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NPI 1982733218 · Ashtabula, OH · Land Ambulance
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Community Care Ambulance Network is a land ambulance provider located in Ashtabula, Ohio. This profile covers 6 Medicare and 10 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 | Community Care Ambulance Network |
| Address | 115 E 24th Street |
| City | Ashtabula |
| State | OH |
| ZIP | 44004 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | March 4, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.7M |
| Medicare | $2.1M |
COMMUNITY CARE AMBULANCE NETWORK’s billing profile is dominated by routine ambulance ground services and non-emergency transport, with the Medicare top three codes (A0425, A0428, A0427) accounting for 86.7% of its Medicare revenue. The presence of large Medicare revenue shares for A0425 (ground mileage) and A0428 (BLS non-emergency) indicates an operational focus on high-volume mileage-driven transports and scheduled/basic life-support transfers rather than a specialty-scare or hospital-based interfacility ALS practice.
On Medicaid the provider shows a similar operational mix but at a larger scale: the top three Medicaid codes (A0428, A0425, A0427) account for 71.5% of Medicaid revenue. Medicaid volumes are substantially larger than Medicare for this entity ($8.7M Medicaid vs. $2.1M Medicare), indicating that the organization functions primarily as a Medicaid-serving transport operator in-state, with heavy reliance on wheelchair-van and mileage-based non-emergency services in addition to standard ambulance runs.
Revenue concentration is high across both payers: top three Medicare codes drive 86.7% of Medicare revenue and top three Medicaid codes drive 71.5% of Medicaid revenue. This concentration suggests a business model centered on a small set of high-frequency transport services (ground mileage and BLS/ALS level 1 transports), making the provider sensitive to reimbursement or utilization changes for those specific codes.
COMPETITIVE standing on Medicare is mixed: the provider ranks in very high national percentiles for certain codes — A0425 (ground mileage) is at the 98th percentile nationally and A0426 is at the 96th percentile — indicating nationally notable mileage and ALS non-emergency volume, while other Medicare codes such as A0428 and A0427 are still high but more typical in volume (94th and 86th percentiles respectively). For Medicaid within Ohio, the provider is a clear major in several categories: A0428 (BLS non-emergency) ranks #8 of 126 (94th percentile) and A0425 (ground mileage) is an extreme outlier in-state (98th percentile), positioning the organization as one of the largest wheelchair/ambulance mileage and non-emergency transport vendors in the state.
Operational detail: Medicaid-specific codes for wheelchair van service (A0130) and wheelchair mileage (S0209) are each large contributors to Medicaid revenue (A0130 at $971.7K and S0209 at $486.1K), and both rank in the 97th percentile in-state. This indicates a substantial wheelchair-van fleet and a business line that extends beyond classic stretcher ambulance trips into non-ambulance transportation for mobility-impaired patients.
Tenure and stability: the NPI was enumerated on 2007-03-04 (~19 years ago), indicating long-standing operation in the market which aligns with the high-volume, established service lines reflected in both Medicare and Medicaid billing. Long tenure combined with concentrated revenue lines suggests operational specialization that has persisted over many years.
Statistical outliers and notable percentile signals: several codes are flagged as notably above typical or extreme outliers — on Medicare A0425 is notably above typical national volume (98th percentile) and on Medicaid A0425 is described as an "extreme outlier" in-state (98th percentile). These labels point to unusually high mileage billing relative to peers and reveal where reviewer attention may be warranted for operational or network-capacity explanations, such as geography-driven distances or a large non-emergency transport business.
Payer mix implications: with $8.7M in Medicaid revenue versus $2.1M in Medicare revenue, the provider is effectively Medicaid-dominant. Analysts should treat Medicaid policy and state reimbursement dynamics as the primary drivers of financial performance and competitive positioning for this entity, while Medicare represents a smaller but still concentrated revenue stream.
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 |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 102,760 | $10 | $822.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,900 | $200 | $764.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 800 | $370 | $298.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 610 | $240 | $142.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 370 | $310 | $115.8K |
| A0434 | Specialty care transport (sct) | 50 | $650 | $30.3K |
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 47,690 | $60 | $3.1M |
| A0425 | Ground mileage, per statute mile | 73,560 | $20 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 12,650 | $120 | $1.5M |
| A0130 | Non-emergency transportation: wheelchair van | 44,170 | $20 | $971.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7,250 | $80 | $565.6K |
| S0209 | Wheelchair van, mileage, per mile | 44,190 | $10 | $486.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5,250 | $70 | $346.5K |
| A0434 | Specialty care transport (sct) | 660 | $120 | $82.3K |
| A0396 | Als specialized service disposable supplies; esophageal intubation | 630 | $0 | $0 |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 480 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8 | 130 | 3,720 | $50 | $544.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 16 | 510 | 1,080 | $120 | $365.4K |
| A0434 | Specialty care transport (sct) | 12 | 20 | 660 | $190 | $317.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 34 | 480 | 880 | $90 | $260K |
| A0130 | Non-emergency transportation: wheelchair van | 6 | 150 | 3,580 | $20 | $208K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7 | 80 | 380 | $80 | $132.1K |
| A0425 | Ground mileage, per statute mile | 12 | 680 | 2,020 | $10 | $98.4K |
| S0209 | Wheelchair van, mileage, per mile | 6 | 150 | 3,580 | $10 | $73.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 6 | 10 | 560 | $1 | $890 |
| A0396 | Als specialized service disposable supplies; esophageal intubation | 1 | 10 | 630 | $0 | $0 |
Other providers in the same ZIP code as Community Care Ambulance Network, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ashtabula County Medical Center | OH | General Acute Care Hospital | $0 | $56.7M |
| Signature Health Inc. | OH | Federally Qualified Health Center (FQHC) | $0 | $29.6M |
| Community Counseling Center Of Ashtabula County | OH | Adolescent and Children Mental Health Clinic/Center | $0 | $22.5M |
| Square One Health LLC | OH | Substance Abuse Rehabilitation Facility | $0 | $20.4M |
| Lake Area Recovery Center | OH | Case Management Agency | $0 | $13.3M |
| Ashtabula County Medical Center | OH | Specialist | $0 | $10.1M |
| Alexander Taich | OH | Ophthalmology Physician | $365.3K | $0 |
| Melissa Vance | OH | Nurse Practitioner | $229.1K | $0 |
| Cara Ogren | OH | Orthopedic Physical Therapist | $172K | $0 |
| Stephen Wychock | OH | Physical Therapist | $124.5K | $0 |
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