Is AMBULANCE SERVICE OF MANCHESTER, LLC flagged for Medicaid fraud?

AMBULANCE SERVICE OF MANCHESTER, LLC (NPI: 1063529741) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does AMBULANCE SERVICE OF MANCHESTER, LLC bill Medicaid?

AMBULANCE SERVICE OF MANCHESTER, LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Ambulance, Land Transport provider. Located in MANCHESTER, CT.

What is NPI 1063529741?

NPI 1063529741 is the National Provider Identifier for AMBULANCE SERVICE OF MANCHESTER, LLC. They are a Ambulance, Land Transport provider based in MANCHESTER, CT. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

AMBULANCE SERVICE OF MANCHESTER, LLC

Ambulance, Land Transport·MANCHESTER, CT·NPI: 1063529741Share

Compared to Ambulance, Land Transport Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.4M is at the 25th percentile among 11 Ambulance, Land Transport providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$20.4M

$20,418,619

Total Claims

238K

Beneficiaries

179K

1.3 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018

$3.0M

-8%

2019

$2.8M

-4%

2020

$2.7M

+11%

2021

$3.0M

+9%

2022

$3.3M

-5%

2023

$3.1M

-16%

2024

$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (A0429 (Ambulance, BLS emergency transport)) accounts for 58% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

A0429Ambulance, BLS emergency transportSee all providers →

$11.8M

57K claims

$205.89

$138.19

1.5×

Top 25%

A0429Top 25%

Ambulance, BLS emergency transport

$11.8M

57K claims · 57.6%

Your Cost: $205.89/claim|Median: $138.19

1.5× median

A0428Ambulance service, BLS, non-emergency transportSee all providers →

$3.7M

46K claims

$81.10

$58.05

1.4×

Normal range

A0428Normal range

Ambulance service, BLS, non-emergency transport

$3.7M

46K claims · 18.3%

Your Cost: $81.10/claim|Median: $58.05

1.4× median

A0427Ambulance, ALS emergency transport Level 1See all providers →

$2.2M

24K claims

$91.32

$164.22

0.6×

Normal range

A0427Normal range

Ambulance, ALS emergency transport Level 1

$2.2M

24K claims · 10.6%

Your Cost: $91.32/claim|Median: $164.22

0.6× median

A0425Ground mileage, per statute mileSee all providers →

$1.5M

85K claims

$17.73

$23.36

0.8×

Normal range

A0425Normal range

Ground mileage, per statute mile

$1.5M

85K claims · 7.4%

Your Cost: $17.73/claim|Median: $23.36

0.8× median

S0215Non-invasive prenatal screening, fetal chromosomal abnormalitiesSee all providers →

$812K

22K claims

$36.27

$21.33

1.7×

Normal range

S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$812K

22K claims · 4.0%

Your Cost: $36.27/claim|Median: $21.33

1.7× median

A0426Ambulance service, ALS, non-emergency transport, level 1See all providers →

$308K

2,796 claims

$109.99

$104.69

1.1×

Normal range

A0426Normal range

Ambulance service, ALS, non-emergency transport, level 1

$308K

2,796 claims · 1.5%

Your Cost: $109.99/claim|Median: $104.69

1.1× median

A0432 See all providers →

$125K

971 claims

$128.82

$97.68

1.3×

Top 25%

A0432Top 25%

$125K

971 claims · 0.6%

Your Cost: $128.82/claim|Median: $97.68

1.3× median

4701Y See all providers →

$6K

403 claims

$13.77

$16.77

0.8×

Normal range

4701YNormal range

$6K

403 claims · 0.0%

Your Cost: $13.77/claim|Median: $16.77

0.8× median

A0434Ambulance, specialty care transportSee all providers →

$4K

24 claims

$165.36

$252.36

0.7×

Normal range

A0434Normal range

Ambulance, specialty care transport

$4K

24 claims · 0.0%

Your Cost: $165.36/claim|Median: $252.36

0.7× median

A0420 See all providers →

$556

29 claims

$19.18

$27.30

0.7×

Normal range

A0420Normal range

$556

29 claims · 0.0%

Your Cost: $19.18/claim|Median: $27.30

0.7× median

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