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NPI 1992773683 · New Cumberland, WV · Land Ambulance
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New Cumberland Ambulance Service Inc. is a land ambulance provider located in New Cumberland, West Virginia. This profile covers 7 Medicare and 5 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 Cumberland Ambulance Service Inc. |
| Address | 205 N Chester St |
| City | New Cumberland |
| State | WV |
| ZIP | 26047 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | March 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.6M |
| Medicare | $722.7K |
NEW CUMBERLAND AMBULANCE SERVICE INC. is Medicaid-dominant by revenue: lifetime Medicaid receipts are $3.6M compared with $722.7K in Medicare, indicating that Medicaid payments represent the larger share of this provider’s billing activity and financial scale. This payer mix suggests contracting and reimbursement dynamics will be driven more by state Medicaid policy and rates than by Medicare trends.
Revenue concentration is high within a narrow set of ambulance codes for both payers: the top three Medicare codes account for 73.0% of Medicare revenue, and the top three Medicaid codes account for 84.6% of Medicaid revenue. In both programs the primary drivers are A0429, A0425, and A0427, indicating that a small number of transport services generate the bulk of receipted revenue.
The provider’s service mix reflects a classic ground ambulance operation focused on emergency transport and mileage. Medicare top-code revenue shows A0429 ($208.6K, 28.9%), A0425 ($167.4K, 23.2%) and A0427 ($151.4K, 20.9%), while Medicaid top-code revenue shows A0429 ($1.2M, 32.8%), A0425 ($1M, 28.1%) and A0427 ($845K, 23.7%), together signaling a predominance of basic life support emergency transports, billed mileage, and advanced life support emergency capability. The presence of A0428 in the lists also indicates a material non-emergency transport component.
On Medicare, the provider posts above-peer-percentile volumes for key codes but is not a national outlier: A0429 ranks #829 of 7808 providers (89th percentile), A0425 ranks #878 of 8934 (90th percentile), and A0427 ranks #1800 of 6841 (74th percentile). Despite these relatively high percentiles, the dataset characterizes these volumes as "typical, unremarkable volume" for each code, so the provider appears as an active but not dominant national participant for core ambulance services.
Within West Virginia Medicaid peers, the provider shows a strong in-state presence on core codes without being singularly dominant: A0429 ranks #17 of 113 in-state (86th percentile), A0425 ranks #25 of 137 (82th percentile), and A0427 ranks #23 of 96 (77th percentile). These rankings place the provider above many local peers on the highest-revenue ambulance services, indicating meaningful market share in-state for ground transport and ALS/BLS emergency work.
The provider has an established operational history: NPI was enumerated 2006-03-09 (~20 years ago). This longevity aligns with the concentrated, repeated billing patterns observed across Medicare and Medicaid and suggests a sustained EMS footprint rather than a recent entrant.
Detailed code-level revenue highlights underscore the operational focus and where audit or contract negotiation attention should be concentrated: Medicare top codes include A0429 ($208.6K, 28.9%), A0425 ($167.4K, 23.2%), and A0427 ($151.4K, 20.9%); Medicaid top codes include A0429 ($1.2M, 32.8%), A0425 ($1M, 28.1%), and A0427 ($845K, 23.7%). These specific codes and dollar amounts account for the precomputed top-3 shares and represent the bulk of fee-for-service receipts in each program.
There are no flagged extreme statistical outliers among reported codes: most listed code entries are described in the source as "typical, unremarkable volume" for their peer groups, and even lower-percentile entries (for example A0433 at the Medicare 18th percentile) carry the same plain-English label. In practice this means the provider’s billing profile resembles a common, service-focused ambulance operator rather than an anomalous coder within the sampled payer populations.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 680 | $310 | $208.6K |
| A0425 | Ground mileage, per statute mile | 23,920 | $10 | $167.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 420 | $360 | $151.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 800 | $190 | $149.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 90 | $230 | $20.7K |
| A0434 | Specialty care transport (sct) | 30 | $620 | $18.1K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $530 | $7.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,860 | $200 | $1.2M |
| A0425 | Ground mileage, per statute mile | 16,200 | $60 | $1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,350 | $250 | $845K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6,210 | $80 | $521.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 150 | $180 | $26.9K |
How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. West Virginia median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 25 | 140 | 2,710 | $100 | $955.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 27 | 70 | 3,360 | $110 | $830K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 23 | 100 | 840 | $260 | $730.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 17 | 110 | 950 | $220 | $703.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 22 | 30 | 530 | $190 | $203K |
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