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NPI 1114133246 · Aurora, IL · Land Ambulance
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City Of Aurora Illinois is a land ambulance provider located in Aurora, 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 Aurora Illinois |
| Address | 44 E Downer Pl |
| City | Aurora |
| State | IL |
| ZIP | 60505 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 15, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $39.5M |
| Medicare | $946.5K |
CITY OF AURORA ILLINOIS shows a heavily Medicaid-weighted revenue profile: total Medicaid revenue is $39.5M compared with total Medicare revenue of $946.5K, indicating Medicaid dominates this provider’s payer mix and scale of operations rather than Medicare. This distribution makes the entity effectively a Medicaid-first revenue generator in absolute dollars.
The provider’s taxonomy (Land Ambulance) and the top billable codes confirm an emergency ground-transport operation dominated by ALS and BLS services and mileage billing. The presence of A0427 (ALS 1 emergency), A0429 (BLS emergency), and A0425 (ground mileage) as the top codes is consistent with routine municipal or contracted ambulance transport activity focused on emergency responses.
Medicare revenue is highly concentrated in a very small set of codes: the top 3 Medicare codes account for 98.5% of this provider’s total Medicare revenue, with A0427 contributing 59.2%, A0429 contributing 34.4%, and A0425 contributing 4.9% of Medicare revenue. That concentration shows Medicare billing is almost entirely for frontline transport services rather than ancillary or diverse procedure coding.
Medicaid billing is even more concentrated: the top 3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, with A0429 at 59.4%, A0427 at 39.3%, and A0425 at 1.3%. This indicates Medicaid reimbursements for this provider are exclusively tied to basic and advanced life-support emergency transports plus mileage, pointing to a single-service-line reliance within the Medicaid book of business.
Competitive standing differs sharply by payer. On Medicare, the provider’s national ranks for core codes (A0427: #549 of 6841, 92th percentile; A0429: #567 of 7808, 93th percentile; A0425: #2460 of 8934, 72th percentile) are described as "typical, unremarkable volume" for those codes, which positions the organization as a mid-level to modest national participant rather than an outlier. Conversely, in-state Medicaid ranks place the provider among the leaders for ambulance billing (A0429: #9 of 339, 98th percentile; A0427: #13 of 362, 97th percentile; A0425: #17 of 448, 96th percentile), signaling a strong competitive footprint within Illinois Medicaid for emergency transport services.
Claim-level payment patterns differ materially between payers for the same services: for A0427 the reported average paid/claim is $417 on Medicare versus $1094 on Medicaid, and for A0429 the averages are $348 (Medicare) versus $1186 (Medicaid). These reported per-claim payment amounts indicate Medicaid reimbursements for the core transport codes are substantially higher on a per-claim basis in the provided data, which may reflect state payment policies or contract arrangements rather than differences in service mix.
The provider has an established operating history, with an NPI enumerated on 2007-05-15 (~19 years ago), which, combined with the concentrated Medicaid volumes and high in-state ranks, suggests a long-tenured emergency transport organization with entrenched Medicaid billing relationships. This tenure supports interpretation of the patterns above as stable operational characteristics rather than short-term anomalies.
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 | $560.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 940 | $350 | $325.4K |
| A0425 | Ground mileage, per statute mile | 7,790 | $10 | $46.7K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $610 | $13.9K |
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) | 19,770 | $1,190 | $23.4M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 14,180 | $1,090 | $15.5M |
| A0425 | Ground mileage, per statute mile | 34,900 | $20 | $523.5K |
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) | 13 | 360 | 1,340 | $910 | $4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9 | 340 | 1,050 | $770 | $2.8M |
| A0425 | Ground mileage, per statute mile | 17 | 450 | 2,450 | $40 | $602.5K |
Other providers in the same ZIP code as City Of Aurora Illinois, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Vna Health Care | IL | Federally Qualified Health Center (FQHC) | $0 | $22.7M |
| Aurora East 131 | IL | Local Education Agency (LEA) | $0 | $5M |
| Reena Cherian | IL | Physical Therapist | $293.3K | $30.3K |
| John Konopelski | IL | Family Nurse Practitioner | $100.8K | $0 |
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