Loading...
NPI 1902025398 · Brea, CA · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Premier Medical Transport, Inc. is a land ambulance provider located in Brea, California. This profile covers 6 Medicare and 12 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 | Premier Medical Transport, Inc. |
| Address | 260 N Palm St # 200 |
| City | Brea |
| State | CA |
| ZIP | 92821 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | April 24, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.1M |
| Medicare | $8.6M |
This provider bills both Medicare ($8.6M total Medicare revenue) and Medicaid ($9.1M total Medicaid revenue) at a similar scale, with Medicaid slightly larger on a lifetime-revenue basis; neither payer is de minimis, so analysis should treat PREMIER MEDICAL TRANSPORT, INC. as a dual-payer ambulance operator with material exposure to both programs. The near-parity suggests contracts and utilization patterns across both payers will be important to understanding overall financial performance.
Medicare revenue is highly concentrated: the top three Medicare codes account for 85.4% of this provider's total Medicare revenue. Those top drivers are A0428 ($4.5M, 52.4% of Medicare revenue), A0429 ($1.5M, 17.5%), and A0425 ($1.3M, 15.5%), indicating most Medicare dollars derive from high-volume ground BLS transports and associated mileage.
Medicaid revenue is likewise concentrated: the top three Medicaid codes account for 78.9% of this provider's total Medicaid revenue. The leading Medicaid codes are A0429 ($2.9M, 32.2%), A0428 ($2.7M, 29.6%), and A0425 ($1.6M, 17.2%), showing the same BLS- and mileage-dominated mix drives the majority of Medicaid receipts.
The codes billed point to a business model centered on ground basic life support (BLS) transports with a meaningful specialty capability: A0428 (BLS non-emergency) and A0429 (BLS emergency) are the largest revenue drivers for both payers, and A0425 (ground mileage) is the third major driver; the presence of A0434 (Specialty care transport) with non-trivial revenue on both payers further indicates the operation handles higher-acuity interfacility moves in addition to routine BLS runs. This mix suggests a fleet and staffing configuration optimized for high-volume ground transports with capacity for SCT-level care when needed.
On Medicare measures this provider is a national outlier and de facto major player for several high-revenue codes: A0428 ranks #11 of 2772 (100th percentile, extreme outlier), A0429 ranks #76 of 7808 (99th percentile, extreme outlier), and A0425 ranks #45 of 8934 (100th percentile, extreme outlier), while A0434 ranks #6 of 591 (99th percentile, extreme outlier). Those rankings indicate Medicare volumes for core ambulance codes are far above typical national providers and that this organization operates at a scale that places it among the top national performers for ground ambulance services.
In the California Medicaid market the provider also shows a strong footprint for its primary services: A0428 ranks #8 of 187 in-state (96th percentile, notably above typical state volume) and A0434 ranks #8 of 64 (89th percentile, typical), while A0429 and A0425 sit in the upper state percentiles (92th and 95th percentiles respectively). These in-state standings imply PREMIER MEDICAL TRANSPORT, INC. is a prominent regional supplier of BLS and specialty transport to Medicaid beneficiaries, particularly for non-emergency BLS trips.
Payment-rate differentials between payers are notable and will affect per-claim economics: for the same core codes the dataset shows materially higher average Medicare payments per claim (e.g., A0429 $383 avg paid/claim on Medicare vs $150 on Medicaid; A0428 $239 vs $64; A0434 $779 vs $194), while mileage (A0425) shows a lower average on Medicare ($7 avg paid/claim) than on Medicaid ($21 avg paid/claim) in the reported data. These payer-specific rate differences mean revenue mix and payer mix will significantly influence margins per trip, so analyses of utilization should incorporate payer-specific reimbursement structure.
The provider has long tenure in the market, with an NPI enumerated on 2007-04-24 (~19 years ago), which combined with sustained high volumes and top-percentile ranks suggests an established operational footprint and referral relationships in its service area. For contracting or competitive analysis, that longevity plus national/state ranking profiles supports treating PREMIER MEDICAL TRANSPORT, INC. as an incumbent ambulance operator with entrenched volumes across both Medicare and Medicaid.
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) | 18,890 | $240 | $4.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,930 | $380 | $1.5M |
| A0425 | Ground mileage, per statute mile | 191,190 | $10 | $1.3M |
| A0434 | Specialty care transport (sct) | 1,150 | $780 | $899K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 730 | $290 | $209.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 330 | $460 | $150K |
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19,510 | $150 | $2.9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 42,020 | $60 | $2.7M |
| A0425 | Ground mileage, per statute mile | 74,450 | $20 | $1.6M |
| A0434 | Specialty care transport (sct) | 4,860 | $190 | $943K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,060 | $170 | $351.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,710 | $120 | $328.2K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 9,030 | $20 | $216.6K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 4,390 | $10 | $35.1K |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 190 | $150 | $27.4K |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 930 | $10 | $13.1K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
12 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) | 137 | 250 | 2,420 | $220 | $3.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 30 | 390 | 1,270 | $220 | $1.5M |
| A0380 | Bls mileage (per mile) | 296 | 310 | 7,380 | $40 | $1.1M |
| A0425 | Ground mileage, per statute mile | 31 | 580 | 3,120 | $30 | $963.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8 | 190 | 2,470 | $80 | $674.3K |
| A0434 | Specialty care transport (sct) | 8 | 60 | 700 | $350 | $672.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 8 | 80 | 280 | $130 | $148.2K |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 31 | 80 | 520 | $20 | $112.5K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 7 | 90 | 830 | $30 | $112K |
| A0999 | Unlisted ambulance service | 30 | 100 | 600 | $20 | $111.4K |
Showing 1–10 of 12
Other providers in the same ZIP code as Premier Medical Transport, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Providence Medical Foundation | CA | Family Medicine Physician | $0 | $52.6M |
| Osamamwode Ogbeiwi | CA | Psychiatric/Mental Health Nurse Practitioner | $475.1K | $0 |
| Heather Paul | CA | Family Nurse Practitioner | $367.5K | $0 |
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.