Loading...
NPI 1114925617 · Idaho Falls, ID · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
City Of Idaho Falls is a land ambulance provider located in Idaho Falls, Idaho. This profile covers 7 Medicare and 5 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 Idaho Falls |
| Address | 343 E St |
| City | Idaho Falls |
| State | ID |
| ZIP | 83402 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 8, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.8M |
| Medicare | $900.3K |
CITY OF IDAHO FALLS operates as a Land Ambulance provider (taxonomy: Land Ambulance) with its billing dominated by emergency and transport services — top codes include A0427 (ALS emergency), A0429 (BLS emergency), and A0425 (ground mileage). The Medicare and Medicaid code mix (ALS/BLS transports plus mileage and a notable amount of non-transport response on Medicaid) is consistent with an EMS/municipal ambulance operation that provides both emergency transports and on-scene care.
Revenue concentration is high on Medicare: the top 3 Medicare codes by revenue account for 91.9% of this provider's total Medicare revenue. Those three codes are A0427 ($508.6K, 57.0% of Medicare revenue), A0429 ($181.9K, 20.4%), and A0425 ($129.2K, 14.5%) out of a total Medicare revenue of $900.3K, indicating Medicare receipts are heavily dependent on emergency transport and mileage billing.
Medicaid revenue is also concentrated: the top 3 Medicaid codes by revenue account for 88.3% of this provider's total Medicaid revenue. On Medicaid the provider reports $2.3M from A0427 (47.4%), $1.1M from A0429 (22.7%), and $865.9K from A0425 (18.1%) of a $4.8M Medicaid total, showing that Medicaid volume — like Medicare — is driven mainly by emergency transports and billed mileage.
Payer mix is skewed toward Medicaid: total Medicaid revenue ($4.8M) substantially exceeds total Medicare revenue ($900.3K), so the provider’s overall financial footprint in public payers is far more Medicaid-driven than Medicare-driven. Analysts should treat Medicaid trends and reimbursement changes as likely to have a larger operational impact than Medicare shifts given the scale difference.
National competitive standing on Medicare is modest but not negligible: A0427 ranks #561 of 6841 providers nationally (92th percentile, labeled 'typical, unremarkable volume'), A0429 ranks #978 of 7808 (87th percentile), and A0425 ranks #1165 of 8934 (87th percentile). These percentiles indicate the provider records relatively high-ranked volumes for core ambulance codes nationally but are characterized by the dataset as typical rather than dominant.
In-state competitive positioning on Medicaid is stronger for several high-impact codes: A0427 ranks #3 of 31 providers in-state (93th percentile, typical), A0429 ranks #6 of 32 (84th percentile), and A0425 ranks #5 of 48 (91th percentile, described as 'notably above typical'). Notably, A0998 (ambulance response and treatment, no transport) is $440.2K and ranks #1 of 7 in-state (100th percentile, 'notably above typical'), signaling the provider is a regional leader on non-transport response activity.
The provider shows a long tenure in the NPI registry (enumerated 2005-07-08, ~21 years ago), which supports interpretation that the observed billing mix represents an established service model rather than a recent shift. That longevity, combined with concentrated revenue on a small set of transport and response codes, suggests stable operational focus on emergency EMS services.
Operational implications: heavy reliance on A0427/A0429 and A0425 across both payers — plus a prominent A0998 presence on Medicaid — means the provider’s revenue is sensitive to changes in ambulance transport reimbursement and mileage rates and also reflects substantial non-transport response activity. Given that the top 3 Medicare codes account for 91.9% of Medicare revenue and the top 3 Medicaid codes account for 88.3% of Medicaid revenue, any policy or payer edits affecting those specific codes could have outsized revenue 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,320 | $390 | $508.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 570 | $320 | $181.9K |
| A0425 | Ground mileage, per statute mile | 18,450 | $10 | $129.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 180 | $190 | $35.5K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $560 | $16.3K |
| A0434 | Specialty care transport (sct) | 20 | $640 | $13.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $240 | $6.8K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 10,380 | $220 | $2.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,180 | $180 | $1.1M |
| A0425 | Ground mileage, per statute mile | 18,820 | $50 | $865.9K |
| A0998 | Ambulance response and treatment, no transport | 3,020 | $150 | $440.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,590 | $80 | $119.5K |
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho median
5 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) | 3 | 30 | 480 | $220 | $663.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6 | 30 | 570 | $180 | $428.6K |
| A0425 | Ground mileage, per statute mile | 5 | 50 | 960 | $40 | $166.8K |
| A0998 | Ambulance response and treatment, no transport | 1 | 10 | 110 | $180 | $141.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 10 | 260 | $80 | $54.8K |
Other providers in the same ZIP code as City Of Idaho Falls, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.