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NPI 1881684132 · E Wenatchee, WA · Ambulance
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Lifeline Ambulance, Inc. is a ambulance provider located in E Wenatchee, Washington. This profile covers 5 Medicare and 5 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, Inc. |
| Address | 230 Grant Rd |
| City | E Wenatchee |
| State | WA |
| ZIP | 98802 |
| Taxonomy | Ambulance |
| NPI Enumerated | October 27, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.9M |
| Medicare | $1.9M |
LIFELINE AMBULANCE, INC. has an ambulance-centric service mix dominated by emergency and mileage codes, indicating operations focused on point-to-point patient transport rather than ancillary services. On Medicare the top three codes (A0429, A0427, A0425) account for 93.0% of its total Medicare revenue, and on Medicaid the top three (A0425, A0427, A0429) account for 95.5% of its total Medicaid revenue, which together point to a pure transportation business model concentrated on BLS/ALS emergency runs and substantial ground mileage billing.
Revenue concentration is high for both payers: the precomputed top-3 share of 93.0% for Medicare shows the provider’s Medicare receipts are almost entirely driven by A0429, A0427, and A0425, while the 95.5% top-3 share for Medicaid shows an even greater dependence on the same three codes. This concentration suggests limited service diversification and that any payment-rate or utilization changes to these specific codes could materially affect overall revenue.
Payer mix skews toward Medicaid by dollar scale: total Medicaid revenue is $4.9M compared with total Medicare revenue of $1.9M, so the provider operates with a substantially larger Medicaid business relative to Medicare. This indicates the firm likely serves a payer mix or geographic population with heavier Medicaid utilization, and strategic or contracting efforts with Medicaid plans will disproportionately affect top-line performance.
Competitive standing on Medicare is mixed by code: for A0429 the provider ranks #240 of 7808 (97th percentile), and for A0425 it ranks #277 of 8934 (97th percentile), reflecting notably high national volumes for basic life support emergency and mileage relative to peers; A0427 ranks #639 of 6841 (91th percentile), also above typical national activity. These percentiles position the provider as a high-volume national performer on mileage and a strong contributor on BLS emergency transports, rather than a low-activity outlier.
State-level Medicaid standing confirms similar strength in Washington: A0425 ranks #12 of 168 in-state (93th percentile) and A0427 ranks #9 of 98 in-state (91th percentile), indicating the provider is among the larger in-state suppliers of mileage and ALS emergency transports. A0429 ranks #16 of 145 in-state (90th percentile), supporting the view that LIFELINE is a significant regional ambulance operator with above-typical activity across the same core emergency transport and mileage codes.
Operational nuance from unit-level metrics: on Medicare A0425 shows 65.2K claims with $8 avg paid/claim producing $521.6K revenue, while A0429 and A0427 show higher per-claim payments ($401 and $468 respectively) but far fewer claims. That pattern—high-volume low-dollar mileage claims plus moderate-volume higher-dollar emergency transports—reflects a business model where distance-driven billing complements discrete BLS/ALS emergency trips.
Tenure and stability: the NPI was enumerated on 2005-10-27 (~21 years ago), indicating long-established presence in the market. Combined with consistently high percentile ranks in both national Medicare and state Medicaid comparisons for key codes, the provider appears to be an established ambulance operator with sustained service volume over time.
Statistical outlier notes: A0425 on Medicare is labeled notably above typical national volume and the same code on Medicaid sits in the 93th percentile in-state, signaling a genuine mileage-volume outlier relative to peers; other codes (A0429, A0427) are described as typical or unremarkable volume nationally but still sit in high percentiles, which together suggest LIFELINE concentrates volume across a few well-defined transport services rather than an unusually broad service mix.
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) | 1,700 | $400 | $682.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,150 | $470 | $539.6K |
| A0425 | Ground mileage, per statute mile | 65,200 | $10 | $521.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 440 | $250 | $107.4K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $690 | $23.5K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 22,650 | $90 | $2.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9,240 | $150 | $1.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10,470 | $130 | $1.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,410 | $90 | $221.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | $100 | $1.4K |
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 16 | 150 | 1,340 | $120 | $719.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 16 | 40 | 490 | $90 | $569.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9 | 100 | 1,400 | $120 | $404.9K |
| A0425 | Ground mileage, per statute mile | 12 | 170 | 2,040 | $40 | $373.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 16 | 20 | 130 | $110 | $99.8K |
Other providers in the same ZIP code as Lifeline Ambulance, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Nelson & Reynolds, PLLC | WA | Dental Clinic/Center | $0 | $17M |
| Community Choice Dba Action Health Partners | WA | Case Management Agency | $0 | $7.8M |
| Wenatchee Valley Hospital | WA | Rural Health Clinic/Center | $0 | $7.4M |
| Aging & Adult Care Of Central Washington | WA | Case Management Agency | $0 | $2.9M |
| Norco, Inc | WA | Durable Medical Equipment & Medical Supplies | $0 | $2.8M |
| Jared Wagner | WA | Pain Medicine (Anesthesiology) Physician | $270.6K | $0 |
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