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NPI 1922185248 · Fall River, MA · Land Ambulance
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Alert Ambulance Service, Inc is a land ambulance provider located in Fall River, Massachusetts. This profile covers 15 Medicare and 31 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 | Alert Ambulance Service, Inc |
| Address | 1290 Wilson Rd |
| City | Fall River |
| State | MA |
| ZIP | 02720 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.5M |
| Medicare | $2M |
ALERT AMBULANCE SERVICE, INC’s code mix indicates it operates primarily as a ground ambulance/transport provider, with heavy emphasis on basic life support non-emergency transports and mileage billing. The top revenue-driving codes across payers — A0428 (BLS non-emergency), A0425 (ground mileage), and A0429/A0130 (BLS emergency and wheelchair van, respectively) — point to a business built around high-volume patient transport rather than a clinical infusion or inpatient service line. This pattern is reinforced by substantial claim counts reported for these transport codes on both Medicare and Medicaid files.
Revenue is highly concentrated within a handful of transport codes on Medicare: the precomputed top-3 Medicare codes account for 88.3% of this provider’s total Medicare revenue. Specifically, A0428 generates $1.1M (56.8% of Medicare revenue), A0425 generates $453.8K (22.6%), and A0429 generates $180.2K (9.0%), indicating reliance on a narrow set of ambulance services for the majority of Medicare dollars. Such concentration suggests that changes in reimbursement or utilization for these specific codes would have outsized impact on Medicare revenue.
Medicaid revenue is also concentrated but shows a slightly broader mix within transport services: the precomputed top-3 Medicaid codes account for 71.4% of total Medicaid revenue. A0428 contributes $2.7M (41.2%), A0425 contributes $1.1M (16.6%), and A0130 (wheelchair van) contributes $886.4K (13.6%), signaling that non-emergency BLS, mileage, and wheelchair van transports are the dominant Medicaid service lines. This concentration underscores Medicaid as the primary payer for the provider’s core transport business.
The payer mix is skewed toward Medicaid by scale: total Medicaid revenue on file is $6.5M compared with total Medicare revenue of $2M, making Medicaid the larger revenue source for this entity. Operationally, that means payer contracting, state Medicaid policies, and in-state referral networks will likely have a greater influence on overall financial performance than Medicare reimbursement trends. Analysts should treat this as a Medicaid-dominant transport operator when assessing risk and growth opportunities.
On competitive standing, ALERT ranks well above many peers for key transport metrics on Medicare and is a high-volume in-state player on Medicaid. For Medicare, A0428 ranks #105 of 2772 (96th percentile; notably above typical national volume) and A0425 ranks #236 of 8934 (97th percentile; notably above typical national volume), indicating nationally significant volumes for non-emergency BLS and mileage. For Medicaid, A0425 ranks #21 of 295 (93th percentile) and A0130 ranks #10 of 79 (88th percentile), which positions the provider as a strong regional competitor for mileage and wheelchair van services even if it is not the singular market leader.
The provider’s enrollment history shows long tenure in the Medicare/Medicaid ecosystem: NPI enumerated 2006-11-01 (~20 years ago). Two decades of billing history increase the likelihood that observed patterns reflect established operational focus and payer relationships rather than transient activity. Tenure combined with high claim volumes on core transport codes suggests durable capacity and infrastructure for ground ambulance operations.
There are notable ancillary service and reporting signals beyond core transports that may be relevant for utilization review and contract negotiations. ALERT reports vaccine administration codes (for example, M0201 with 424 Medicare claims/$15.7K revenue and 697 Medicaid claims/$8.4K revenue) at high percentiles (Medicare rank #16 of 375, 96th percentile; Medicaid rank #1 of 3, 100th percentile), and also records several COVID vaccine/product codes with claims but $0 avg paid/claim (for example, 91313, 91322, 91320), which indicates non-zero reporting of public-health related services and some instances where billed units did not generate paid dollars. These patterns suggest the organization also participates in in-home public health activities and COVID-era therapeutic/administration workflows in addition to core ambulance transports.
Several individual-code statistical labels point to atypically high national volume for specific transport components while much of the remaining code mix is described as typical or unremarkable. Medicare-level outperformance is explicit for A0428 and A0425 (both described as "notably above typical national volume for this code"), whereas many ALS and specialty codes (for example, A0429, A0427, A0426, A0434) are characterized as "typical, unremarkable volume." This combination—very high BLS/mileage volumes alongside routine volumes for higher-acuity codes—further supports the view that ALERT’s operational emphasis is high-throughput BLS and non-emergency transport rather than advanced-life-support-dominant services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5,680 | $200 | $1.1M |
| A0425 | Ground mileage, per statute mile | 75,640 | $10 | $453.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 530 | $340 | $180.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 280 | $410 | $114.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 170 | $260 | $43.1K |
| A0434 | Specialty care transport (sct) | 60 | $720 | $40.1K |
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s)… | 420 | $40 | $15.7K |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 220 | $40 | $9.2K |
| 0124A | N/A | 180 | $40 | $7.4K |
| 0134A | N/A | 50 | $40 | $2.2K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| A0428 | 6 | 40 | 1,340 | $220 | $771.3K |
| A0427 | 126 | 260 | 270 | $430 | $215.4K |
| A0429 | 43 | 270 | 170 | $360 | $181.2K |
| A0434 | 17 | 20 | 70 | $740 | $123.1K |
| A0425 | 7 | 280 | 3,650 | $10 | $86K |
| A0426 | 11 | 30 | 120 | $270 | $53.2K |
| 91322 | 342 | 650 | 150 | $140 | $29.1K |
| 91320 | 319 | 640 | 80 | $130 | $25.1K |
| M0201 | 3 | 10 | 100 | $40 | $10.7K |
| 90480 | 470 | 1,130 | 160 | $40 | $9.4K |
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Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
31 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 34,880 | $80 | $2.7M |
| A0425 | Ground mileage, per statute mile | 44,940 | $20 | $1.1M |
| A0130 | Non-emergency transportation: wheelchair van | 30,570 | $30 | $886.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,820 | $160 | $592.7K |
| S0215 | Non-emergency transportation; mileage, per mile | 29,570 | $20 | $443.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,890 | $110 | $432.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,380 | $130 | $175.8K |
| A0434 | Specialty care transport (sct) | 210 | $400 | $83K |
| M0244 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's… | 280 | $170 | $49K |
| M0223 | Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the… | 50 | $410 | $18.8K |
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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
31 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 11 | 60 | 9,300 | $90 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 52 | 240 | 980 | $180 | $1.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 44 | 220 | 1,290 | $180 | $740.6K |
| A0130 | Non-emergency transportation: wheelchair van | 10 | 80 | 5,670 | $30 | $449K |
| A0434 | Specialty care transport (sct) | 17 | 30 | 210 | $390 | $404.6K |
| A0425 | Ground mileage, per statute mile | 21 | 300 | 2,300 | $20 | $267.6K |
| S0215 | Non-emergency transportation; mileage, per mile | 17 | 100 | 8,500 | $10 | $253.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7 | 40 | 510 | $140 | $137K |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | 5 | 10 | 20 | $260 | $24.6K |
| M0244 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's… | 1 | 10 | 150 | $170 | $24.5K |
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Other providers in the same ZIP code as Alert Ambulance Service, Inc, ranked by combined Medicare and Medicaid revenue.
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