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NPI 1902533946 · Hyannis, MA · Land Ambulance
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Coastal Ems LLC is a land ambulance provider located in Hyannis, Massachusetts. This profile covers 7 Medicare and 3 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 | Coastal Ems LLC |
| Address | 372 Yarmouth Rd |
| City | Hyannis |
| State | MA |
| ZIP | 02601 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 1, 2022 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.9M |
| Medicaid | $2.6M |
COASTAL EMS LLC’s top revenue codes are A0427, A0429, and A0425, which correspond to advanced life support emergency transport, basic life support emergency transport, and ground mileage respectively. This code mix indicates the operation is primarily an emergency ground ambulance service offering both ALS and BLS responses with mileage-based transports forming a smaller but consistent revenue stream.
Medicaid revenue is $2.6M in total, and the provider’s top three Medicaid codes account for 100.0% of Medicaid revenue. On Medicaid, A0429 represents 49.1% ($1.3M) and A0427 represents 42.4% ($1.1M), indicating Medicaid revenue is similarly concentrated in emergency transport services with ground mileage (A0425) providing the remainder.
The payer mix is roughly balanced in scale: Medicare $2.9M vs. Medicaid $2.6M, so COASTAL EMS LLC is not effectively single-payer but has near-parity between the two government payers. This near-equal split suggests the business relies on both Medicare and Medicaid populations for volume rather than deriving revenue from one dominant public program.
COASTAL EMS shows strong national standing on key Medicare codes: A0429 ranks #94 of 7808 nationally (99th percentile) and is labeled an “extreme outlier,” while A0427 ranks #216 of 6841 (97th percentile) and is “notably above typical national volume.” By contrast, Medicare A0425 (ground mileage) ranks #691 of 8934 (92th percentile) and is characterized as typical, unremarkable volume — indicating the provider is a national high-volume emergency transporter mainly for patient transports rather than mileage.
In-state (Medicaid) competitive positioning is above average but not dominant: A0429 ranks #38 of 242 in-state (85th percentile) and A0427 ranks #37 of 218 (83th percentile), both described as typical, unremarkable volume relative to peers. A0425 ranks #49 of 295 in-state (84th percentile), so COASTAL EMS is an established regional participant with higher-than-median activity but not a singular market leader within Massachusetts.
Payment patterns differ materially between payers on the same services: Medicare average paid/claim for A0427 is $451 vs. Medicaid $235, and for A0429 Medicare is $380 vs. Medicaid $208. Notably, reported Medicaid average paid/claim for A0425 (ground mileage) is $20 compared with Medicare $7, which suggests state Medicaid mileage reimbursement is materially higher per reported claim than Medicare for this provider.
The provider’s NPI was enumerated on 2022-08-01 (~4 years ago), indicating relatively recent enrollment. Achieving high national-percentile volumes on emergency transport codes within this ~4-year window suggests rapid scaling or consolidation of emergency transport activity since enumeration.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,100 | $450 | $1.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,350 | $380 | $1.3M |
| A0425 | Ground mileage, per statute mile | 30,510 | $10 | $213.6K |
| A0433 | Advanced life support, level 2 (als 2) | 60 | $650 | $41.1K |
| A0434 | Specialty care transport (sct) | 20 | $790 | $11.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $290 | $5.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | $240 | $3.8K |
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.
3 rows
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 38 | 240 | 980 | $180 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 37 | 220 | 1,290 | $180 | $740.6K |
| A0425 | Ground mileage, per statute mile | 49 | 300 | 2,300 | $20 | $267.6K |
Other providers in the same ZIP code as Coastal Ems LLC, ranked by combined Medicare and Medicaid revenue.
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