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NPI 1134122146 · Land O Lakes, FL · Land Ambulance
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County Of Pasco Office Clerk Board Of County Commissioners is a land ambulance provider located in Land O Lakes, Florida. 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 | County Of Pasco Office Clerk Board Of County Commissioners |
| Address | 4111 Land O Lakes Blvd |
| City | Land O Lakes |
| State | FL |
| ZIP | 34639 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 23, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.9M |
| Medicare | $5M |
This provider generates materially more revenue from Medicaid than Medicare, with total Medicaid revenue of $8.9M versus total Medicare revenue of $5M; it is therefore not effectively single-payer and appears to be primarily Medicaid-driven at the revenue level. The split suggests payer negotiations, reimbursement mix, and state contract relationships will materially affect overall revenue more than Medicare trends alone.
Revenue is highly concentrated in a very small set of procedure codes for both payers: precomputed: top 3 Medicare codes by revenue account for 98.5% of this provider's total Medicare revenue, and precomputed: top 3 Medicaid codes by revenue account for 99.7% of this provider's total Medicaid revenue. This concentration indicates the business is heavily dependent on a narrow service line (ambulance transport) and therefore sensitive to reimbursement or utilization changes for those few codes.
The Medicare picture is dominated by A0427: the provider reported 10.7K claims for A0427, generating $4.1M (81.4% of this provider's total Medicare revenue), and it ranks #29 of 6841 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). This makes the organization a national outlier in advanced life support, level 1 emergency transports and implies core operational capacity and revenue are focused on high-acuity ambulance responses.
The Medicaid side is likewise dominated by A0427 but at larger absolute volume: 59K claims and $7.4M revenue (83.1% of this provider's total Medicaid revenue), and the provider ranks #9 of 163 in-state (95th percentile; notably above typical state volume for this code). That in-state standing marks the provider as a major Medicaid ALS1 emergency transport supplier in Florida and suggests market leverage in state-level EMS reimbursements and contracts.
Other Medicare codes supplement the ALS1 dominance but play much smaller revenue roles: A0429 generated 1.4K claims and $435.3K (8.7% of Medicare revenue) and ranks #334 of 7808 nationally (96th percentile; typical, unremarkable volume), while A0425 shows very high claim counts (60.7K claims) but lower revenue ($424.8K, 8.4% of Medicare revenue) and ranks #307 of 8934 (97th percentile; notably above typical national volume for this code). The mix of emergency ALS transports (A0427/A0433) with large mileage reporting (A0425) is consistent with an operational model that runs many ground responses and bills per-mile in addition to high-acuity transports.
Medicaid volumes for the secondary codes reflect a similar operational pattern but at different per-claim economics: A0429 posted 14.6K claims and $1.3M (15.0% of Medicaid revenue) and ranks #22 of 143 in-state (85th percentile; typical, unremarkable volume); A0425 had 71.5K claims and $143.1K (1.6% of Medicaid revenue) ranking #10 of 190 (95th percentile; typical, unremarkable volume); and A0433 registered 156 claims and $27.9K (0.3% of Medicaid revenue) ranking #18 of 29 (39th percentile; typical, unremarkable volume). These figures reinforce that the provider’s Medicaid business is concentrated in ALS1 emergency transports with high claim counts for mileage but modest per-claim Medicaid payments on non-ALS1 codes.
Competitive standing is asymmetric: nationally the provider is an extreme outlier for A0427 under Medicare (rank #29/6841, 100th percentile), indicating dominant national-level volume for ALS1 emergency transport, while in-state for Medicaid it is a leading but not singularly dominant player (A0427 rank #9/163, 95th percentile; notably above typical). For other codes the provider is generally above typical volume (A0425 and A0433 on Medicare are described as notably above typical) or in the typical range (A0429), indicating outsized strength in ALS1 with somewhat elevated mileage activity relative to peers.
The NPI tenure shows long-standing operation: NPI enumerated 2005-05-23 (~21 years ago). Combined with the concentrated revenue profile and very high A0427 volumes, that tenure supports the interpretation of a stable, county-level land ambulance operation whose revenue and competitive position are tightly linked to emergency ALS transport reimbursement and utilization trends.
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) | 10,690 | $380 | $4.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,360 | $320 | $435.3K |
| A0425 | Ground mileage, per statute mile | 60,690 | $10 | $424.8K |
| A0433 | Advanced life support, level 2 (als 2) | 140 | $550 | $75.3K |
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) | 58,970 | $130 | $7.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14,560 | $90 | $1.3M |
| A0425 | Ground mileage, per statute mile | 71,530 | $1 | $143.1K |
| A0433 | Advanced life support, level 2 (als 2) | 160 | $180 | $27.9K |
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida 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) | 9 | 160 | 4,450 | $110 | $1.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 22 | 140 | 2,650 | $90 | $697.1K |
| A0425 | Ground mileage, per statute mile | 10 | 190 | 6,580 | $10 | $250.6K |
| A0433 | Advanced life support, level 2 (als 2) | 18 | 30 | 260 | $140 | $111.6K |
Other providers in the same ZIP code as County Of Pasco Office Clerk Board Of County Commissioners, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Gulfside Hospice, Inc. | FL | Community Based Hospice Care Agency | $0 | $11M |
| Hector Fontanet | FL | Cardiovascular Disease Physician | $165.9K | $0 |
| William Blackshear | FL | Anesthesiology Physician | $40K | $0 |
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