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NPI 1962757773 · East Providence, RI · Land Ambulance
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Coastline Emergency Medical Services, Inc is a land ambulance provider located in East Providence, Rhode Island. This profile covers 5 Medicare and 7 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 | Coastline Emergency Medical Services, Inc |
| Address | 500 Taunton Ave |
| City | East Providence |
| State | RI |
| ZIP | 02914 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 18, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.9M |
| Medicare | $1.5M |
COASTLINE EMERGENCY MEDICAL SERVICES, INC operates as a land-ambulance provider with revenue overwhelmingly driven by ambulance transport and mileage codes. Its Medicare top codes (A0428, A0425, A0427) and Medicaid top codes (A0428, A0429, A0425) are all classic transport and mileage lines, indicating the organization primarily provides BLS non-emergency transports, routine ground mileage billing, and a measurable volume of ALS emergency responses rather than a broader mix of ancillary clinical services.
Medicare revenue is concentrated: the precomputed top-3 Medicare codes account for 91.2% of the provider’s $1.5M Medicare revenue, with A0428 alone representing $836.9K (54.2% of Medicare revenue) and A0425 contributing $357.7K (23.2%). This concentration signals a narrow Medicare service line focused on BLS non-emergency transports and mileage rather than diverse procedure billing.
Medicaid revenue shows a similar concentration: the precomputed top-3 Medicaid codes account for 85.7% of the provider’s $1.9M Medicaid revenue, led by A0428 ($722.9K, 38.8%) and A0429 ($617.1K, 33.1%). The Medicaid mix leans heavier toward emergency BLS transports (A0429) relative to Medicare, suggesting different utilization patterns or payer routing for emergency versus non-emergency runs under state programs.
Payer mix: this entity receives slightly more revenue from Medicaid ($1.9M) than from Medicare ($1.5M), so Medicaid makes up the larger single-payer revenue stream. That scale difference, combined with the Medicaid prominence of A0429, implies the provider may be more relied on for state-covered emergency transports or has stronger participation in Medicaid networks compared with Medicare.
Competitive standing is mixed by code and payer. Nationally on Medicare the provider ranks well on high-volume transport lines — A0428 is #167 of 2772 (94th percentile; typical, unremarkable volume) and A0425 is #380 of 8934 (96th percentile; typical, unremarkable volume) — indicating a solid national footprint for BLS non-emergency and mileage billing, while A0427 is more modest at #1459 of 6841 (79th percentile; typical, unremarkable volume). In-state on Medicaid the provider shows strength on mileage and emergency BLS — A0425 is #6 of 46 (89th percentile; typical, unremarkable volume) and A0429 is #7 of 35 (82th percentile; typical, unremarkable volume) — but A0428 is only #4 of 6 (40th percentile; typical, unremarkable volume), so it is not the clear statewide leader for non-emergency BLS.
Tenure: the NPI was enumerated on 2012-07-18 (~14 years ago), indicating an established operating history in the market that supports the revenue concentrations observed rather than a newly entered provider profile.
Volume outliers and small lines: most reported codes are labelled in the source as "typical, unremarkable volume," so there are no flagged extreme outliers in the publicly supplied comparisons; however, several codes generate negligible revenue and presence — for example, Medicare A0426 produced $3.2K (0.2% of Medicare revenue) and ranks #1509 of 1568 (1th percentile; typical, unremarkable volume), and Medicaid ancillary lines such as A0394 ($6.2K, 0.3% of Medicaid revenue; ranks #2 of 2, 0th percentile; typical, unremarkable volume) are marginal contributors to overall revenue and not central to the business model.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,930 | $210 | $836.9K |
| A0425 | Ground mileage, per statute mile | 51,100 | $10 | $357.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 520 | $410 | $214.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 380 | $350 | $132.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | $260 | $3.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 13,900 | $50 | $722.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,770 | $110 | $617.1K |
| A0425 | Ground mileage, per statute mile | 23,390 | $10 | $257.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,340 | $100 | $240.8K |
| 93000 | 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… | 710 | $20 | $12.9K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 80 | $80 | $6.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 70 | $80 | $5.9K |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4 | 10 | 19,390 | $60 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 40 | 1,830 | $80 | $362.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 15 | 40 | 1,250 | $80 | $273.1K |
| A0425 | Ground mileage, per statute mile | 6 | 50 | 2,550 | $10 | $72.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 10 | 90 | $90 | $7.9K |
| 93000 | 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… | 12 | 100 | 120 | $10 | $3.9K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 2 | 10 | 290 | $10 | $3.2K |
Other providers in the same ZIP code as Coastline Emergency Medical Services, Inc, ranked by combined Medicare and Medicaid revenue.
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