Is SENIORCARE EMERGENCY MEDICAL SERVICES INC. flagged for Medicaid fraud?

SENIORCARE EMERGENCY MEDICAL SERVICES INC. (NPI: 1265542765) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does SENIORCARE EMERGENCY MEDICAL SERVICES INC. bill Medicaid?

SENIORCARE EMERGENCY MEDICAL SERVICES INC. received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Emergency Medical Technician, Paramedic provider. Located in BRONX, NY.

What is NPI 1265542765?

NPI 1265542765 is the National Provider Identifier for SENIORCARE EMERGENCY MEDICAL SERVICES INC.. They are a Emergency Medical Technician, Paramedic provider based in BRONX, NY. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

SENIORCARE EMERGENCY MEDICAL SERVICES INC.

Emergency Medical Technician, Paramedic·BRONX, NY·NPI: 1265542765Share

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

Total Paid

$88.6M

$88,634,718

Total Claims

910K

Beneficiaries

770K

1.2 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018

$7.7M

+50%

2019

$11.5M

+10%

2020

$12.7M

+6%

2021

$13.5M

+5%

2022

$14.2M

+5%

2023

$14.9M

-6%

2024

$14.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (A0429 (Ambulance, BLS emergency transport)) accounts for 62% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

A0429Ambulance, BLS emergency transportSee all providers →

$54.7M

364K claims

$150.21

$138.19

1.1×

Normal range

A0429Normal range

Ambulance, BLS emergency transport

$54.7M

364K claims · 61.7%

Your Cost: $150.21/claim|Median: $138.19

1.1× median

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

$11.5M

122K claims

$94.31

$58.05

1.6×

Normal range

A0428Normal range

Ambulance service, BLS, non-emergency transport

$11.5M

122K claims · 12.9%

Your Cost: $94.31/claim|Median: $58.05

1.6× median

A0427Ambulance, ALS emergency transport Level 1See all providers →

$11.4M

58K claims

$196.50

$164.22

1.2×

Normal range

A0427Normal range

Ambulance, ALS emergency transport Level 1

$11.4M

58K claims · 12.9%

Your Cost: $196.50/claim|Median: $164.22

1.2× median

A0999Unlisted ambulance serviceSee all providers →

$3.9M

5,775 claims

$682.47

$45.53

15.0×

Normal range

A0999Normal range

Unlisted ambulance service

$3.9M

5,775 claims · 4.4%

Your Cost: $682.47/claim|Median: $45.53

15.0× median

A0425Ground mileage, per statute mileSee all providers →

$3.1M

333K claims

$9.17

$23.36

0.4×

Normal range

A0425Normal range

Ground mileage, per statute mile

$3.1M

333K claims · 3.4%

Your Cost: $9.17/claim|Median: $23.36

0.4× median

A0434Ambulance, specialty care transportSee all providers →

$2.7M

11K claims

$238.68

$252.36

0.9×

Normal range

A0434Normal range

Ambulance, specialty care transport

$2.7M

11K claims · 3.1%

Your Cost: $238.68/claim|Median: $252.36

0.9× median

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

$1.3M

5,151 claims

$245.12

$104.69

2.3×

Top 10%

A0426Top 10%

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

$1.3M

5,151 claims · 1.4%

Your Cost: $245.12/claim|Median: $104.69

2.3× median

A0422 See all providers →

$59K

4,714 claims

$12.61

$9.63

1.3×

Top 25%

A0422Top 25%

$59K

4,714 claims · 0.1%

Your Cost: $12.61/claim|Median: $9.63

1.3× median

A0170 See all providers →

$15K

2,543 claims

$5.74

$3.07

1.9×

Normal range

A0170Normal range

$15K

2,543 claims · 0.0%

Your Cost: $5.74/claim|Median: $3.07

1.9× median

A0380BLS mileage, per mileSee all providers →

$14K

2,284 claims

$6.23

$20.61

0.3×

Normal range

A0380Normal range

BLS mileage, per mile

$14K

2,284 claims · 0.0%

Your Cost: $6.23/claim|Median: $20.61

0.3× median

A0998 See all providers →

$8K

451 claims

$18.76

$63.75

0.3×

Normal range

A0998Normal range

$8K

451 claims · 0.0%

Your Cost: $18.76/claim|Median: $63.75

0.3× median

A0888 See all providers →

$2K

846 claims

$1.87

$0.65

2.9×

Normal range

A0888Normal range

$2K

846 claims · 0.0%

Your Cost: $1.87/claim|Median: $0.65

2.9× median

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