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NPI 1073549549 · Owasso, OK · Ambulance
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Centurion Health Systems, Inc is a ambulance provider located in Owasso, Oklahoma. This profile covers 7 Medicare and 8 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 | Centurion Health Systems, Inc |
| Address | 9106 N Garnett Rd |
| City | Owasso |
| State | OK |
| ZIP | 74055 |
| Taxonomy | Ambulance |
| NPI Enumerated | June 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.2M |
| Medicare | $2.9M |
CENTURION HEALTH SYSTEMS, INC is a ground and advanced/basic life-support ambulance operator: Medicare and Medicaid top codes are dominated by ground mileage (A0425) and ALS/BLS transport codes (A0427, A0428), indicating core operations are patient transport and on-scene advanced/basic life support rather than unrelated outpatient services. The presence of A0434 (Specialty care transport) in Medicare top codes further suggests capability for higher-acuity, interfacility transports.
Revenue concentration is high on both payers: the top three Medicare codes account for 87.8% of total Medicare revenue and the top three Medicaid codes account for 90.3% of total Medicaid revenue, showing that a small set of ambulance transport and mileage services drive nearly all billed revenue. This concentration implies that shifts in reimbursement or utilization for those specific codes would materially affect the provider’s financials.
Payer mix skews toward Medicaid by scale: reported lifetime Medicaid revenue is $8.2M versus total Medicare revenue of $2.9M, indicating this provider derives substantially more lifetime revenue from Medicaid than Medicare and functions prominently in Medicaid-covered transport markets. Analysts should therefore prioritize state-level Medicaid contracting, reimbursement trends, and utilization management when assessing financial risk.
Competitive standing on Medicare is mixed but nationally notable for mileage: A0425 (ground mileage) generates $1.1M and ranks #61 of 8934 providers nationally (99th percentile), labeled an extreme outlier and indicating extraordinarily high national volume for mileage billing relative to peers. By contrast, A0427 and A0428 rank in the high percentiles but at more typical volumes (95th and 92nd percentiles respectively), positioning the provider as a strong but not unique player for specific ALS/BLS services.
In-state competitive position for Medicaid shows regional prominence across multiple ambulance codes: A0425 ranks #5 of 111 providers in-state (96th percentile) and A0428 ranks #3 of 47 providers in-state (96th percentile), with both called notably above or typical; these placements indicate CENTURION is among the leading ambulance mileage and BLS non-emergency transport providers in Oklahoma. A0427 also ranks highly in-state (#7 of 87, 93rd percentile), reinforcing a strong statewide footprint for emergency ALS transports.
Specific code-level utilization signals operational emphasis on mileage and high-volume non-emergency transports in Medicaid where A0425 and A0428 together represent a large share of Medicaid revenue (A0425 is 38.3% and A0428 is 18.1% of total Medicaid revenue). The high claim counts reported for these codes (e.g., A0425 with 28.8K Medicaid claims) point to frequent, routine transport activity rather than occasional specialty-only work.
Tenure in the NPI registry is long: the NPI was enumerated on 2006-06-24 (~20 years ago), indicating two decades of operation under this registration which supports established relationships with payers and familiarity with Medicare and Medicaid billing processes. This longevity reduces the likelihood that current patterns are due solely to a new entrant effect.
There are statistical outliers worth monitoring for payer audits or utilization review: on Medicare, A0425 is explicitly called an "extreme outlier" nationally, and on Medicaid A0428 is described as "notably above typical state volume." These labels identify areas where utilization or billing intensity departs substantially from peer norms and where payers may focus oversight or seek additional documentation.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 160,170 | $10 | $1.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,870 | $400 | $748.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,260 | $200 | $643K |
| A0434 | Specialty care transport (sct) | 260 | $660 | $171.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 320 | $240 | $76.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 200 | $310 | $63.9K |
| A0433 | Advanced life support, level 2 (als 2) | 70 | $590 | $38.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 28,790 | $110 | $3.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 11,770 | $240 | $2.8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 14,130 | $110 | $1.5M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,290 | $170 | $387.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,640 | $240 | $384.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1,240 | $10 | $16.2K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $400 | $4.7K |
| A0434 | Specialty care transport (sct) | 10 | $140 | $1.9K |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
8 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 | 90 | 1,320 | $240 | $1.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 27 | 80 | 760 | $210 | $554.1K |
| A0425 | Ground mileage, per statute mile | 5 | 110 | 2,080 | $60 | $501.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 50 | 370 | $120 | $286.5K |
| A0433 | Advanced life support, level 2 (als 2) | 9 | 10 | 100 | $340 | $187.8K |
| A0434 | Specialty care transport (sct) | 6 | 10 | 170 | $450 | $169.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7 | 40 | 90 | $160 | $132.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2 | 10 | 980 | $10 | $17.8K |
Other providers in the same ZIP code as Centurion Health Systems, Inc, ranked by combined Medicare and Medicaid revenue.
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