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NPI 1982148003 · Ridgewood, NY · Land Ambulance
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Ambulnz Ny LLC is a land ambulance provider located in Ridgewood, New York. This profile covers 6 Medicare and 15 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 | Ambulnz Ny LLC |
| Address | 1670 Weirfield St |
| City | Ridgewood |
| State | NY |
| ZIP | 11385 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 8, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.2M |
| Medicare | $7.8M |
AMBULNZ NY LLC is a land ambulance operator focused heavily on basic life support (BLS) non-emergency transports, as evidenced by A0428 and A0425 dominating its claims mix for both Medicare and Medicaid. The provider’s top three Medicare codes account for 96.0% of Medicare revenue and its top three Medicaid codes account for 89.9% of Medicaid revenue, indicating a concentrated revenue stream tied to core ambulance transport services rather than a diversified set of clinical procedures.
On Medicare, A0428 (BLS non-emergency) generates $5.8M and represents 73.9% of this provider’s Medicare revenue, while A0425 (ground mileage) and A0429 (BLS emergency) complete the top three that together account for 96.0% of Medicare revenue. This concentration signals that the business model is volume-driven transport services where routine BLS non-emergency runs plus mileage are the primary revenue drivers.
On Medicaid, A0428 also leads with $8M and 71.9% of Medicaid revenue, and A0429 and A0425 make up most of the remainder so that the top three represent 89.9% of Medicaid revenue. The parallel Medicaid and Medicare code mix suggests the provider operates a consistent service line across payers: high-volume BLS non-emergency transports supported by billed mileage and a smaller share of emergency BLS runs.
Comparing payer scale, the provider has reported $7.8M in total Medicare revenue versus $11.2M in total Medicaid revenue, making Medicaid the larger single-payer revenue source in lifetime totals. Both payers show the same operational focus, but the larger Medicaid revenue suggests heavier utilization or contracting in Medicaid-covered populations or settings within New York.
AMBULNZ NY LLC ranks at national and state-leading positions for several high-volume codes, indicating a strong competitive standing in its markets. Nationally the provider ranks #8 of 2772 for A0428 (100th percentile, described as an extreme outlier) and #58 of 8934 for A0425 (99th percentile, extreme outlier), which positions it well above typical national peers for routine ambulance volume; in-state it ranks #5 of 85 for A0428 (95th percentile, notably above typical state volume) and #13 of 483 for A0425 (98th percentile, notably above typical state volume).
The data also includes specific statistical outliers for selected codes that underline atypically high volume activity. Medicare A0428 is flagged as an "extreme outlier, far above typical national volume," and Medicare A0425 is likewise an extreme outlier; in Medicaid, A0428 and A0425 are noted as "notably above typical state volume," and code 0031A is flagged as a state-level extreme outlier (100th percentile). These labels point to unusually large claim volumes for routine transport and mileage relative to peers.
Service mix beyond the top BLS and mileage codes is limited but present: specialty care transport (A0434), ALS emergency and non-emergency (A0427, A0426), and ancillary fees (A0170) appear at materially smaller revenue levels across payers. These secondary codes indicate the provider offers some higher-acuity or specialized transports and bills for ancillary transport costs, but these lines are minority contributors to overall revenue.
Provider tenure is long enough to establish consistent billing patterns: the NPI was enumerated on 2016-12-08 (~10 years ago), so observed concentration and high-ranking positions reflect several years of operational history rather than a brief reporting window. This tenure supports interpreting the observed outlier rankings as sustained volume patterns rather than transient spikes.
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) | 23,720 | $240 | $5.8M |
| A0425 | Ground mileage, per statute mile | 172,420 | $10 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,320 | $390 | $512.3K |
| A0434 | Specialty care transport (sct) | 180 | $780 | $138.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 200 | $460 | $90.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 300 | $290 | $86.1K |
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.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 73,700 | $110 | $8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10,090 | $120 | $1.2M |
| A0425 | Ground mileage, per statute mile | 74,300 | $10 | $817.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,260 | $220 | $488.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,530 | $190 | $282.3K |
| A0434 | Specialty care transport (sct) | 550 | $270 | $146.8K |
| A0170 | Transportation ancillary: parking fees, tolls, other | 4,190 | $30 | $104.8K |
| A0999 | Unlisted ambulance service | 50 | $750 | $39K |
| 0031A | N/A | 1,080 | $20 | $25.8K |
| A0380 | Bls mileage (per mile) | 3,340 | $10 | $20.1K |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 16 | 20 | 1,140 | $790 | $2.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 90 | 2,220 | $120 | $1.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 35 | 420 | 950 | $170 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 91 | 310 | 830 | $200 | $1.1M |
| A0434 | Specialty care transport (sct) | 11 | 20 | 560 | $230 | $309.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | 40 | 290 | $200 | $227K |
| A0425 | Ground mileage, per statute mile | 13 | 480 | 1,360 | $20 | $191.3K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 5 | 10 | 100 | $360 | $119K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 13 | 10 | 380 | $10 | $31.3K |
| A0170 | Transportation ancillary: parking fees, tolls, other | 36 | 250 | 540 | $10 | $30.5K |
Showing 1–10 of 15
Other providers in the same ZIP code as Ambulnz Ny LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Emusc, LLC | NY | Ambulatory Surgical Clinic/Center | $0 | $60.3M |
| Trinity Homecare LLC | NY | Home Infusion Therapy Pharmacy | $0 | $46.8M |
| Rekha Bhandari | NY | Internal Medicine Physician | $1.1M | $238.5K |
| Kalpesh Amin | NY | Cardiovascular Disease Physician | $632.7K | $665.5K |
| Deepak Setia | NY | Internal Medicine Physician | $790.4K | $181.4K |
| David Carmili | NY | Pediatrics Physician | $223.6K | $481.7K |
| Ilan Cohen | NY | Ophthalmology Physician | $638.2K | $57K |
| Liza Tan | NY | Physical Therapist | $344.5K | $184.4K |
| Wayne Sebastiano | NY | Family Medicine Physician | $260.9K | $1K |
| Stella Ilyaev | NY | Internal Medicine Physician | $100.3K | $87.2K |
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