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NPI 1083654487 · Elgin, IL · Land Ambulance
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City Of Elgin is a land ambulance provider located in Elgin, Illinois. This profile covers 4 Medicare and 3 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 Elgin |
| Address | 150 Dexter Ct |
| City | Elgin |
| State | IL |
| ZIP | 60120 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $34.5M |
| Medicare | $873K |
CITY OF ELGIN is a land ambulance operator that bills almost exclusively for emergency ground transport services, with the top Medicare and Medicaid procedure codes all related to emergency ambulance care (A0427, A0429, A0425). The precomputed concentration figures show the top 3 Medicare codes account for 98.9% of Medicare revenue and the top 3 Medicaid codes account for 100.0% of Medicaid revenue, indicating the business is narrowly focused on a small set of transport and mileage services.
The provider’s payer mix is heavily Medicaid-weighted in scale: total Medicaid revenue is $34.5M compared with total Medicare revenue of $873K, signaling that Medicaid is the dominant revenue source for this entity rather than Medicare. Analysts should treat this as effectively a Medicaid-driven operation when evaluating revenue risk, reimbursement sensitivity, or contract negotiations.
Medicaid revenue is concentrated in two core transport services: A0429 generated $21.8M (63.3% of Medicaid revenue) across 13.2K claims at $1655 avg paid/claim, and A0427 generated $12.2M (35.4% of Medicaid revenue) across 8.8K claims at $1394 avg paid/claim, with A0425 (ground mileage) contributing $449.7K (1.3%). The dataset’s in-state rank placement for these codes (A0429 #15 of 339 at the 96th percentile; A0427 #28 of 362 at the 93th percentile; A0425 #27 of 448 at the 94th percentile) indicates a high-volume, prominent statewide position for Medicaid emergency transport services, though each code is described in the source as typical, unremarkable volume for the code.
On Medicare, A0427 is the top revenue driver with $556.2K (63.7% of Medicare revenue) and A0429 is second with $246.7K (28.3%), while A0425 accounts for $60.4K (6.9%). National ranking shows solid percentile placement (A0427 #554 of 6841, 92th percentile; A0429 #806 of 7808, 90th percentile; A0425 #2259 of 8934, 75th percentile) but the source characterizes these positions as typical, unremarkable volume, so the provider is not an outsized national leader on Medicare despite being well-represented for these ambulance codes.
Reimbursement patterns differ markedly between payers on a per-claim basis: for A0427 Medicare avg paid/claim is $416 while Medicaid avg paid/claim is $1394, and for A0429 Medicare avg paid/claim is $348 versus Medicaid $1655. These large per-claim differences suggest payer-specific rate structures are a key determinant of revenue mix and that Medicaid payments are materially higher per transport for this provider.
Ground mileage (A0425) shows very high claim counts (22.5K Medicaid claims and 8.6K Medicare claims) but contributes only a small share of revenue on each payer ($449.7K Medicaid, $60.4K Medicare). This pattern—high volume but low revenue share—is consistent with mileage being a high-frequency, low-dollar component of transport billing; the code is nevertheless placed in high state/national percentiles while being characterized as typical, unremarkable volume for the code.
The provider’s competitive standing is asymmetric by payer: in-state Medicaid rankings place CITY OF ELGIN among the top performers for core transport codes (e.g., A0429 at the 96th percentile and A0427 at the 93th percentile), implying a major local role in Medicaid ambulance services, whereas national Medicare percentiles (92th and 90th for A0427 and A0429) reflect a respectable but not dominant national footprint and are explicitly described as typical, unremarkable volume.
CITY OF ELGIN has an established tenure in the NPI registry (enumerated 2006-06-07, ~20 years ago), which supports interpreting its current billing patterns as the output of a longstanding, stable ambulatory transport operation rather than a new entrant with volatile early-period claims patterns.
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) | 1,340 | $420 | $556.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 710 | $350 | $246.7K |
| A0425 | Ground mileage, per statute mile | 8,630 | $10 | $60.4K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $610 | $9.7K |
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13,170 | $1,660 | $21.8M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8,760 | $1,390 | $12.2M |
| A0425 | Ground mileage, per statute mile | 22,490 | $20 | $449.7K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
3 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) | 28 | 360 | 1,340 | $910 | $4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 15 | 340 | 1,050 | $770 | $2.8M |
| A0425 | Ground mileage, per statute mile | 27 | 450 | 2,450 | $40 | $602.5K |
Other providers in the same ZIP code as City Of Elgin, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Greater Family Health | IL | Federally Qualified Health Center (FQHC) | $0 | $82M |
| Vna Health Care | IL | Federally Qualified Health Center (FQHC) | $0 | $18.5M |
| Greater Family Health | IL | Federally Qualified Health Center (FQHC) | $0 | $10.8M |
| Rapid Healthcare Laboratory LLC | IL | Clinical Medical Laboratory | $2.4M | $7.4M |
| School District U46 | IL | Local Education Agency (LEA) | $0 | $6.5M |
| Amjad Mahairi | IL | Dentist | $0 | $4.6M |
| Gloria Ma | IL | Anatomic Pathology & Clinical Pathology Physician | $87.6K | $3.9M |
| Maurice Binns | IL | Emergency Medicine Physician | $65.5K | $522.5K |
| Alex Sanchez | IL | Geriatric Medicine (Internal Medicine) Physician | $361.7K | $182.9K |
| Heena Shyamani | IL | Internal Medicine Physician | $313.3K | $59.6K |
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