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NPI 1871521542 · Ann Arbor, MI · Ambulance
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Jackson Community Ambulance Inc. is a ambulance provider located in Ann Arbor, Michigan. This profile covers 7 Medicare and 8 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 | Jackson Community Ambulance Inc. |
| Address | 1200 State Cir |
| City | Ann Arbor |
| State | MI |
| ZIP | 48108 |
| Taxonomy | Ambulance |
| NPI Enumerated | June 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.7M |
| Medicare | $2.2M |
JACKSON COMMUNITY AMBULANCE Inc. operates primarily as an ambulance transport provider with a clear emphasis on emergency advanced life support and basic life support services; its top Medicare and Medicaid revenue codes are A0427 (ALS emergency), A0429 (BLS emergency), and A0425 (ground mileage), and Medicaid additionally shows heavy use of A0998 (response and treatment, no transport). The presence of both high ALS emergency and no-transport response codes suggests the organization performs a mixture of emergency transports and on-scene treatment, rather than only scheduled non-emergency transfers.
The provider’s payer mix is Medicaid‑weighted: total Medicaid revenue is $11.7M while total Medicare revenue is $2.2M, so Medicaid substantially exceeds Medicare in scale for this entity. This skew implies most of the organization’s revenue exposure and payer negotiations will be tied to state Medicaid policies and reimbursement behavior.
Medicare revenue is highly concentrated: the precomputed top three Medicare codes (A0427, A0425, A0429) account for 85.8% of the provider’s $2.2M Medicare revenue, with A0427 alone representing $1.1M (50.3% of Medicare revenue). That concentration indicates the Medicare business is driven largely by emergency ALS transports and associated mileage rather than a broad diversity of CPT/HCPCS lines.
Medicaid revenue is likewise concentrated: the top three Medicaid codes (A0427, A0425, A0998) account for 79.2% of the provider’s $11.7M Medicaid revenue, with A0427 contributing $5.3M (45.4% of Medicaid revenue). High claim volumes for A0425 (41.5K claims) and meaningful revenue from A0998 (8.9K claims, $1.3M) point to a mix of long-distance transports and frequent response-and-treat encounters in the Medicaid population.
Competitive standing varies by payer and code. Nationally for Medicare, A0427 ranks #226 of 6,841 providers (97th percentile) and is described as notably above typical national volume, indicating this provider is a strong national outlier on ALS emergency billing; other Medicare codes such as A0425 (59.1K claims, 96th percentile) and A0429 (1.2K claims, 95th percentile) are high-volume but characterized as typical/ unremarkable in their national peer context. In-state for Medicaid, A0427 ranks #8 of 163 providers (96th percentile) and A0998 ranks #5 of 48 (91st percentile), reflecting a leading presence in Michigan for emergency ALS and no-transport response services.
Payment and unit-rate patterns differ materially between payers and product lines, which has operational implications. For A0427 the avg paid/claim is $377 on Medicare versus $221 on Medicaid, while ground mileage shows avg paid/claim of $7 on Medicare versus $63 on Medicaid; the dataset also lists A0422 with $0 avg paid/claim in Medicaid (1.5K claims), suggesting some supply or oxygen billing is recorded without associated Medicaid payments. These per-claim differences indicate the provider’s revenue per encounter varies significantly by payer and by code, affecting margin profiles on different trip types.
The organization shows long tenure in the enrollment data, with NPI enumeration on 2006-06-29 (~20 years ago). That longevity combined with concentrated, high-volume lines for both Medicare and Medicaid suggests established operational capacity and sustained referral or dispatch relationships in its service area.
Heavy reliance on a small set of high-revenue codes creates policy and volume risk: because the top three Medicare codes account for 85.8% of Medicare revenue and the top three Medicaid codes account for 79.2% of Medicaid revenue, changes to reimbursement rules, mileage policies, or clinical dispatch protocols for A0427/A0425/A0998 could materially affect overall revenue. Analysts and payers should monitor state Medicaid rate-setting for ambulance services and any Medicare policy shifts affecting ALS/BLS classification or mileage reimbursement that would disproportionately impact this provider.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,930 | $380 | $1.1M |
| A0425 | Ground mileage, per statute mile | 59,140 | $10 | $414K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,160 | $320 | $368K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,160 | $200 | $230.8K |
| A0434 | Specialty care transport (sct) | 60 | $640 | $35.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 100 | $240 | $24.2K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $540 | $22.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 23,990 | $220 | $5.3M |
| A0425 | Ground mileage, per statute mile | 41,450 | $60 | $2.6M |
| A0998 | Ambulance response and treatment, no transport | 8,900 | $150 | $1.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9,250 | $140 | $1.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6,660 | $140 | $926.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 810 | $230 | $186.5K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $360 | $5.8K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1,520 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
8 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) | 8 | 160 | 1,880 | $230 | $1.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 15 | 70 | 1,790 | $130 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21 | 150 | 1,570 | $150 | $951.3K |
| A0425 | Ground mileage, per statute mile | 14 | 200 | 2,950 | $50 | $648.5K |
| A0998 | Ambulance response and treatment, no transport | 5 | 50 | 1,100 | $180 | $553.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 18 | 50 | 540 | $220 | $285.3K |
| A0433 | Advanced life support, level 2 (als 2) | 9 | 10 | 140 | $270 | $108.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 8 | 30 | 290 | $1 | $1 |
Other providers in the same ZIP code as Jackson Community Ambulance Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Moriah, Incorporated | MI | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $48.1M |
| Progenity Inc. | MI | Clinical Medical Laboratory | $0 | $39.6M |
| Joak American Homes, Inc. | MI | Adult Care Home Facility | $0 | $37.3M |
| Huron Valley Ambulance Inc | MI | Ambulance | $6.1M | $27.4M |
| Aba Pathways, LLC | MI | Behavior Analyst | $0 | $31.5M |
| Carnegie Adult Foster Care, Inc. | MI | Adult Care Home Facility | $0 | $5.6M |
| Lynx Dx Inc | MI | Clinical Medical Laboratory | $21.5K | $1.7M |
| Said Issa | MI | Ophthalmology Physician | $139.9K | $505.2K |
| Louis Bojrab | MI | Interventional Pain Medicine Physician | $185K | $0 |
| Hong Cheng | MI | Anatomic Pathology & Clinical Pathology Physician | $179.3K | $0 |
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