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NPI 1083789564 · Los Angeles, CA · Ambulance
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City Of Los Angeles is a ambulance provider located in Los Angeles, California. This profile covers 4 Medicare and 4 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 Los Angeles |
| Address | 200 N Main St |
| City | Los Angeles |
| State | CA |
| ZIP | 90012 |
| Taxonomy | Ambulance |
| NPI Enumerated | November 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $134.7M |
| Medicare | $17.9M |
The CITY OF LOS ANGELES is operating as an ambulance service (taxonomy: Ambulance) with an NPI enumerated ~20 years ago (2006-11-21), indicating long tenure in Medicare/Medicaid billing and an established emergency transport operation. The dominant CPT/HCPCS codes billed are ambulance-specific (A0427, A0429, A0425), consistent with a core business of emergency advanced life support and basic life support ground transports and mileage reimbursement.
Revenue is heavily concentrated in a very small set of procedure codes for both payers: the precomputed top 3 Medicare codes account for 98.6% of this provider's total Medicare revenue, while the precomputed top 3 Medicaid codes account for 99.3% of total Medicaid revenue. This concentration implies the provider’s financial profile is highly dependent on emergency ambulance transports and associated mileage.
On scale, the provider’s Medicaid revenue ($134.7M) substantially exceeds its Medicare revenue ($17.9M), indicating that Medicaid is the principal payer by dollars received; the operation is effectively Medicaid-dominant in absolute revenue terms. Analysts should therefore treat Medicaid trends and reimbursement changes as the primary driver of this entity’s financial performance.
For Medicare, A0427 (ALS 1 emergency) is the single largest driver: 28.3K claims generating $12.8M and representing 71.5% of the provider’s Medicare revenue, and the provider ranks #3 of 6841 nationally (100th percentile, extreme outlier). This national ranking and percentile position indicate the provider is an exceptionally large Medicare ALS 1 emergency transport provider compared with peers.
For Medicaid, A0427 and A0429 together dominate: A0427 accounts for $76.2M (56.6% of Medicaid revenue) and A0429 accounts for $53.7M (39.9% of Medicaid revenue), with the provider ranking #2 in-state for both codes (100th percentile, extreme outlier). This places the provider as a dominant statewide player for both ALS 1 and BLS emergency ground transports, with those two codes making up the vast majority of Medicaid billings.
Mileage (A0425) contributes meaningfully to both payers but at a much smaller share of revenue: it represents 5.3% of Medicare revenue and 2.9% of Medicaid revenue, and the provider ranks highly (Medicare rank #83 of 8934, Medicaid rank #3 of 580). These patterns are consistent with high-volume ground transport activity where mileage billing is routine but not the primary revenue driver.
Additional high-acuity services are present but represent a small percentage of revenue: A0433 (ALS 2) is a minor revenue contributor on both payers (1.4% of Medicare revenue and 0.7% of Medicaid revenue) yet ranks as an outlier in volume (Medicare rank #9 of 1632; Medicaid rank #1 of 39 in-state). That combination suggests the provider occasionally bills higher-level advanced life support interventions but does so at volumes that are large relative to most peers.
Given the extreme outlier rankings across multiple top codes (100th percentile for A0427 and A0429 nationally/in-state and very high national ranks for A0425 and A0433), the provider should be classified competitively as a major, high-volume municipal ambulance operator relative to both national Medicare and California Medicaid peers. Operational and contract analysts evaluating network adequacy or rate-setting should treat this entity as a central ambulance service with outsized local market impact.
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) | 28,260 | $450 | $12.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10,250 | $380 | $3.9M |
| A0425 | Ground mileage, per statute mile | 135,270 | $10 | $946.9K |
| A0433 | Advanced life support, level 2 (als 2) | 390 | $650 | $254.7K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 276,980 | $280 | $76.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 200,280 | $270 | $53.7M |
| A0425 | Ground mileage, per statute mile | 435,330 | $10 | $3.9M |
| A0433 | Advanced life support, level 2 (als 2) | 3,220 | $280 | $889.3K |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
4 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) | 2 | 250 | 2,420 | $220 | $3.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 390 | 1,270 | $220 | $1.5M |
| A0425 | Ground mileage, per statute mile | 3 | 580 | 3,120 | $30 | $963.2K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 40 | 170 | $210 | $101.5K |
Other providers in the same ZIP code as City Of Los Angeles, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| County Of Los Angeles | CA | Community Health Clinic/Center | $0 | $63.5M |
| Chinatown Service Center | CA | Federally Qualified Health Center (FQHC) | $0 | $55.4M |
| Los Angeles County Department Of Mental Health | CA | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $29.9M |
| Christopher Chu | CA | Cardiovascular Disease Physician | $880.1K | $1.4K |
| Kimberly Chan | CA | Internal Medicine Physician | $407.2K | $0 |
| Osmund Chan | CA | Otolaryngology Physician | $136.3K | $85.8K |
| Jan Duncan | CA | Orthopaedic Surgery of the Spine Physician | $91.1K | $0 |
| Mohammad Sadri | CA | Family Medicine Physician | $41.4K | $0 |
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