksl Transportation, LLC | SD | Secured Medical Transport (VAN) | $0 | $140.9K |
| Bryan C. Johnson, Dds, PC | SD | General Practice Dentistry | $0 | $123.2K |
| Micko Chiropractic PC | SD | Health Service Clinic/Center | $0 | $101.8K |
| Jordan Tesch | SD | Physical Therapist | $99.5K | $0 |
| Milbank School District 25-4 | SD | Physical Therapist | $0 | $87.5K |
| Park Place Care And Rehabilitation Center LLC | SD | Assisted Living Facility | $0 | $69.2K |
| Sanford Health Network | SD | Community/Retail Pharmacy | $68.2K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.