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NPI 1871991125 · Columbus, NE · Ambulance
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Midwest Medical Transport Company LLC is a ambulance provider located in Columbus, Nebraska. This profile covers 7 Medicare and 12 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 | Midwest Medical Transport Company LLC |
| Address | 2155 33rd Avenue |
| City | Columbus |
| State | NE |
| ZIP | 68601 |
| Taxonomy | Ambulance |
| NPI Enumerated | December 18, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $30.1M |
| Medicare | $20.7M |
MIDWEST MEDICAL TRANSPORT COMPANY LLC reports lifetime totals of $20.7M in Medicare revenue and $30.1M in Medicaid revenue, indicating a Medicaid-dominant revenue base by scale. The provider has been NPI enumerated since 2014-12-18 (~12 years ago), so this profile reflects roughly a decade-plus of billing activity across both public payers.
The provider’s service mix is firmly ambulance-focused: highest-revenue CPT/HCPCS are A0428 (BLS non-emergency), A0425 (ground mileage), and A0427 (ALS 1 emergency). This combination—high-volume basic life support plus very large ground mileage billing—signals an operation centered on point-to-point transport rather than ancillary services; presence of A0434 (specialty care transport) and A0433 (ALS 2) also shows capacity for higher-acuity and specialty transfers.
Revenue concentration is high on both payers: the top 3 Medicare codes account for 87.5% of this provider’s total Medicare revenue, and the top 3 Medicaid codes account for 75.5% of its total Medicaid revenue. That concentration underscores dependence on a narrow set of transport-related codes for the bulk of cashflow and suggests changes in reimbursement or utilization for those codes would have outsized financial impact.
Medicare competitive standing is anomalously strong on key codes: the provider ranks #3 of 2772 nationally for A0428 (100th percentile, extreme outlier), #2 of 8934 for A0425 (100th percentile, extreme outlier), and also shows top-tier placement for A0426 and A0433. Those national ranks and “extreme outlier” labels indicate the provider operates at volumes far above typical national peers for core ambulance and mileage codes.
State-level Medicaid positioning is dominant for core transports: the provider ranks #1 in-state for A0428, A0425, A0427, A0429 and A0426 with multiple 100th-percentile and "extreme outlier" designations. This pattern signals a leading in-state market role for both emergency and non-emergency ground transport lines, particularly for mileage-driven revenue.
The raw claim volumes reinforce an operational model driven by mileage and frequent transports: Medicare shows 897.4K claims for A0425 and 44.2K claims for A0428, while Medicaid shows 261.7K claims for A0425 and 176K claims for A0428. High claim counts for A0425 (ground mileage) on both payers emphasize that mileage billing is a central revenue driver rather than a secondary add-on.
Service-line nuance: while BLS non-emergency (A0428) and mileage (A0425) dominate, the presence and revenue contributions of ALS codes (A0427, A0426) and specialty care transport (A0434) indicate the fleet is equipped for mixed-acuity missions. That mix suggests the organization can capture both scheduled non-emergency transports and higher-acuity emergency or specialty transfers, which can stabilize utilization across payer types.
Statistical outlier language in the data (labels such as "extreme outlier" and "notably above typical") is pervasive across both payers and multiple codes; this should prompt analysts to view the provider as an unusually large billing entity within ambulance services. The combination of national extreme-outlier status on Medicare codes and statewide domination on Medicaid codes frames the organization as a major market participant for ground transport in its service area.
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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 44,190 | $200 | $9M |
| A0425 | Ground mileage, per statute mile | 897,450 | $10 | $6.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7,430 | $390 | $2.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,280 | $320 | $1.1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3,720 | $250 | $932.7K |
| A0434 | Specialty care transport (sct) | 470 | $660 | $309.1K |
| A0433 | Advanced life support, level 2 (als 2) | 530 | $550 | $291.6K |
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 176,030 | $50 | $9.2M |
| A0425 | Ground mileage, per statute mile | 261,650 | $30 | $8.4M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 39,460 | $130 | $5.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 33,430 | $120 | $4M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 18,330 | $100 | $1.8M |
| A0380 | Bls mileage (per mile) | 8,620 | $60 | $542.8K |
| A0434 | Specialty care transport (sct) | 2,690 | $140 | $385K |
| A0390 | Als mileage (per mile) | 2,330 | $140 | $328.2K |
| A0433 | Advanced life support, level 2 (als 2) | 1,460 | $150 | $215.6K |
| A0130 | Non-emergency transportation: wheelchair van | 2,670 | $30 | $82.7K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| S0215 | Non-emergency transportation; mileage, per mile | 2 | 10 | 30 | $30 | $1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 10 | 70 | $50 | $933.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1 | 30 | 990 | $180 | $864.6K |
| A0380 | Bls mileage (per mile) | 1 | 10 | 8,620 | $60 | $542.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 30 | 730 | $110 | $424.2K |
| A0434 | Specialty care transport (sct) | 1 | 10 | 1,840 | $210 | $378.3K |
| A0390 | Als mileage (per mile) | 1 | 10 | 2,330 | $140 | $327.3K |
| A0425 | Ground mileage, per statute mile | 1 | 50 | 350 | $30 | $280.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 10 | 140 | $100 | $220.7K |
| A0130 | Non-emergency transportation: wheelchair van | 2 | 10 | 17,100 | $10 | $214.7K |
Showing 1–10 of 12
Other providers in the same ZIP code as Midwest Medical Transport Company LLC, ranked by combined Medicare and Medicaid revenue.
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