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NPI 1972518694 · New Britain, CT · Land Ambulance
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New Britain Emergency Medical Services, Inc is a land ambulance provider located in New Britain, Connecticut. This profile covers 5 Medicare and 6 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 | New Britain Emergency Medical Services, Inc |
| Address | 225 Arch St |
| City | New Britain |
| State | CT |
| ZIP | 06051 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.6M |
| Medicare | $733.8K |
Service-line profile: NEW BRITAIN EMERGENCY MEDICAL SERVICES, INC is a Land Ambulance operation whose billed activity is overwhelmingly emergency transport. The provider's Medicare and Medicaid top revenue drivers are A0427 and A0429 (advanced life support, emergency transport and basic life support, emergency transport), and the platform’s precomputed totals show the top 3 Medicare codes by revenue account for 97.2% of Medicare revenue and the top 3 Medicaid codes by revenue account for 99.4% of Medicaid revenue, underlining an operational focus on transport-based EMS services rather than ancillary or specialty procedures.
Medicare revenue concentration and national standing: Medicare revenue totals $733.8K with a heavy concentration in a small set of codes — A0427 ($444.7K, 60.6% of Medicare revenue, 1K claims), A0429 ($243K, 33.1% of Medicare revenue, 677 claims), and A0425 ($26.1K, 3.6% of Medicare revenue, 3.7K claims). Each of these Medicare codes is described as a typical, unremarkable volume relative to national peers (A0427 ranks #713 of 6841, 90th percentile; A0429 ranks #835 of 7808, 89th percentile; A0425 ranks #3934 of 8934, 56th percentile), indicating solid participation but not national dominance on Medicare emergency-transport codes.
Medicaid revenue concentration and in-state leadership: Medicaid revenue totals $12.6M and is similarly concentrated in transport codes, with A0427 ($6.9M, 55.2% of Medicaid revenue, 28.3K claims), A0429 ($5.3M, 41.8% of Medicaid revenue, 23.9K claims), and A0425 ($313.2K, 2.5% of Medicaid revenue, 44.7K claims) comprising the precomputed top-3 share. Those Medicaid ranks place the provider among the leading in-state operators for transport — A0427 ranks #4 of 80 (96th percentile; typical, unremarkable volume), A0429 ranks #7 of 122 (95th percentile; typical, unremarkable volume), and A0425 ranks #8 of 128 (94th percentile; typical, unremarkable volume) — signaling a major state-market presence for emergency ambulance services.
Payer-mix implication: The provider’s Medicaid revenue ($12.6M) is far larger in absolute scale than its Medicare revenue ($733.8K), making its business effectively Medicaid-dominant in terms of billed dollars. This scale difference implies any payment-policy changes or contract negotiations with state Medicaid programs will have an outsized impact on overall revenue compared with Medicare dynamics.
Operational nuance and non-transport activity: Beyond transported emergency claims, the Medicaid data show material non-transport and noncovered activity — A0998 (ambulance response and treatment, no transport) appears with 933 claims generating $59.7K and ranks #2 of 16 in-state (93th percentile; typical, unremarkable volume), and code A0888 (noncovered ambulance mileage) shows 4.3K claims with $0 revenue (0.0% of Medicaid revenue) while ranking #1 of 5 in-state (100th percentile; typical, unremarkable volume). These entries indicate the provider routinely files response/treatment and noncovered mileage claims in the Medicaid program, which can affect reimbursement mix and denials exposure.
Statistical outliers and low-activity codes on Medicare: Some Medicare codes show very low activity or divergent rank patterns — for example A0428 has only 13 Medicare claims and $2.4K revenue, ranking #2712 of 2772 (1th percentile; typical, unremarkable volume for this code), indicating non-emergency BLS non-transport is minimal on Medicare. A0433 (ALS level 2) is present but limited on Medicare (31 claims, $18K, ranks #569 of 1632, 64th percentile; typical, unremarkable volume), reinforcing that Medicare billing is concentrated on ALS1 and BLS emergency transports rather than higher-level ALS2 calls.
Business and contracting implications of concentration: With the majority of both Medicare and Medicaid dollars coming from A0427 and A0429 (and the precomputed top-3 shares of 97.2% and 99.4%, respectively), the provider’s revenue base is highly concentrated on emergency transport services. That concentration strengthens the provider’s negotiating leverage with state payers where it ranks as a top in-state performer, but it also creates vulnerability to payer policy or rate changes targeted at those specific ambulance transport codes.
Tenure and operational stability: The NPI was enumerated on 2006-07-30 (~20 years ago), which, combined with the high Medicaid claim volumes (e.g., 28.3K A0427 claims and 23.9K A0429 claims), suggests an established regional EMS operator with sustained service volume over time rather than a recent entrant or a low-activity 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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,040 | $430 | $444.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 680 | $360 | $243K |
| A0425 | Ground mileage, per statute mile | 3,730 | $10 | $26.1K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $580 | $18K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | $190 | $2.4K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 28,330 | $250 | $6.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 23,880 | $220 | $5.3M |
| A0425 | Ground mileage, per statute mile | 44,740 | $10 | $313.2K |
| A0998 | Ambulance response and treatment, no transport | 930 | $60 | $59.7K |
| 4701Y | N/A | 760 | $20 | $13.8K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 4,300 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 120 | 1,930 | $180 | $1.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4 | 80 | 900 | $190 | $1.3M |
| A0425 | Ground mileage, per statute mile | 8 | 130 | 2,510 | $10 | $141.8K |
| A0998 | Ambulance response and treatment, no transport | 2 | 20 | 100 | $60 | $18.3K |
| 4701Y | N/A | 4 | 10 | 390 | $20 | $8.1K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 1 | 10 | 190 | $1 | $910 |
Other providers in the same ZIP code as New Britain Emergency Medical Services, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Community Mental Health Affiliates Inc | CT | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $18.8M |
| Wolcott Street Dental-1, PC | CT | Dentist | $0 | $15.2M |
| New Britain School District | CT | Local Education Agency (LEA) | $0 | $12.7M |
| Afc Physicians Of Connecticut, PC | CT | Urgent Care Clinic/Center | $0 | $6.7M |
| Doctor Pavano & Associates | CT | Optometrist | $0 | $4.1M |
| Your Eyes Of New Britain | CT | Optician | $0 | $3.4M |
| B & R Dental, LLC | CT | General Practice Dentistry | $0 | $2.8M |
| Today's Youth, LLC | CT | Community/Behavioral Health Agency | $0 | $2.3M |
| Robert Dess | CT | Dentist | $0 | $2M |
| Alpha Dental PLLC | CT | Dentist | $0 | $1.9M |
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