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NPI 1871740977 · Skokie, IL · Ambulance
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Lifeline Ambulance LLC is a ambulance provider located in Skokie, Illinois. This profile covers 5 Medicare and 10 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 | Lifeline Ambulance LLC |
| Address | 3737 Chase Ave |
| City | Skokie |
| State | IL |
| ZIP | 60076 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 20, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $26.3M |
| Medicare | $1.3M |
LIFELINE AMBULANCE LLC is a long-tenured ambulance provider, with an NPI enumerated on 2008-08-20 (~18 years ago), indicating sustained operation in the Skokie, IL market and likely established relationships with both Medicare and Medicaid payers. Its taxonomy as Ambulance and the heavy presence of basic and advanced life support codes across payers align with a core emergency and non-emergency transport business model rather than ancillary services.
Medicaid is the dominant payer by scale: the provider reports Total Medicaid revenue of $26.3M versus Total Medicare revenue of $1.3M, indicating this operation is effectively Medicaid-focused in financial footprint. Analysts should treat this entity as a Medicaid-heavy ambulance operator when modeling payer mix or network capacity in Illinois.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes account for 90.1% of the provider's Medicare revenue, with A0429, A0428, and A0427 the principal drivers. This concentration suggests Medicare income is narrowly sourced from standard BLS emergency (A0429), BLS non-emergency (A0428), and ALS1 emergency (A0427) transports rather than a broad mix of ancillary ambulance services.
On Medicaid, the top 3 codes account for 81.9% of Medicaid revenue, driven overwhelmingly by A0428 (BLS non-emergency), A0425 (ground mileage), and A0429 (BLS emergency). The mix—large A0428 and A0425 volumes plus material A0130 wheelchair-van billing—points to an operational emphasis on high-volume non-emergency and wheelchair-van transports in addition to emergency runs.
Competitive standing differs sharply by payer: for Medicare, the provider ranks in strong national percentiles for its top codes (A0429 at the 96th percentile, A0428 at the 88th percentile, A0427 at the 82th percentile), which characterizes it as a meaningful national-level participant for those specific ambulance services, though absolute Medicare revenue remains small. For Medicaid, LIFELINE is a dominant in-state performer on core codes: A0428 ranks #3 of 81 providers in Illinois (98th percentile) and A0425 ranks #5 of 448 providers in-state (99th percentile), signaling notable above-typical state volume and market share for non-emergency transports and mileage.
Specific code-level outlier signals on Medicaid emphasize scale: A0428 (99.4K claims, $14M, 53.5% of Medicaid revenue) is flagged as notably above typical state volume and A0130 (124K claims, $2.6M, 9.9% of Medicaid revenue) also ranks high in-state (93th percentile), reinforcing that the provider runs very large Medicaid non-emergency and wheelchair-van programs relative to peers. Conversely, several advanced-life-support non-emergency codes (e.g., A0426) sit lower in state percentiles, which indicates the business mix is skewed toward BLS/non-emergency modalities.
Operational implications: the combination of very high Medicaid claim volumes for A0428 and A0425 alongside large counts for A0130 suggests a fleet and staffing model optimized for frequent, scheduled non-emergency and wheelchair transports, with emergency BLS/ALS capacity maintained but representing a smaller share of total Medicaid revenue. Payer-specific pricing differences are visible in average paid/claim (for example Medicare A0429 $342 vs. Medicaid A0429 $139), underscoring different reimbursement dynamics across payers that will affect utilization economics.
Analysts evaluating network capacity, contracting, or utilization management should prioritize Medicaid-focused controls and audits given the asymmetric revenue exposure and the provider's top-state rankings. Medicare activity is measurable and concentrated in three codes (90.1% of Medicare revenue), so any Medicare-focused interventions can be narrowly targeted to A0429, A0428, and A0427 where the provider shows typical-to-strong national presence.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,480 | $340 | $507.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,220 | $200 | $434.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 610 | $410 | $250.1K |
| A0425 | Ground mileage, per statute mile | 17,430 | $10 | $122K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $260 | $8.4K |
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 99,430 | $140 | $14M |
| A0425 | Ground mileage, per statute mile | 200,350 | $20 | $4.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 23,150 | $140 | $3.2M |
| A0130 | Non-emergency transportation: wheelchair van | 124,020 | $20 | $2.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9,350 | $170 | $1.6M |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 11,820 | $20 | $283.7K |
| A0434 | Specialty care transport (sct) | 840 | $220 | $181.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 230 | $280 | $66.2K |
| T2001 | Non-emergency transportation; patient attendant/escort | 11,800 | $1 | $35.4K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 3,990 | $10 | $31.9K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 7 | 20 | 2,610 | $40 | $4.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 23 | 360 | 1,340 | $910 | $4M |
| A0434 | Specialty care transport (sct) | 9 | 30 | 330 | $680 | $3.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8 | 340 | 1,050 | $770 | $2.8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 80 | 1,580 | $140 | $1.8M |
| A0130 | Non-emergency transportation: wheelchair van | 3 | 30 | 4,930 | $30 | $833.1K |
| A0425 | Ground mileage, per statute mile | 5 | 450 | 2,450 | $40 | $602.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 35 | 60 | 350 | $200 | $269.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 5 | 70 | 800 | $10 | $56.8K |
| T2001 | Non-emergency transportation; patient attendant/escort | 1 | 10 | 190 | $10 | $9.6K |
Other providers in the same ZIP code as Lifeline Ambulance LLC, ranked by combined Medicare and Medicaid revenue.
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