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NPI 1851635882 · Gaithersburg, MD · Ambulance
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Montgomery County Maryland Government is a ambulance provider located in Gaithersburg, Maryland. This profile covers 4 Medicare and 3 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 | Montgomery County Maryland Government |
| Address | 100 Edison Park Dr Fl 2 |
| City | Gaithersburg |
| State | MD |
| ZIP | 20878 |
| Taxonomy | Ambulance |
| NPI Enumerated | November 15, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $10.8M |
| Medicaid | $9.8M |
The provider’s claims mix and taxonomy identify it clearly as an ambulance operator: the top Medicare claim volumes include A0429 (14.7K claims), A0427 (9.3K claims), and A0425 (116.9K claims), and the top Medicaid volumes are similarly heavy in transport and mileage with A0427 (91.9K claims), A0425 (107.4K claims), and A0429 (23.7K claims). These code counts together with the Ambulance taxonomy indicate routine emergency transport operations that bill both basic life support (A0429) and advanced life support (A0427) alongside substantial ground mileage (A0425).
Revenue concentration is extreme on Medicare: the top 3 Medicare codes account for 99.0% of the provider’s total Medicare revenue, driven by A0429 ($5.7M, 52.4% of Medicare revenue), A0427 ($4.3M, 39.1%), and A0425 ($818K, 7.5%). This concentration means most Medicare receipts are dependent on emergency BLS and ALS transports plus mileage billing.
Medicaid revenue is even more narrowly centered on transport and mileage: the top 3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, with A0427 ($7.3M, 74.9% of Medicaid revenue) and A0425 ($2.4M, 24.1%) together comprising essentially the entire Medicaid book of business, while A0429 contributes $95K (1.0%). The Medicaid mix shows a heavy reliance on ALS-level billing and ground mileage for state-payor volume.
Payer mix shows the provider operates at comparable scale across government payers: lifetime Medicare revenue is $10.8M and lifetime Medicaid revenue is $9.8M, so both payers meaningfully contribute to total revenue rather than the provider being single-payer dependent. The near-parity in dollar scale suggests operational capacity to serve both Medicare and Medicaid populations in its service area.
Nationally and by code, this provider is a major outlier on Medicare volumes and positioning: A0429 ranks #6 of 7808 providers nationally (100th percentile; extreme outlier), A0427 ranks #50 of 6841 (99th percentile; extreme outlier), and A0425 ranks #106 of 8934 (99th percentile; extreme outlier). Those rankings indicate the provider operates at a volume level far above typical national peers for core ambulance services.
Within Maryland Medicaid, the provider is a dominant state-level participant on its core ambulance codes: A0427 ranks #3 of 88 providers in-state (98th percentile; notably above typical state volume), A0425 ranks #3 of 79 (97th percentile; extreme outlier), and A0429 ranks #3 of 45 (95th percentile; notably above typical state volume). These standings imply strong local market presence for emergency transport and mileage services compared with in-state peers.
There is a marked divergence in per-claim payment levels between Medicare and Medicaid for the same codes: A0427 averages $459 paid/claim on Medicare versus $80 paid/claim on Medicaid, and A0429 averages $387 paid/claim on Medicare versus $4 paid/claim on Medicaid, while A0425 averages $7 on Medicare versus $22 on Medicaid. This pattern suggests that although Medicaid drives high claim volume for A0427 and A0425, Medicare pays substantially higher per-claim rates for advanced and basic life support transports, affecting revenue per-encounter dynamics.
The provider has an established operational tenure, with NPI enumeration dated 2012-11-15 (~14 years ago), and cumulative government-payor receipts reflect significant lifetime scale: Medicare $10.8M and Medicaid $9.8M. Combined with the very large claim counts on top codes and the percentile rankings, these facts point to a mature ambulance operation with sustained, high-volume engagement across both federal and state payors.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14,710 | $390 | $5.7M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9,270 | $460 | $4.3M |
| A0425 | Ground mileage, per statute mile | 116,860 | $10 | $818K |
| A0433 | Advanced life support, level 2 (als 2) | 160 | $660 | $104.4K |
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.
3 rows
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
3 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) | 3 | 90 | 1,050 | $90 | $996.5K |
| A0425 | Ground mileage, per statute mile | 3 | 80 | 1,580 | $30 | $407.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 50 | 620 | $10 | $27.9K |
Other providers in the same ZIP code as Montgomery County Maryland Government, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Adult Day Health, Inc. | MD | Adult Day Care Clinic/Center | $0 | $30.5M |
| Adventist Physician Services, Inc. | MD | Physical Medicine & Rehabilitation Physician | $0 | $9.2M |
| Jessa Medical Supply, Inc. | MD | Durable Medical Equipment & Medical Supplies | $0 | $7.7M |
| Geoffrey Martin | MD | Radiation Oncology Physician | $962.9K | $0 |
| Pankaj Lal | MD | Specialist | $876.8K | $0 |
| Anu Gupta | MD | Specialist | $658.8K | $0 |
| Stuart Snyder | MD | Podiatrist | $529.3K | $0 |
| Ginette Ndingue | MD | Family Nurse Practitioner | $447.7K | $0 |
| Grady Kaiser | MD | General Practice Physician | $228.1K | $0 |
| Danielle Johnson | MD | Family Nurse Practitioner | $190.6K | $0 |
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