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NPI 1053487025 · Palmer, AK · Land Ambulance
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City & Borough Of Juneau Alaska is a land ambulance provider located in Palmer, Alaska. This profile covers 5 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 | City & Borough Of Juneau Alaska |
| Address | 610 S Bailey St |
| City | Palmer |
| State | AK |
| ZIP | 99645 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.4M |
| Medicare | $580.5K |
CITY & BOROUGH OF JUNEAU ALASKA bills primarily as a land ambulance service: the top Medicare revenue codes are A0427 (ALS 1 emergency), A0429 (BLS emergency) and A0425 (ground mileage), and the Medicaid top revenue codes are A0428 (BLS non-emergency), A0429 (BLS emergency) and A0427 (ALS 1 emergency). This mix indicates an operational focus on emergency and non-emergency ground transport rather than specialty procedures or facility-based care, with routine billing for both basic and advanced life support and mileage.
Revenue concentration is high on both payers. For Medicare the precomputed top 3 codes account for 95.5% of total Medicare revenue, demonstrating that a very small set of ambulance transport services drive nearly all Medicare receipts; for Medicaid the top 3 codes make up 96.6% of total Medicaid revenue, showing similar concentration around core transport services and mileage.
Payer mix is skewed toward Medicaid in scale: reported lifetime Medicare revenue is $580.5K while lifetime Medicaid revenue is $2.4M, indicating the provider generates substantially more revenue from Medicaid than Medicare and functions effectively as a Medicaid-oriented ambulance provider at scale.
On Medicare the provider’s highest-revenue code A0427 (ALS 1 emergency) generated $294.1K and ranks #1360 of 6841 nationally (80th percentile), and A0429 generated $206.5K and ranks #1208 of 7808 (84th percentile). These percentiles place the provider as a typical, unremarkable-volume participant nationally for those emergency transport codes rather than a dominant national player.
Within-state competitive standing on Medicaid is stronger for core codes: A0429 ranks #2 of 22 in-state (95th percentile) and A0427 ranks #2 of 16 in-state (93rd percentile), while A0428 ranks #5 of 23 (82nd percentile). These placements indicate the provider is among the leading in-state billers for both emergency and non-emergency ground transport, particularly for BLS emergency and ALS emergency services.
Operational detail from claim-level metrics supports a large-volume transport operation for Medicaid: A0428 shows 4.8K claims and $1.2M revenue, A0429 shows 9.2K claims and $653.5K revenue, and A0427 shows 8.3K claims and $490.7K revenue. The high claim counts paired with relatively lower per-claim Medicaid payments (e.g., $71 for A0429, $59 for A0427) suggest reliance on frequent transports rather than high unit prices.
Medicare payment patterns differ from Medicaid in per-claim rates and claim counts: Medicare A0427 averaged $528 paid/claim over 557 claims while Medicare A0429 averaged $445 paid/claim over 464 claims, reflecting higher per-claim Medicare reimbursements on these emergency transport codes despite much smaller Medicare claim volumes versus Medicaid. This gap underscores the provider’s operational scale advantage on Medicaid but higher per-event revenue on Medicare.
Tenure and stability: the NPI was enumerated on 2006-11-28 (~20 years ago), indicating long-term presence in the market which supports the observed high cumulative Medicaid volumes and the provider’s established role in local ambulance services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 560 | $530 | $294.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 460 | $450 | $206.5K |
| A0425 | Ground mileage, per statute mile | 5,730 | $10 | $51.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 70 | $280 | $19.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $340 | $6.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,830 | $250 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9,200 | $70 | $653.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8,320 | $60 | $490.7K |
| A0425 | Ground mileage, per statute mile | 17,940 | $1 | $71.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 50 | $190 | $9.8K |
How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alaska median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 20 | 2,190 | $200 | $854.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 20 | 1,410 | $80 | $387.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2 | 20 | 850 | $70 | $352.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5 | 10 | 90 | $70 | $103.1K |
| A0425 | Ground mileage, per statute mile | 4 | 30 | 3,170 | $10 | $67.5K |
Other providers in the same ZIP code as City & Borough Of Juneau Alaska, ranked by combined Medicare and Medicaid revenue.
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