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NPI 1881627503 · Grand Rapids, MI · Ambulance
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Paramed Inc is a ambulance provider located in Grand Rapids, Michigan. This profile covers 6 Medicare and 7 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 | Paramed Inc |
| Address | 517 Division Ave S |
| City | Grand Rapids |
| State | MI |
| ZIP | 49503 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $21.1M |
| Medicare | $1.8M |
PARAMED INC’s billing profile is focused squarely on ambulance emergency transport: its top Medicare revenue driver is A0427 (ALS1 emergency) with $1.1M revenue (65.0% of this provider's total Medicare revenue), and its top Medicaid driver is the same code with 51.6K claims and $11.2M revenue (53.0% of this provider's total Medicaid revenue). The combination of high-volume ALS emergency claims and substantial mileage billing (A0425 present in the top codes for both payers) indicates primary operations are ground ambulance emergency transports rather than non-transport or ancillary services. This code mix aligns with an ambulance-heavy service line that routinely bills both ALS and BLS emergency responses.
Revenue concentration is high on both payers: the top 3 Medicare codes account for 98.2% of the provider's total Medicare revenue, and the top 3 Medicaid codes account for 94.1% of the provider's total Medicaid revenue. For Medicare, A0427, A0429, and A0425 together dominate the $1.8M lifetime Medicare revenue, while for Medicaid those same three codes dominate the $21.1M lifetime Medicaid revenue, exposing the provider’s overall financials to shifts in reimbursement or utilization for a very small set of codes.
In Medicaid specifically, PARAMED INC is a dominant in-state operator for emergency ambulance services: A0427 ranks #3 of 163 providers in-state (99th percentile; labeled an "extreme outlier") and A0429 ranks #4 of 153 (98th percentile). Those ranks, together with 51.6K and 42.5K claim volumes for A0427 and A0429 respectively, signal the provider operates at a scale far above typical state peers for emergency transport. A0425 (mileage) also ranks highly in-state (#6 of 199, 97th percentile), reinforcing that high-volume ground transport is a core business activity.
Nationally for Medicare, the provider also posts above-typical volumes on core emergency transport codes: A0427 ranks #221 of 6841 providers nationally (97th percentile) and A0429 ranks #316 of 7808 (96th percentile). Those national percentiles indicate PARAMED INC is well above typical national volume for these ambulance emergency codes, even though its absolute Medicare revenue ($1.8M) is much smaller than its Medicaid revenue. This suggests the organization plays a notable role in emergency ambulance billing on Medicare claims relative to most peers.
Payer mix is heavily skewed toward Medicaid: lifetime Medicaid revenue is $21.1M compared with lifetime Medicare revenue of $1.8M, making Medicaid the clear primary payer by scale. While the provider is active on both programs, its operational footprint and competitive standing are overwhelmingly concentrated in Medicaid emergency transport billing based on claim counts and revenue. Analysts should treat Medicaid trends as the primary driver of business health for this entity.
The provider’s long tenure is evident: the NPI was enumerated on 2006-07-08 (~20 years ago), indicating sustained operations over about two decades. That tenure, combined with persistently high in-state ranks on core UTILITY codes, suggests an established presence in the regional ambulance market rather than a recent entrant. Longevity may correlate with fleet, staffing, and contractual relationships that support large Medicaid volumes.
Non-transport and specialty services are present but represent a small share of revenue. For Medicaid, A0998 (ambulance response and treatment, no transport) appears with 2.7K claims and $582.8K revenue (2.8% of Medicaid revenue) and A0428 (BLS non-emergency) contributes $538.9K (2.6%), while several specialty codes on Medicare (A0433, A0434) together account for less than 1–1% each of Medicare revenue. These patterns reinforce that the business model emphasizes transported emergency care rather than non-transport response or niche specialty transfers.
From a competitive-risk perspective, the concentration in a few high-volume codes creates both strength and vulnerability: dominance in Medicaid emergency transport (A0427 and A0429 jointly representing a large share of the $21.1M Medicaid revenue) positions PARAMED INC as a critical in-state provider, but the fact that the top 3 codes constitute 94.1% of Medicaid revenue and 98.2% of Medicare revenue means reimbursement changes or utilization shifts for these specific codes would materially affect total revenue. Analysts evaluating contracting, network participation, or prospective rate changes should prioritize monitoring utilization and reimbursement trends for A0427, A0429, and A0425.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,040 | $380 | $1.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,390 | $320 | $438.8K |
| A0425 | Ground mileage, per statute mile | 20,510 | $10 | $143.5K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $540 | $15.5K |
| A0434 | Specialty care transport (sct) | 20 | $650 | $10.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 30 | $200 | $5.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 51,630 | $220 | $11.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 42,520 | $160 | $6.7M |
| A0425 | Ground mileage, per statute mile | 99,290 | $20 | $2M |
| A0998 | Ambulance response and treatment, no transport | 2,740 | $210 | $582.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,610 | $120 | $538.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 550 | $200 | $110.8K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 420 | $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
7 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 | 160 | 1,880 | $230 | $1.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 21 | 70 | 1,790 | $130 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 150 | 1,570 | $150 | $951.3K |
| A0425 | Ground mileage, per statute mile | 6 | 200 | 2,950 | $50 | $648.5K |
| A0998 | Ambulance response and treatment, no transport | 17 | 50 | 1,100 | $180 | $553.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 24 | 50 | 540 | $220 | $285.3K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 1 | 10 | 50 | $0 | $0 |
Other providers in the same ZIP code as Paramed Inc, ranked by combined Medicare and Medicaid revenue.
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