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NPI 1083798912 · Omaha, NE · Land Ambulance
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City Of Omaha is a land ambulance provider located in Omaha, Nebraska. 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 | City Of Omaha |
| Address | 1516 Jackson St |
| City | Omaha |
| State | NE |
| ZIP | 68102 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.5M |
| Medicare | $2.2M |
CITY OF OMAHA’s billing mix is concentrated in ground ambulance emergency services: the top Medicare and Medicaid revenue-driving procedures are emergency advanced life support and basic life support transports (A0427 and A0429) plus ground mileage (A0425), with detailed volumes reported for both payers (e.g., Medicare A0427: 3.5K claims, Medicare A0429: 2.5K claims; Medicaid A0427: 30.2K claims, Medicaid A0429: 30.5K claims). This pattern indicates the organization primarily operates as an active municipal EMS/land ambulance service focused on emergency transport rather than non-emergency or ancillary services.
Revenue concentration is extreme on both payers: the top three Medicare codes account for 98.3% of this provider’s total Medicare revenue, led by A0427 (57.8%) and A0429 (34.4%) with A0425 contributing 6.1%. Such concentration means most Medicare dollars flow from a very narrow set of emergency transport services rather than a diversified service portfolio.
Medicaid revenue is likewise highly concentrated: the top three Medicaid codes account for 98.1% of this provider’s total Medicaid revenue, with A0427 at 61.1%, A0429 at 33.3%, and A0425 at 3.6%. The Medicaid revenue pool is much larger in scale than Medicare for this provider (Medicaid $10.5M vs Medicare $2.2M), so shifts in Medicaid reimbursement or utilization of these few codes would have outsized budgetary impact.
Payer mix is Medicaid-dominant: total reported Medicaid revenue ($10.5M) substantially exceeds total reported Medicare revenue ($2.2M), and high Medicaid claim volumes (for example, A0427: 30.2K claims; A0429: 30.5K claims) drive that difference despite lower per-claim Medicaid payment rates (Medicaid A0427 avg paid/claim $213 vs Medicare A0427 avg paid/claim $374). This indicates operational reliance on high Medicaid transport volume rather than Medicare unit prices.
On national Medicare metrics the provider ranks well above typical peers for emergency transports: A0427 ranks #196 of 6841 providers nationally (97th percentile) and A0429 ranks #148 of 7808 providers nationally (98th percentile), both described as "notably above typical national volume." Those percentiles position the provider as a major national-volume performer for these specific ambulance codes rather than a modest participant.
Within Nebraska Medicaid peers the provider is a dominant state-level performer for emergency transport volume: A0427 and A0429 both rank #2 in-state (96th percentile) with A0429 labeled an "extreme outlier, far above typical state volume." This suggests CITY OF OMAHA is one of the largest Medicaid ambulance operators in-state for emergency ALS and BLS transports.
The operational profile shows limited non-emergency revenue: non-emergency ALS and BLS codes (e.g., A0426, A0428) and ALS level 2 (A0433) contribute only small shares of Medicaid revenue (each reported at under 1% or 0.2% of Medicaid revenue) and have modest claim counts, indicating the provider’s service mix is heavily skewed toward emergency response rather than scheduled or interfacility transport.
Tenure is long-standing: the NPI was enumerated on 2006-10-25 (~20 years ago), consistent with an established municipal EMS presence that has accumulated large claim volumes over time. Combined longevity and the concentrated, high-volume code mix underline both operational experience in emergency ambulance services and exposure to payer-specific policy or rate changes affecting A0427/A0429/A0425.
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) | 3,480 | $370 | $1.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,460 | $320 | $773.3K |
| A0425 | Ground mileage, per statute mile | 19,590 | $10 | $137.2K |
| A0433 | Advanced life support, level 2 (als 2) | 70 | $530 | $39.2K |
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 30,200 | $210 | $6.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 30,510 | $120 | $3.5M |
| A0425 | Ground mileage, per statute mile | 41,980 | $10 | $377.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 300 | $330 | $99.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 650 | $130 | $85.7K |
| A0433 | Advanced life support, level 2 (als 2) | 100 | $190 | $19.8K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska 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) | 4 | 10 | 70 | $50 | $933.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2 | 30 | 990 | $180 | $864.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 30 | 730 | $110 | $424.2K |
| A0425 | Ground mileage, per statute mile | 2 | 50 | 350 | $30 | $280.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 10 | 140 | $100 | $220.7K |
| A0433 | Advanced life support, level 2 (als 2) | 2 | 10 | 100 | $150 | $79.3K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 1 | 10 | 30 | $0 | $0 |
Other providers in the same ZIP code as City Of Omaha, ranked by combined Medicare and Medicaid revenue.
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