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NPI 1053377713 · San Antonio, TX · Land Ambulance
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City Of San Antonio Texas is a land ambulance provider located in San Antonio, Texas. This profile covers 4 Medicare and 7 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 | City Of San Antonio Texas |
| Address | 315 S Santa Rosa Ave |
| City | San Antonio |
| State | TX |
| ZIP | 78207 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | April 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.7M |
| Medicare | $4.4M |
City of San Antonio Texas reports materially larger Medicaid volume than Medicare, with total Medicare revenue of $4.4M versus total Medicaid revenue of $12.7M. This indicates a dual-payer operation that is Medicaid-dominant at present rather than effectively single-payer.
Taxonomy listed as Land Ambulance and the dominant CPT/HCPCS mix (A0427, A0429, A0425) point to core operations being emergency ground ambulance transports (advanced life support and basic life support) plus significant mileage billing. The Medicaid listing of disposable supplies codes A0398 and A0382 further supports that the operation provides staffed EMS transports with routine supply usage rather than non-transport services.
Medicare revenue is highly concentrated: the provider’s top three Medicare codes account for 97.4% of total Medicare revenue, driven by A0427 ($2.8M, 63.3% of Medicare), A0429 ($1.1M, 25.6% of Medicare), and A0425 ($378.4K, 8.5% of Medicare). This concentration indicates most Medicare dollars flow from emergency ALS/BLS transports plus mileage rather than a broad set of ancillary ambulance services.
Medicaid revenue is likewise concentrated: the top three Medicaid codes account for 95.4% of total Medicaid revenue, led by A0427 ($8.2M, 64.7% of Medicaid), A0429 ($2.8M, 22.4% of Medicaid), and A0425 ($1.1M, 8.3% of Medicaid). The dependence on the same transport and mileage codes across payers suggests a consistent service mix across Medicare and Medicaid populations.
On Medicare competitive standing the provider is a high-volume outlier for emergency transports: A0427 ranks #77 of 6841 (99th percentile; extreme outlier) and A0429 ranks #86 of 7808 (99th percentile; extreme outlier), while A0425 ranks #350 of 8934 (96th percentile; typical, unremarkable volume). These rankings indicate this provider is far above typical national volume for ALS and BLS emergency transports billed to Medicare.
On Medicaid competitive standing the provider is a dominant in-state player for emergency ambulance services: A0427 ranks #7 of 317 (98th percentile; extreme outlier), A0429 ranks #10 of 310 (97th percentile; notably above typical), and A0425 ranks #9 of 496 (98th percentile; notably above typical). Additional supply codes show similarly elevated in-state ranks (A0398 ranks #4 of 183, 98th percentile; extreme outlier), reinforcing a leading statewide position for transport and consumable-supply billing.
Operational-scale indicators show very high claim volumes: Medicare A0427 has 7.3K claims and A0429 has 3.5K claims while Medicare A0425 records 54.1K mileage claims; on the Medicaid side A0427 has 44.7K claims, A0429 has 19.9K claims, and A0425 has 65.7K mileage claims. Average paid-per-claim differs markedly by payer for the same services (for example A0427 averages $386 on Medicare vs $183 on Medicaid, and A0429 averages $324 on Medicare vs $142 on Medicaid), signaling significant reimbursement rate differentials across payers for the same transport services.
NPI enumeration date is 2006-04-21 (~20 years ago), indicating a long-tenured provider. Combined with the sustained high-volume ranks and concentrated revenue base, the profile is consistent with an established municipal ambulance operation whose financial performance will be particularly sensitive to changes in ambulance reimbursement and transport utilization trends.
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) | 7,310 | $390 | $2.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,520 | $320 | $1.1M |
| A0425 | Ground mileage, per statute mile | 54,060 | $10 | $378.4K |
| A0433 | Advanced life support, level 2 (als 2) | 210 | $560 | $114.6K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 44,750 | $180 | $8.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19,940 | $140 | $2.8M |
| A0425 | Ground mileage, per statute mile | 65,730 | $20 | $1.1M |
| A0398 | Als routine disposable supplies | 24,350 | $10 | $267.9K |
| A0433 | Advanced life support, level 2 (als 2) | 620 | $310 | $192.8K |
| A0382 | Bls routine disposable supplies | 10,420 | $10 | $114.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 750 | $10 | $9.7K |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
7 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) | 7 | 320 | 920 | $180 | $720.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10 | 310 | 500 | $160 | $474.9K |
| A0425 | Ground mileage, per statute mile | 9 | 500 | 1,970 | $40 | $284.3K |
| A0433 | Advanced life support, level 2 (als 2) | 5 | 30 | 110 | $560 | $224.9K |
| A0382 | Bls routine disposable supplies | 12 | 220 | 460 | $10 | $31.6K |
| A0398 | Als routine disposable supplies | 4 | 180 | 420 | $10 | $29.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 24 | 90 | 270 | $20 | $15.6K |
Other providers in the same ZIP code as City Of San Antonio Texas, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Barrio Comprehensive Family Health Care Center, Inc. | TX | Federally Qualified Health Center (FQHC) | $0 | $147.8M |
| Charles S. Ramon, LLC. | TX | Home Health Agency | $0 | $70.6M |
| Christus Santa Rosa Health Care Corporation | TX | Children's Hospital | $0 | $69.1M |
| Community Medicine Associates | TX | Family Medicine Physician | $0 | $37.4M |
| Baylor College Of Medicine | TX | Pediatrics Physician | $0 | $26.1M |
| Davila Pharmacy, Inc. | TX | Pharmacy | $0 | $13.4M |
| Renal Associates, P.A. | TX | Ambulatory Surgical Clinic/Center | $2.8M | $280.7K |
| Darrell Baskin | TX | Ophthalmology Physician | $2.2M | $0 |
| Mark Collazo | TX | Family Nurse Practitioner | $742.5K | $0 |
| Erika Gonzalez | TX | Allergy & Immunology Physician | $467.9K | $5.3K |
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