Loading...
NPI 1952312498 · Elgin, IL · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
A-tec Ambulance Service Inc is a land ambulance provider located in Elgin, Illinois. This profile covers 6 Medicare and 9 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 | A-tec Ambulance Service Inc |
| Address | 2125 Point Blvd Ste 200 |
| City | Elgin |
| State | IL |
| ZIP | 60123 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.3M |
| Medicare | $3.4M |
This provider has a clear Medicaid-heavy payer mix: lifetime Medicaid revenue is $8.3M versus Medicare revenue of $3.4M, so Medicaid represents the larger single source of public-payer revenue on file. Analysts should treat this entity as primarily Medicaid-oriented while still noting meaningful Medicare activity.
Revenue is highly concentrated in a small set of transport codes for both payers: the provider’s top three Medicare codes account for 77.8% of total Medicare revenue, and the top three Medicaid codes account for 75.6% of total Medicaid revenue. That concentration signals a tight operational focus on a few ambulance service lines rather than a broad mix of ancillary procedures.
The code mix indicates this is fundamentally a ground ambulance operator with heavy reliance on basic life support non-emergency transport and mileage billing: A0428 (BLS non-emergency) is the single largest Medicare line (7.1K claims, $1.5M revenue; 43.0% of Medicare revenue) and A0425 (ground mileage) also drives large revenue on both Medicare (100.2K claims, $701.2K revenue; 20.5% of Medicare revenue) and Medicaid (49.9K claims, $2.5M revenue; 30.3% of Medicaid revenue). The presence of A0427 and A0429 shows the operation also provides ALS and emergency BLS capacity, but at lower relative revenue shares.
On Medicare the firm posts above-typical national volumes for its top mileage and BLS non-emergency lines: A0428 ranks #81 of 2772 providers nationally (97th percentile; notably above typical national volume) and A0425 ranks #153 of 8934 providers nationally (98th percentile; notably above typical national volume). By these metrics the provider is a major national-volume participant for those specific Medicare codes rather than a marginal claimant.
In-state Medicaid competition positioning is similarly strong for core transport services: A0428 ranks #8 of 81 providers in-state (91st percentile) and A0425 ranks #13 of 448 providers in-state (97th percentile), indicating the provider is among the larger Medicaid transport billers in Illinois for both BLS non-emergency and mileage. Specialty care transport (A0434) and several ALS codes also appear in the top Medicaid mix, with A0434 ranking #6 of 27 in-state (81st percentile), suggesting a meaningful niche in higher-acuity transfers.
Operational volume signals are substantial: the provider reports 100.2K Medicare claims for A0425 (ground mileage) and 25.4K Medicaid claims for A0428 (BLS non-emergency), demonstrating both high trip counts and extensive mileage billing across payers. Those raw claim counts support a model oriented to frequent, routine transports rather than a low-volume, high-acuity-only operator.
There is also a notable non-emergency wheelchair van line in the Medicaid portfolio: A0130 (wheelchair van) shows 13.5K claims and $270.3K revenue (3.3% of Medicaid revenue) and ranks #7 of 29 in-state, indicating a distinct, billable non-emergency conveyance offering beyond stretcher/ALS ground ambulance services. This suggests diversified vehicle capabilities and payer-reimbursed NEMT activity.
The provider has an established operating history at the NPI level (enumerated 2006-08-10, approximately 20 years), and sustained, high-volume billing across both Medicare and Medicaid in core ambulance codes implies operational continuity rather than a brief or recently emergent billing pattern. Combined with the concentration in a few transport codes, this tenure supports the view of a stable, transport-focused business serving both emergency and non-emergency needs.
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) | 7,080 | $210 | $1.5M |
| A0425 | Ground mileage, per statute mile | 100,180 | $10 | $701.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,240 | $400 | $490.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,230 | $340 | $416.4K |
| A0434 | Specialty care transport (sct) | 410 | $680 | $277.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 270 | $250 | $64.9K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 25,430 | $120 | $2.9M |
| A0425 | Ground mileage, per statute mile | 49,950 | $50 | $2.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6,140 | $130 | $773.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,850 | $140 | $683.3K |
| A0434 | Specialty care transport (sct) | 2,410 | $230 | $548K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,260 | $210 | $478.1K |
| A0130 | Non-emergency transportation: wheelchair van | 13,520 | $20 | $270.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2,010 | $20 | $30.1K |
| T2001 | Non-emergency transportation; patient attendant/escort | 190 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
9 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) | 46 | 360 | 1,340 | $910 | $4M |
| A0434 | Specialty care transport (sct) | 6 | 30 | 330 | $680 | $3.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 46 | 340 | 1,050 | $770 | $2.8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8 | 80 | 1,580 | $140 | $1.8M |
| A0130 | Non-emergency transportation: wheelchair van | 7 | 30 | 4,930 | $30 | $833.1K |
| A0425 | Ground mileage, per statute mile | 13 | 450 | 2,450 | $40 | $602.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7 | 60 | 350 | $200 | $269.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 14 | 70 | 800 | $10 | $56.8K |
| T2001 | Non-emergency transportation; patient attendant/escort | 5 | 10 | 190 | $10 | $9.6K |
Other providers in the same ZIP code as A-tec Ambulance Service Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ecker Center For Behavioral Health | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $20M |
| Kenneth Laferle | IL | Audiologist | $8K | $5.8M |
| Vna Health Care | IL | Federally Qualified Health Center (FQHC) | $0 | $5.1M |
| Cranial Technologies, Inc. | IL | Prosthetic/Orthotic Supplier | $0 | $4M |
| Veerpal Singh | IL | Hematology & Oncology Physician | $3.4M | $67.3K |
| Syed Zahir | IL | Hematology & Oncology Physician | $3.1M | $72.4K |
| Suleman Bangash | IL | Dermatology Physician | $3M | $5.2K |
| Rashmi Kapur | IL | Ophthalmology Physician | $1.6M | $1.1M |
| Rehan Hussain | IL | Ophthalmology Physician | $2.2M | $236K |
| Nexgen Labs Inc | IL | Clinical Medical Laboratory | $204.3K | $2.1M |
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.