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    OpenPayerNPI Medicare & MedicaidLifeguard Ambulance Service LLC
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    Lifeguard Ambulance Service LLC — Billing Profile & Reimbursement Data

    NPI 1891240859 · Summerdale, AL · Land Ambulance

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    Lifeguard Ambulance Service LLC is a land ambulance provider located in Summerdale, Alabama. This profile covers 6 Medicare and 9 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)

    FieldValue
    Entity TypeOrganization
    OrganizationLifeguard Ambulance Service LLC
    Address106 Highway 59 S
    CitySummerdale
    StateAL
    ZIP36580
    TaxonomyLand Ambulance
    NPI EnumeratedAugust 19, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.8M
    Medicare$2.9M

    Key Findings

    LIFEGUARD AMBULANCE SERVICE LLC’s billed services are heavily weighted toward emergency advanced life support transport: the Medicare top-revenue code is A0427 (Ambulance service, advanced life support, emergency transport) which generates $1.7M and 4.6K claims, and the Medicaid top-revenue code is also A0427 with $1.6M and 13.7K claims. The mix of A0427 and high-volume ground mileage (A0425) on both payers indicates the operation is primarily an emergency ambulance service with frequent staffed, ALS-capable responses rather than a niche non-emergency transporter.

    Revenue concentration is very high on a small set of codes for both payers: the provider’s top three Medicare codes (A0427, A0425, A0429) account for 89.2% of Medicare revenue, and the top three Medicaid codes (A0427, A0425, A0429) account for 84.7% of Medicaid revenue. This means a few transport and mileage codes drive the vast majority of reported Medicare and Medicaid dollars rather than a broad mix of ancillary ambulance services.

    On payer scale, this provider reports $2.9M in lifetime Medicare revenue versus $3.8M in lifetime Medicaid revenue, so Medicaid represents the larger single-payer revenue source. Both payers are material to the business, but Medicaid is the larger revenue stream in absolute terms.

    Nationally for Medicare, LIFEGUARD is a high-volume outlier on core emergency codes: A0427 ranks #143 of 6841 providers (98th percentile) and A0425 ranks #222 of 8934 providers (98th percentile), which the source labels as "notably above typical national volume." Those rankings position the firm as a major national-volume participant for emergency ALS transports and mileage billing, even if its total Medicare revenue is $2.9M.

    At the state level for Medicaid, the provider shows strong standing on multiple codes: A0427 ranks #9 of 102 in-state (92nd percentile) and A0426 (ALS non-emergency) ranks #2 of 41 in-state (98th percentile), with the latter explicitly called "notably above typical state volume." This suggests LIFEGUARD is a leading in-state supplier of advanced-life-support transports, including a particularly large footprint in non-emergency ALS under Medicaid.

    Operational intensity is evident in mileage and claim counts: Medicare shows 79.3K A0425 claims producing $634.2K, while Medicaid shows 22.4K A0425 claims producing $1.2M, indicating heavy reliance on ground-mileage reimbursement as a material revenue line across payers. High mileage volumes combined with high ranks imply either many long-distance transports or a very high frequency of shorter transports that collectively produce sizable mileage revenue.

    The payer-specific service mix differs in non-emergency ALS exposure: on Medicaid A0426 contributes $258.9K and 1.8K claims (6.9% of Medicaid revenue) and ranks #2 in-state, whereas on Medicare A0426 contributes $67.3K and 290 claims (2.3% of Medicare revenue) and ranks lower nationally. In practice, Medicaid appears to support a larger non-emergency ALS business for this provider than Medicare does, which could reflect state program utilization patterns or contracted non-emergency transport work.

    The provider has been enumerated since 2016-08-19 (~10 years ago), which implies several years of operational history underpinning the reported $2.9M Medicare and $3.8M Medicaid lifetime revenues. The combination of tenure, concentrated high-volume emergency codes, and high percentile ranks on key codes suggests an established ambulance operator with a focused ALS emergency and mileage-driven business model.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)4,550$370$1.7M
    A0425Ground mileage, per statute mile79,280$10$634.2K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)1,010$310$311.9K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)1,140$190$219.1K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)290$230$67.3K
    A0433Advanced life support, level 2 (als 2)60$530$32K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A04273110210$370$209.6K
    A04281770440$180$152.6K
    A042531206,750$10$131.9K
    A04297110100$310$82.2K
    A042625050$240$19.5K
    A043354020$530$16.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)13,660$120$1.6M
    A0425Ground mileage, per statute mile22,400$50$1.2M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)2,980$120$349.1K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)1,820$140$258.9K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)3,570$70$242.8K
    A0382Bls routine disposable supplies3,120$20$59.2K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation1,330$10$15.9K
    94761The provider takes multiple measurements of the patient’s oxygen saturation using a sensor on the ear or finger.30$0$0
    A0398Als routine disposable supplies70$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Alabama median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0425Ground mileage, per statute mile191303,610$40$394K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)91001,850$90$379.6K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)33802,590$40$248.6K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)24901,170$70$209.8K
    A0382Bls routine disposable supplies13401,930$20$77.6K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)240140$100$46.4K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation620410$10$12.1K
    A0398Als routine disposable supplies610300$1$110
    94761The provider takes multiple measurements of the patient’s oxygen saturation using a sensor on the ear or finger.81060$1$1

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Lifeguard Ambulance Service LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lifeguard Ambulance Service LLCALLand Ambulance$1.9M$1.6M
    Lifeguard Ambulance Service LLCALLand Ambulance$1.3M$1.8M
    Lifeguard Ambulance Service LLCMSLand Ambulance$855.4K$2M
    Lifeguard Ambulance Service LLCSCLand Ambulance$2.1M$651.1K
    Lifeguard Ambulance Service LLCALLand Ambulance$414.6K$2.2M
    Lifeguard Ambulance Service LLCTNLand Ambulance$514.1K$663K
    Lifeguard Ambulance Service LLCOKLand Ambulance$398.8K$524.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Lifeguard Ambulance Service LLC — 3 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama
    Medicaid Revenue by Year vs. Alabama Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Lifeguard Ambulance Service LLC — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama