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NPI 1912932856 · Billings, MT · Ambulance
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American Medical Response Ambulance Service Inc is a ambulance provider located in Billings, Montana. This profile covers 7 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 | American Medical Response Ambulance Service Inc |
| Address | 1701 Montana Ave |
| City | Billings |
| State | MT |
| ZIP | 59101 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.7M |
| Medicare | $2.1M |
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE INC is an ambulance-focused operator based in BILLINGS, MT (Taxonomy: Ambulance) with an NPI enumerated on 2006-07-11 (~20 years ago). The CPT/HCPCS mix is concentrated on emergency and transport-level services — the Medicare top drivers include A0427, A0429 and A0425 while Medicaid is led by A0429, A0427 and A0428 — consistent with a fleet providing both advanced life support (ALS) and basic life support (BLS) emergency transports.
Medicare revenue is $2.1M in lifetime payments and is highly concentrated: the precomputed top three Medicare codes account for 90.1% of that Medicare revenue. The Medicare concentration is led by A0427 (ALS1 emergency) and A0429 (BLS emergency), supported by substantial ground mileage billing (A0425), indicating emergency transport services drive almost all Medicare receipts.
Medicaid revenue is $6.7M in lifetime payments and shows even greater concentration: the precomputed top three Medicaid codes account for 93.0% of Medicaid revenue. Those Medicaid top codes are A0429, A0427 and A0428, which together indicate the business is dominated by emergency BLS and ALS transports with a smaller but material non-emergency BLS component.
Payer mix is Medicaid-dominant: lifetime Medicaid revenue ($6.7M) substantially exceeds lifetime Medicare revenue ($2.1M), so Medicaid is the principal public-payer revenue source for this provider. This suggests contracting and utilization strategies will be more impactful if focused on Medicaid payment rates and state-level networks rather than Medicare-only dynamics.
National competitive standing on Medicare shows above-average volume for its lead emergency code: A0427 (A0427 – Ambulance service, advanced life support, emergency transport, level 1) is ranked #218 of 6841 providers nationally (97th percentile) and is described as notably above typical national volume, while A0429 ranks #339 of 7808 (96th percentile) and A0425 ranks #745 of 8934 (92th percentile). These positions imply the provider is a strong national performer for ALS1 emergency transports and records materially higher-than-typical Medicare dispatch activity for those emergency services.
State-level competitive standing on Medicaid is dominant and in some cases extreme: A0429, A0427 and A0428 each rank #1 in-state (100th percentile) and are labeled extreme outliers, and additional codes such as A0380, A0390 and 93041 also rank #1 in-state (100th percentile) or notably above typical. This pattern indicates the provider is a leading, high-volume ambulance vendor across multiple Medicaid-coded services in Montana, likely reflecting a large in-state operational footprint and/or preferred status with state plans.
Ancillary and supply billing patterns on Medicaid point to routine use of in-transport clinical services and supplies: A0394 (ALS specialized supplies; IV drug therapy) has 2.6K claims and $235.5K revenue, 93041 has 17.4K claims and $17.4K revenue, and mileage codes such as A0380 (8.5K claims) and A0390 (25.7K claims) appear at high in-state ranks. Together these volumes suggest frequent use of oxygen, IV therapies, ECG monitoring and mileage-based billing as part of typical transports, reinforcing an operational profile of clinically equipped transport units.
Tenure and scale implications: with an NPI active since 2006-07-11 (~20 years ago) and multi-million-dollar lifetime Medicaid and Medicare revenues, the organization appears to be an established ambulance service with sustained activity across public payers. The combination of long tenure, concentrated emergency-transport revenue, and top-state rankings on Medicaid supports the characterization of a stable, high-volume regional ambulance operator rather than a small, episodic provider.
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) | 3,060 | $400 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,350 | $340 | $456.3K |
| A0425 | Ground mileage, per statute mile | 27,910 | $10 | $195.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 630 | $210 | $134.2K |
| A0433 | Advanced life support, level 2 (als 2) | 70 | $590 | $42.2K |
| A0434 | Specialty care transport (sct) | 40 | $690 | $24.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $270 | $5.3K |
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.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19,250 | $180 | $3.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 12,530 | $190 | $2.4M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,270 | $100 | $320.9K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 2,650 | $90 | $235.5K |
| A0380 | Bls mileage (per mile) | 8,540 | $10 | $85.4K |
| A0390 | Als mileage (per mile) | 25,740 | $1 | $77.2K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 3,800 | $10 | $41.8K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 17,410 | $1 | $17.4K |
| A0425 | Ground mileage, per statute mile | 380 | $20 | $9.1K |
| J7060 | 5% dextrose/water (500 ml = 1 unit) | 1,260 | $1 | $1.3K |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 40 | 450 | $160 | $374.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1 | 30 | 240 | $180 | $270.7K |
| A0382 | Bls routine disposable supplies | 14 | 20 | 210 | $90 | $130K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 3 | 10 | 260 | $90 | $96.3K |
| A0380 | Bls mileage (per mile) | 1 | 30 | 180 | $60 | $63.9K |
| A0425 | Ground mileage, per statute mile | 27 | 50 | 390 | $30 | $48.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 20 | 290 | $70 | $44.7K |
| A0390 | Als mileage (per mile) | 1 | 20 | 110 | $20 | $42.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 10 | 310 | $10 | $7.8K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 18 | 50 | 2,270 | $1 | $5K |
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Other providers in the same ZIP code as American Medical Response Ambulance Service Inc, ranked by combined Medicare and Medicaid revenue.
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