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NPI 1093790974 · Albuquerque, NM · Land Ambulance
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Bernalillo County Health Care Corporation is a land ambulance provider located in Albuquerque, New Mexico. This profile covers 7 Medicare and 9 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 | Bernalillo County Health Care Corporation |
| Address | 4500 Montbel Pl Ne |
| City | Albuquerque |
| State | NM |
| ZIP | 87107 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 13, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $80M |
| Medicare | $4.4M |
BERNALILLO COUNTY HEALTH CARE CORPORATION is a land ambulance operator with an NPI enumeration date of 2005-12-13 (~21 years ago), indicating long-tenured operation in the Albuquerque area. The code mix and volumes reported are consistent with a mature emergency/transport service rather than an episodic or new entrant provider.
Payer mix is heavily skewed toward Medicaid: reported Medicaid revenue is $80M versus Medicare revenue of $4.4M, so the provider is effectively Medicaid-dominant in scale. This large absolute Medicaid footprint should be the primary lens for competitive or utilization analysis.
Medicare revenue is highly concentrated in a few ambulance codes: the precomputed top 3 Medicare codes account for 87.2% of the provider's total Medicare revenue. Those top Medicare codes are A0427 (63.8% of Medicare revenue), A0425 (14.2%), and A0429 (9.2%), which shows the Medicare book of business is driven by ALS emergency transports, ground mileage, and BLS emergency transports.
Medicaid revenue is even more concentrated: the precomputed top 3 Medicaid codes account for 92.5% of total Medicaid revenue. The top Medicaid codes are A0427 (64.9%), A0429 (22.9%), and A0428 (4.6%), indicating Medicaid payments are overwhelmingly tied to emergency ALS and BLS transports with a smaller share for non-emergency BLS.
National competitive standing on Medicare is notable for a small set of codes: A0427 for Medicare shows 7.7K claims, $365 avg paid/claim, $2.8M revenue and ranks #69 of 6841 providers nationally (99th percentile; extreme outlier), and A0425 shows 89.2K claims, $7 avg paid/claim, $624.7K revenue and ranks #185 of 8934 providers nationally (98th percentile; notably above typical national volume). These national rank positions identify the provider as an unusually high-volume user of ALS emergency services and ground mileage relative to other Medicare-billing ambulance providers.
Within New Mexico Medicaid, the provider is a dominant statewide supplier for core ambulance services: A0427 reports 188.8K claims, $275 avg paid/claim, $51.9M revenue and ranks #1 of 53 providers in-state (100th percentile; extreme outlier), A0429 reports 66.7K claims, $275 avg paid/claim, $18.4M revenue and ranks #1 of 56 providers in-state (100th percentile; extreme outlier), and A0428 reports 31.7K claims, $117 avg paid/claim, $3.7M revenue and ranks #1 of 27 providers in-state (100th percentile; extreme outlier). These state-leading volumes indicate market dominance in Medicaid ambulance transports across multiple urgent and non-urgent service lines.
Operational signals from claim counts support the emergency and long-distance transport profile: very high ground mileage claims appear on both payers (Medicare A0425: 89.2K claims; Medicaid A0425: 92K claims), and large ALS emergency claim counts (Medicaid A0427: 188.8K claims; Medicare A0427: 7.7K claims) suggest frequent long-haul or geographically extensive runs. Together these figures point to a large operational footprint with heavy reliance on mileage-billed transports and ALS emergency responses.
There are additional notable code-level positions that refine the profile: Medicaid shows meaningful use of A0998 (12.8K claims, $77 avg, $981.8K revenue, rank #2 of 27 in-state, 96th percentile) and A0999 (8.3K claims, $98 avg, $814K revenue, rank #2 of 8 in-state, 86th percentile), while some advanced specialty codes like A0434 remain marginal in dollar impact on Medicare (16 claims, $665 avg, $10.6K revenue, 0.2% of Medicare revenue). These secondary volumes suggest the provider conducts a mix of response-and-treat, unlisted service activity, and limited specialty transports in addition to its core ALS/BLS transport business.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7,690 | $370 | $2.8M |
| A0425 | Ground mileage, per statute mile | 89,240 | $10 | $624.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,340 | $300 | $404.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,590 | $200 | $311.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 550 | $240 | $128.9K |
| A0433 | Advanced life support, level 2 (als 2) | 220 | $530 | $113.6K |
| A0434 | Specialty care transport (sct) | 20 | $670 | $10.6K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 188,760 | $280 | $51.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 66,740 | $280 | $18.4M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 31,720 | $120 | $3.7M |
| A0425 | Ground mileage, per statute mile | 92,000 | $20 | $1.6M |
| A0433 | Advanced life support, level 2 (als 2) | 4,180 | $360 | $1.5M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 9,140 | $120 | $1.1M |
| A0998 | Ambulance response and treatment, no transport | 12,750 | $80 | $981.8K |
| A0999 | Unlisted ambulance service | 8,310 | $100 | $814K |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 1,790 | $40 | $78.7K |
How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Mexico median
9 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) | 1 | 50 | 1,320 | $270 | $2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 60 | 1,850 | $260 | $1.2M |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 710 | $410 | $672.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 30 | 1,050 | $120 | $515.6K |
| A0425 | Ground mileage, per statute mile | 1 | 70 | 2,010 | $50 | $332.1K |
| A0999 | Unlisted ambulance service | 2 | 10 | 1,160 | $70 | $280.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 10 | 560 | $120 | $225.1K |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 1 | 10 | 1,790 | $40 | $79K |
| A0998 | Ambulance response and treatment, no transport | 2 | 30 | 470 | $40 | $77.6K |
Other providers in the same ZIP code as Bernalillo County Health Care Corporation, ranked by combined Medicare and Medicaid revenue.
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