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NPI 1083715460 · Brooklyn, NY · Land Ambulance
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New York City Health And Hospitals Corporation is a land ambulance provider located in Brooklyn, New York. 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 | New York City Health And Hospitals Corporation |
| Address | 9 Metrotech Ctr |
| City | Brooklyn |
| State | NY |
| ZIP | 11201 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | September 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $363.8M |
| Medicare | $19.9M |
The provider’s taxonomy (Land Ambulance) and dominant code mix indicate it operates as a large emergency ground-ambulance service focused on both basic and advanced life support transports. The top revenue-driving CPT/HCPCS codes are A0429 (basic life support, emergency transport) and A0427 (advanced life support, emergency transport), with ancillary billing for ground mileage (A0425) and higher-level ALS (A0433), which together reflect an operational model centered on high-volume EMS dispatch and transport rather than elective non-emergent work.
Medicare revenue is highly concentrated: the precomputed top-three Medicare codes account for 97.8% of the provider’s total Medicare revenue, led by A0429 (61.3% of Medicare revenue), A0427 (32.6%), and A0425 (3.9%). This concentration means Medicare dollars are overwhelmingly tied to a small set of transport-related services, creating exposure to rate or policy changes that affect those codes.
Medicaid revenue is even more concentrated: the precomputed top-three Medicaid codes account for 99.5% of the provider’s total Medicaid revenue, with A0429 providing 74.5% of Medicaid revenue and A0427 providing 24.5%. In practical terms, Medicaid payments for BLS and ALS emergency transport dominate the provider’s Medicaid receipts, leaving very little revenue from other procedure codes.
The provider’s payer mix is heavily Medicaid-weighted in scale: total Medicare revenue is $19.9M while total Medicaid revenue is $363.8M, so Medicaid represents the primary revenue source by a large margin. Analysts should treat this entity as effectively Medicaid-dominant for strategic or contracting considerations, rather than as a Medicare-centric operation.
Competitive standing on Medicare is nationally exceptional for core transport codes: A0429 ranks #2 of 7808 providers nationally (100th percentile; extreme outlier) and A0427 ranks #11 of 6841 providers nationally (100th percentile; extreme outlier), with A0433 also ranking #2 of 1632 (100th percentile; extreme outlier) and A0425 at #119 of 8934 (99th percentile; extreme outlier). These ranks indicate the provider is a major national outlier in volume for emergency ambulance services billed to Medicare, not a typical local participant.
Competitive standing on Medicaid is dominant statewide for the same transport codes: A0429, A0427, A0425 and A0433 all rank #1 in-state (100th percentile; extreme outlier for each listed), and claim volumes are extremely high (for example, A0429 shows 1.6M Medicaid claims and A0427 shows 452.8K Medicaid claims). This combination of top ranks and very large claim counts signals market leadership in New York for Medicaid-paid ambulance transports.
Operational implications of volumes and unit payments: the provider reports very large claim volumes (Medicare A0429: 31.9K claims; Medicare A0427: 14.2K claims; Medicaid A0429: 1.6M claims; Medicaid A0427: 452.8K claims) while average paid-per-claim differs by payer (e.g., A0429: $384 Medicare vs $174 Medicaid; A0427: $458 Medicare vs $197 Medicaid). Those differences imply the organization must manage high operational capacity (fleet, staffing, and dispatch) to support millions of Medicaid transports while also reconciling material payer-rate disparities across the same service lines.
The provider has long tenure on file (NPI enumerated 2006-09-26, ~20 years ago), which combined with its dominant billing footprint suggests an established, large-scale municipal or health-system ambulance operation. Secondary and low-revenue codes on Medicaid (for example, 99080 at 53 claims with $0 revenue and A0428 at 19 claims with $0 revenue) are negligible relative to the core BLS/ALS transport mix and do not materially diversify the revenue base.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 31,900 | $380 | $12.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 14,210 | $460 | $6.5M |
| A0425 | Ground mileage, per statute mile | 110,610 | $10 | $774.3K |
| A0433 | Advanced life support, level 2 (als 2) | 660 | $670 | $437.6K |
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,557,840 | $170 | $271.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 452,780 | $200 | $89.2M |
| A0425 | Ground mileage, per statute mile | 571,450 | $1 | $1.7M |
| A0433 | Advanced life support, level 2 (als 2) | 7,570 | $210 | $1.6M |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 17,130 | $10 | $154.2K |
| 99080 | The provider completes forms or reports related to the patient's status or situation in addition to standard documentation. | 50 | $0 | $0 |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 83 | 90 | 2,220 | $120 | $1.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 420 | 950 | $170 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1 | 310 | 830 | $200 | $1.1M |
| A0425 | Ground mileage, per statute mile | 1 | 480 | 1,360 | $20 | $191.3K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 230 | $210 | $181.1K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 10 | 380 | $10 | $31.3K |
| 99080 | The provider completes forms or reports related to the patient's status or situation in addition to standard documentation. | 702 | 880 | 210 | $1 | $110 |
Other providers in the same ZIP code as New York City Health And Hospitals Corporation, ranked by combined Medicare and Medicaid revenue.
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