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NPI 1033215348 · Winter Park, FL · Ambulance
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Orange County Board Of County Commissioners is a ambulance provider located in Winter Park, Florida. This profile covers 4 Medicare and 4 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 | Orange County Board Of County Commissioners |
| Address | 6590 Amory Ct |
| City | Winter Park |
| State | FL |
| ZIP | 32792 |
| Taxonomy | Ambulance |
| NPI Enumerated | September 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $14.7M |
| Medicare | $4.6M |
This provider is an ambulance-focused operation: the top billed services are emergency transport and related mileage codes (notably A0427, A0429, A0425), consistent with a fleet that primarily provides advanced life support and basic life support emergency transports rather than non-transport or clinic-based services. The dominance of A0427 (ALS 1) in both payers indicates a clinical emphasis on higher-acuity emergency ambulance responses.
Revenue is highly concentrated in a very small set of transport codes for each payer. For Medicare the top 3 codes account for 98.3% of Medicare revenue and are led by A0427 (78.0% of Medicare revenue), while for Medicaid the top 3 codes account for 99.0% of Medicaid revenue and are led by A0427 (86.5% of Medicaid revenue), indicating almost all billed revenue comes from a narrow emergency-transport service line.
Payer mix is skewed toward Medicaid by scale: reported lifetime revenues are $4.6M from Medicare and $14.7M from Medicaid, making Medicaid the larger single source of billed revenue for this entity. Analysts should treat this provider as effectively Medicaid-majority in lifetime revenue terms when modeling exposure to state payment policies.
On Medicare A0427 the provider is a national outlier—A0427 has 9.5K claims, $384 avg paid/claim, $3.6M revenue (78.0% of Medicare revenue) and the provider ranks #47 of 6841 (99th percentile; extreme outlier). This rank indicates unusually high national volume for ALS 1 emergency transport and positions the provider as a national-level high-volume supplier for that specific code.
On Medicaid the provider is a dominant in-state supplier of ALS 1 emergency transport: A0427 shows 102.2K claims, $124 avg paid/claim, $12.7M revenue (86.5% of Medicaid revenue) and ranks #3 of 163 providers in-state (99th percentile; extreme outlier). That in-state ranking signals the provider is one of the largest Medicaid-billed ALS 1 ambulance services in the state and likely a major source of Medicaid emergency transport capacity locally.
Other transport-related codes also show above-typical volume and scale, reinforcing a high-activity transport operation. For Medicare A0425 (ground mileage) appears with 65.1K claims, $7 avg paid/claim, $455.9K revenue (9.8% of Medicare revenue) and ranks #279 of 8934 (97th percentile; notably above typical national volume), while on Medicaid A0425 has 76.6K claims, $2 avg paid/claim, $153.1K revenue (1.0% of Medicaid revenue) and ranks #9 of 190 in-state (96th percentile). These mileage volumes are consistent with frequent or long-distance transports as part of routine operations.
There is limited service diversification: besides A0427 and A0429, lower-revenue codes like A0433 appear only as minor contributors (Medicare A0433 1.7% of Medicare revenue; Medicaid A0433 1.1% of Medicaid revenue), which suggests the operation is not broadly diversified into non-emergency or ancillary ambulance services. That concentration creates exposure to reimbursement changes or policy shifts that affect the handful of high-revenue transport codes.
The provider has long tenure in the Medicare/Medicaid ecosystem, with NPI enumeration on 2006-09-15 (~20 years ago), supporting the interpretation that the observed high volumes and payer relationships are established rather than transient. Combined with extreme outlier ranks for A0427 in both Medicare and Medicaid, the long tenure strengthens the inference of a sustained, high-volume emergency-transport business model.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9,470 | $380 | $3.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,510 | $320 | $486.9K |
| A0425 | Ground mileage, per statute mile | 65,130 | $10 | $455.9K |
| A0433 | Advanced life support, level 2 (als 2) | 140 | $550 | $79.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 102,180 | $120 | $12.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 16,140 | $100 | $1.7M |
| A0433 | Advanced life support, level 2 (als 2) | 1,120 | $140 | $156.9K |
| A0425 | Ground mileage, per statute mile | 76,560 | $1 | $153.1K |
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3 | 160 | 4,450 | $110 | $1.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19 | 140 | 2,650 | $90 | $697.1K |
| A0425 | Ground mileage, per statute mile | 9 | 190 | 6,580 | $10 | $250.6K |
| A0433 | Advanced life support, level 2 (als 2) | 9 | 30 | 260 | $140 | $111.6K |
Other providers in the same ZIP code as Orange County Board Of County Commissioners, ranked by combined Medicare and Medicaid revenue.
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