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NPI 1891166799 · North Platte, NE · Land Ambulance
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Priority Medical Transport LLC is a land ambulance provider located in North Platte, Nebraska. This profile covers 7 Medicare and 6 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 | Priority Medical Transport LLC |
| Address | 2600 W Front St |
| City | North Platte |
| State | NE |
| ZIP | 69101 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 18, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.3M |
| Medicare | $1.4M |
Payer mix shows Medicaid is the larger revenue source for this provider, with lifetime Medicaid revenue of $2.3M versus $1.4M in Medicare; the practice is therefore more dependent on Medicaid payment flows than Medicare. This split indicates the provider operates primarily in the state Medicaid market while maintaining a meaningful Medicare presence.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 86.4% of the provider's total Medicare revenue, driven primarily by A0425 (64.9%), A0426 (11.0%), and A0428 (10.5%). That concentration signals the bulk of Medicare receipts come from ground mileage and a small set of transport services rather than a broad mix of CPTs.
Medicaid revenue is even more concentrated: the precomputed top 3 Medicaid codes by revenue account for 96.7% of total Medicaid revenue, led by A0425 (69.9%), A0427 (17.8%), and A0429 (9.0%). This pattern shows Medicaid receipts are overwhelmingly dependent on mileage and a narrow set of emergency transport codes.
Business and service-line implications: the dominant codes across both payers (A0425, A0426, A0427, A0428, A0429) are ground mileage and ambulance transport codes, indicating PRIORITY MEDICAL TRANSPORT LLC primarily operates as a ground ambulance provider offering both ALS and BLS services in emergency and non-emergency settings. Specialty care transport and other high-acuity services are present but account for a much smaller share of revenue, suggesting a focus on point-to-point transports and long-distance mileage.
Competitive standing on Medicare: A0425 (ground mileage) is an extreme outlier nationally, ranking #103 of 8934 providers (99th percentile), and A0426 (ALS non-emergency) ranks #62 of 1568 providers (96th percentile), described as notably above typical national volume. Those national ranks indicate the provider is an unusually high-volume biller of mileage and a strong national/regionally significant ALS non-emergency supplier, even though other Medicare transport codes are closer to typical volumes.
Competitive standing in-state for Medicaid: A0425 ranks #6 of 46 providers in-state (89th percentile) and A0428 ranks #2 of 10 providers in-state (89th percentile), placing the provider among higher-volume in-state billers for mileage and BLS non-emergency transports. By contrast, emergency ALS A0427 and BLS-emergency A0429 are mid-range in-state (67th and 64th percentiles respectively), so the provider is not uniformly dominant across all in-state ambulance service categories.
Operational risk from code concentration: given that top 3 Medicare codes represent 86.4% of Medicare revenue and top 3 Medicaid codes represent 96.7% of Medicaid revenue, the provider has concentrated exposure to changes in reimbursement or policy affecting A0425 and a handful of transport codes. This concentration could make revenue and payer negotiations sensitive to rate adjustments, mileage reimbursement policies, or audit focus on those specific CPTs.
Tenure and scale: the NPI was enumerated on 2015-10-18 (~11 years ago), indicating a multi-year operational history; lifetime billed totals of $1.4M (Medicare) and $2.3M (Medicaid) reflect a sustained, Medicaid-weighted ambulance operation rather than a recently established entrant. The combination of tenure and payer concentration suggests an established local operator with specialized dependence on ground mileage and core transport services.
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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 120,630 | $10 | $965K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 610 | $270 | $163.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 720 | $220 | $156.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 190 | $440 | $82.3K |
| A0433 | Advanced life support, level 2 (als 2) | 80 | $630 | $52K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 120 | $360 | $44.5K |
| A0434 | Specialty care transport (sct) | 30 | $780 | $23.5K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 6,150 | $270 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,500 | $280 | $414.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,530 | $140 | $211K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,070 | $50 | $53.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 240 | $90 | $21.3K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $180 | $2.5K |
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
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 10 | 70 | $50 | $933.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9 | 30 | 990 | $180 | $864.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11 | 30 | 730 | $110 | $424.2K |
| A0425 | Ground mileage, per statute mile | 6 | 50 | 350 | $30 | $280.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 10 | 140 | $100 | $220.7K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 10 | 100 | $150 | $79.3K |
Other providers in the same ZIP code as Priority Medical Transport LLC, ranked by combined Medicare and Medicaid revenue.
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