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NPI 1912949652 · Winnsboro, LA · Ambulance
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Northeast La Ambulance Svc LLC is a ambulance provider located in Winnsboro, Louisiana. This profile covers 4 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 | Northeast La Ambulance Svc LLC |
| Address | 233 Taylor Ave |
| City | Winnsboro |
| State | LA |
| ZIP | 71295 |
| Taxonomy | Ambulance |
| NPI Enumerated | June 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $14.6M |
| Medicare | $1.5M |
NORTHEAST LA AMBULANCE SVC LLC’s code mix is focused on emergency and non-emergency ambulance transport: the provider bills heavily for advanced life support emergency transports (A0427) and ground mileage (A0425) across both payers, with material contributions from basic life support codes (A0429/A0428). On Medicare A0427 shows 2K claims and $751K revenue while A0425 shows 74.1K claims and $593.1K revenue; on Medicaid A0427 shows 34.6K claims and $6.7M revenue and A0425 shows 52.5K claims and $6M revenue, indicating an operational model built around point-to-point patient transport and per-mile billing rather than ancillary clinic services.
Revenue concentration is high for both payers: the top 3 Medicare codes by revenue account for 96.4% of this provider's total Medicare revenue, and the top 3 Medicaid codes by revenue account for 91.6% of this provider's total Medicaid revenue. That concentration means most of the financial performance is tied to a small set of transport and mileage codes (notably A0427, A0425 and the primary BLS code on each payer).
The provider is heavily Medicaid-weighted in scale: lifetime Medicare revenue is $1.5M while lifetime Medicaid revenue is $14.6M, making Medicaid the dominant source of billed revenue. This payer mix suggests the organization’s patient population and contracting footprint are substantially aligned with state programs rather than Medicare beneficiaries.
On Medicare the provider shows a strong national footprint for ground-mileage billing: A0425 ranks #239 of 8934 providers nationally (97th percentile) and is explicitly characterized as "notably above typical national volume." By contrast A0427 on Medicare ranks #350 of 6841 (95th percentile) but is labeled "typical, unremarkable volume," indicating the provider’s national differentiation is driven most clearly by mileage volume rather than by an outsized ALS case count.
Within Louisiana Medicaid the provider is among higher-volume in-state participants for the same transport codes but not necessarily the dominant operator statewide. A0427 ranks #7 of 54 providers in-state (89th percentile) and A0425 ranks #11 of 59 providers in-state (83th percentile), which positions the organization as a meaningful in-state competitor for emergency transport and mileage services while other providers still account for significant share.
There are multiple instances of billed claims with no paid revenue on Medicaid for low-dollar supply or monitoring lines: J7050 shows 110 claims with $0 revenue, 93041 shows 17 claims with $0 revenue, and 94760 shows 49 claims with $0 revenue. These zero-paid items may reflect non-covered supplies, supplemental reporting of technical components, or data artifacts and are worth reviewing when reconciling encounter-level revenue and allowed amounts.
The provider’s business is long-tenured: the NPI was enumerated on 2006-06-10 (~20 years ago). That longevity, combined with concentrated transport/mileage revenue, implies an established local operating presence and workflows built around EMS transport billing and mileage capture.
Concentration of revenue in a narrow set of transport and mileage codes creates operational and contract risk: because A0427 and A0425 together drive the majority of both Medicare and Medicaid revenue, payer edits, reimbursement changes to ambulance mileage rules, or shifts in Medicaid policy could materially affect topline receipts. Analysts should monitor negotiations and state policy changes that specifically target ambulance transport and mileage reimbursement.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,970 | $380 | $751K |
| A0425 | Ground mileage, per statute mile | 74,130 | $10 | $593.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 440 | $320 | $140.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 280 | $200 | $54.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 34,560 | $200 | $6.7M |
| A0425 | Ground mileage, per statute mile | 52,500 | $110 | $6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 13,530 | $50 | $662.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,010 | $160 | $637.1K |
| A0398 | Als routine disposable supplies | 23,600 | $20 | $354.1K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 3,330 | $50 | $166.6K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 950 | $40 | $42K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 80 | $140 | $10.8K |
| A0382 | Bls routine disposable supplies | 360 | $30 | $9.4K |
| 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… | 20 | $0 | $0 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana 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) | 7 | 50 | 3,110 | $250 | $5.8M |
| A0425 | Ground mileage, per statute mile | 11 | 60 | 5,300 | $60 | $2.9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9 | 30 | 5,040 | $70 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19 | 40 | 2,720 | $140 | $1.8M |
| A0398 | Als routine disposable supplies | 6 | 20 | 5,100 | $20 | $547.2K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 10 | 20 | 2,690 | $30 | $507.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7 | 10 | 140 | $100 | $447.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 8 | 20 | 1,110 | $50 | $309.9K |
| A0382 | Bls routine disposable supplies | 12 | 10 | 5,220 | $10 | $238.7K |
| J7050 | Infusion, normal saline solution, 250 cc | 16 | 30 | 110 | $10 | $6.4K |
Showing 1–10 of 12
Other providers in the same ZIP code as Northeast La Ambulance Svc LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Franklin Parish Hospital Service Dist 1 | LA | Rural Health Clinic/Center | $0 | $29.4M |
| Franklin Parish Hospital Service Dist 1 | LA | Rural Acute Care Hospital | $0 | $12.6M |
| Winnsboro Medical Clinic | LA | Occupational Therapist | $0 | $5.2M |
| Jimmy Coughran | LA | Family Medicine Physician | $527.8K | $0 |
| Charles Reed | LA | Family Medicine Physician | $304.8K | $0 |
| Ralph Abraham | LA | Diagnostic Radiology Physician | $304.6K | $0 |
| Chad Porter | LA | Diagnostic Radiology Physician | $136.7K | $0 |
| Nicholas Guilbeau | LA | Physical Therapist | $121K | $0 |
| Jon Richardson | LA | Physical Therapist | $117.8K | $0 |
| Jed Robinson | LA | Urology Physician | $115.5K | $0 |
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