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NPI 1871724864 · Corpus Christi, TX · Land Ambulance
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Lone Star Ambulance 1, LLC is a land ambulance provider located in Corpus Christi, Texas. This profile covers 7 Medicare and 11 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 | Lone Star Ambulance 1, LLC |
| Address | 500 N Shoreline Blvd Ste 906 |
| City | Corpus Christi |
| State | TX |
| ZIP | 78401 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 7, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $31.6M |
| Medicare | $13.4M |
LONE STAR AMBULANCE 1, LLC has a materially different payer mix: Total Medicare revenue is $13.4M while Total Medicaid revenue is $31.6M, so Medicaid represents the larger single-payer revenue stream for this provider. Analysts should treat Medicaid patterns as the primary driver of overall volume and revenue decisions, with Medicare remaining an important but smaller contributor to the business footprint.
The provider’s service mix is overwhelmingly ground ambulance transport, with top revenue codes reflecting advanced life support emergency transports (A0427), ground mileage (A0425), and basic life support non-emergency transport (A0428). Medicare line-item volumes show 11.3K claims for A0427, 543.2K claims for A0425, and 13.9K claims for A0428, and Medicaid volumes mirror this operational emphasis with 61.4K claims for A0427, 200K claims for A0425, and 100.6K claims for A0428, indicating a business model built around high-volume patient transports and substantial mileage billing.
Revenue concentration is high on both payers: the precomputed top 3 Medicare codes by revenue account for 85.9% of this provider’s total Medicare revenue, and those codes are A0427, A0425, and A0428. This concentration means changes in reimbursement or utilization for these three codes would disproportionately affect the provider’s Medicare revenue.
On the Medicaid side the top three codes are similarly dominant: the precomputed top 3 Medicaid codes by revenue account for 77.5% of this provider’s total Medicaid revenue, driven principally by A0427, A0425, and A0429/A0428. Because Medicaid is the larger revenue pool for this provider, payor policy shifts or state-level rate changes for these codes would have outsized effects on overall revenues.
The provider’s competitive standing is exceptionally strong for key ambulance codes at the national level for Medicare: A0425 ranks #6 of 8934 providers nationally (100th percentile; extreme outlier) and A0427 ranks #22 of 6841 providers nationally (100th percentile; extreme outlier), while A0428 ranks #23 of 2772 providers nationally (99th percentile; extreme outlier). These ranks indicate LONE STAR AMBULANCE 1 operates at volumes far above typical national peers for its highest-revenue Medicare codes.
State-level competitive standing in Texas is also dominant for Medicaid: A0425 ranks #2 of 496 providers in-state (100th percentile; extreme outlier), A0427 ranks #3 of 317 providers in-state (99th percentile; extreme outlier), and A0428 ranks #2 of 193 providers in-state (99th percentile; extreme outlier). Additional Medicaid ranks for disposable-supply codes (A0398 rank #2 of 183; A0382 rank #3 of 219, both 99th percentile) further support a picture of large operational scale within the state.
Beyond core emergency and mileage codes, the provider bills specialty care transport (A0434) on both payers, with Medicare showing $351.1K revenue (514 claims; ranks #22 of 591, 96th percentile; notably above typical national volume) and Medicaid showing $1.7M revenue (4.5K claims; ranks #2 of 25, 96th percentile; notably above typical state volume). Presence and above-typical ranking for A0434 suggests capacity to provide higher-acuity interfacility or monitored transports in addition to routine ambulance services.
The provider has established tenure, with NPI enumerated 2009-08-07 (~17 years ago), which aligns with the high-volume footprint observed across both Medicare and Medicaid. Combined longevity and the concentration of revenue in a few transport codes point to an entrenched operational model focused on large-scale ground transport and mileage-based services rather than a diversified set of ambulatory offerings.
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) | 11,330 | $400 | $4.5M |
| A0425 | Ground mileage, per statute mile | 543,230 | $10 | $4.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 13,910 | $210 | $2.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,370 | $330 | $1.4M |
| A0434 | Specialty care transport (sct) | 510 | $680 | $351.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 280 | $250 | $69.3K |
| A0433 | Advanced life support, level 2 (als 2) | 110 | $570 | $64.3K |
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 61,370 | $180 | $10.9M |
| A0425 | Ground mileage, per statute mile | 200,000 | $50 | $9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 31,340 | $150 | $4.6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 100,590 | $40 | $4.4M |
| A0434 | Specialty care transport (sct) | 4,530 | $370 | $1.7M |
| A0398 | Als routine disposable supplies | 33,980 | $20 | $509.7K |
| A0382 | Bls routine disposable supplies | 31,910 | $10 | $319.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,530 | $80 | $117.8K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 5,680 | $10 | $56.8K |
| A0433 | Advanced life support, level 2 (als 2) | 60 | $250 | $15.4K |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
11 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 | 320 | 920 | $180 | $720.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 310 | 500 | $160 | $474.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 190 | 2,590 | $60 | $427.4K |
| A0434 | Specialty care transport (sct) | 2 | 30 | 200 | $450 | $322.2K |
| A0425 | Ground mileage, per statute mile | 2 | 500 | 1,970 | $40 | $284.3K |
| A0433 | Advanced life support, level 2 (als 2) | 17 | 30 | 110 | $560 | $224.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 6 | 40 | 130 | $70 | $45.6K |
| A0382 | Bls routine disposable supplies | 3 | 220 | 460 | $10 | $31.6K |
| A0398 | Als routine disposable supplies | 2 | 180 | 420 | $10 | $29.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 3 | 90 | 270 | $20 | $15.6K |
Showing 1–10 of 11
Other providers in the same ZIP code as Lone Star Ambulance 1, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Save Home Care, Inc. | TX | Home Health Agency | $0 | $16.7M |
| Joshua Mintz | TX | Anesthesiology Physician | $2.2M | $0 |
| Rickey Kinzey | TX | Addiction Medicine (Family Medicine) Physician | $56.7K | $0 |
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