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NPI 1891840401 · Miami, FL · Ambulance
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Mct Express Inc is a ambulance provider located in Miami, Florida. This profile covers 6 Medicare and 15 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 | Mct Express Inc |
| Address | 2766 Nw 62 St |
| City | Miami |
| State | FL |
| ZIP | 33147 |
| Taxonomy | Ambulance |
| NPI Enumerated | January 24, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $29.3M |
| Medicare | $5.3M |
MCT EXPRESS INC is a high-volume ambulance and non-emergency transport operator based in Miami, FL, with an NPI enumerated 2007-01-24 (~19 years ago), indicating long-standing enrollment in federal provider directories and sustained operations over nearly two decades. Its reported code mix (A0428, A0429, A0425 and several non-emergency transportation codes) is consistent with a business model focused on both emergency/basic life support ambulance services and large-scale Medicaid non-emergency transport programs.
Medicare revenue is $5.3M while Medicaid revenue is $29.3M, showing a clear Medicaid-dominant payer mix where Medicaid receipts are an order of magnitude larger than Medicare, implying that state programs are the primary driver of overall volume and cash flow for the organization. The provider is effectively Medicaid-focused in scale rather than Medicare-focused.
Revenue concentration on Medicare is heavily weighted to a small set of codes: the precomputed top 3 Medicare codes account for 81.3% of the provider's Medicare revenue, driven largely by A0428 (35.1%), A0429 (29.9%), and A0425 (16.3%). This concentration indicates that basic life support transports and ground mileage are the primary Medicare revenue streams, which aligns with a core ambulance transport service line.
On Medicaid the top three codes account for 72.2% of Medicaid revenue, led by A0100 (33.9%), A0429 (21.6%), and A0427 (16.8%). That mix shows a dual emphasis under Medicaid on non-emergency transportation (A0100 – taxi and A0130 – wheelchair van also appear) alongside high-volume emergency/basic life support ambulance claims, underscoring a blended business model serving both scheduled NEMT and emergent transport needs.
MCT EXPRESS displays dominant competitive standing for several codes relative to peers. For Medicare, A0428 and A0429 rank in the 98th–99th percentiles nationally and A0425 also ranks in the 99th percentile, signaling volumes far above typical national providers for those ambulance and mileage codes. For Medicaid, A0429 ranks #1 in-state (100th percentile) and A0428 and A0425 rank at the 99th percentile in-state, confirming the provider is an extreme outlier and a major in-state supplier for both emergency BLS and mileage/transport services.
Several individual codes are flagged as statistical outliers or notably above typical volumes, which reinforces the scale observations: A0429 is described as an "extreme outlier" in Medicare and is the top in-state Medicaid code, while A0425 and A0428 are also called out as extreme or notably above typical volumes. These labels indicate that the provider's utilization patterns for ambulance emergency/basic BLS and distance-related billing are unusually high versus peers.
The presence of very large Medicaid claim counts for non-emergency transport codes—A0100 at 624K claims and A0130 at 89K claims—signals substantial participation in state-managed NEMT programs and suggests operational capacity for scheduled, high-frequency trips (e.g., rider transport, wheelchair van services). Those counts combined with high rankings in-state support the conclusion that NEMT contracting is a strategic revenue engine.
Although Medicare revenue is smaller than Medicaid, the provider nevertheless shows concentrated Medicare specialization: the top three Medicare codes alone account for 81.3% of its Medicare receipts, demonstrating that when engaging Medicare the organization focuses on a narrow set of ambulance services (BLS, BLS-emergency, and mileage). This narrow Medicare footprint contrasts with the broader mix of Medicaid transport modalities but still represents substantial national-level volume for selected ambulance codes.
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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8,620 | $220 | $1.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,610 | $340 | $1.6M |
| A0425 | Ground mileage, per statute mile | 122,600 | $10 | $858.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,510 | $410 | $617.3K |
| A0434 | Specialty care transport (sct) | 400 | $700 | $279.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 360 | $260 | $92K |
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.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0100 | Non-emergency transportation; taxi | 623,990 | $20 | $10M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 71,470 | $90 | $6.4M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 26,650 | $190 | $5M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 52,950 | $40 | $2.2M |
| A0130 | Non-emergency transportation: wheelchair van | 89,040 | $20 | $2M |
| A0425 | Ground mileage, per statute mile | 471,810 | $1 | $1.9M |
| A0999 | Unlisted ambulance service | 28,080 | $40 | $1.2M |
| A0434 | Specialty care transport (sct) | 3,680 | $180 | $677.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,180 | $110 | $244.2K |
| A0110 | Non-emergency transportation and bus, intra or inter state carrier | 4,860 | $20 | $87.4K |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0100 | Non-emergency transportation; taxi | 3 | 10 | 6,330 | $20 | $7.3M |
| A0130 | Non-emergency transportation: wheelchair van | 3 | 10 | 10,890 | $30 | $5.2M |
| A0110 | Non-emergency transportation and bus, intra or inter state carrier | 3 | 10 | 88,330 | $10 | $2.2M |
| A0170 | Transportation ancillary: parking fees, tolls, other | 4 | 10 | 16,700 | $10 | $2.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 24 | 160 | 4,450 | $110 | $1.5M |
| A0140 | Non-emergency transportation and air travel (private or commercial) intra or inter state | 2 | 10 | 7,810 | $90 | $732.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 140 | 2,650 | $90 | $697.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 70 | 2,890 | $30 | $322.2K |
| A0999 | Unlisted ambulance service | 3 | 30 | 1,350 | $50 | $305.7K |
| A0425 | Ground mileage, per statute mile | 2 | 190 | 6,580 | $10 | $250.6K |
Showing 1–10 of 15
Other providers in the same ZIP code as Mct Express Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ride2md Inc | FL | Transportation Broker | $0 | $137.1M |
| Lotus Pediatric Day Care Center Inc | FL | Child Physical Disabilities Respite Care | $0 | $9.6M |
| Rg Ambulance Service, Inc. | FL | Land Ambulance | $1.4M | $2.1M |
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