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NPI 1134147150 · Stockton, CA · Ambulance
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American Medical Response West is a ambulance provider located in Stockton, California. This profile covers 7 Medicare and 11 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 | American Medical Response West |
| Address | 3755 West Ln |
| City | Stockton |
| State | CA |
| ZIP | 95204 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $24.9M |
| Medicare | $6.3M |
AMERICAN MEDICAL RESPONSE WEST is an ambulance-class provider based in STOCKTON, CA with an NPI enumerated on 2006-07-17 (~20 years ago). The taxonomy and tenure are consistent with an established ground-transport operator serving both Medicare and Medicaid populations over many years.
This provider’s Medicaid revenue ($24.9M) substantially exceeds its Medicare revenue ($6.3M), indicating a Medicaid-dominant payer mix in scale. While both payers are active, Medicaid accounts for the majority of lifetime revenue and is the principal source of volume and dollars.
Medicare revenue is heavily concentrated in three ambulance-related codes: A0427 (70.2%), A0429 (17.1%), and A0425 (9.4%), which together account for 96.7% of the provider’s total Medicare revenue. The reported avg paid/claim values for those codes — A0427 $423, A0429 $357, A0425 $7 — further show that emergency ALS and BLS transports plus ground mileage are the primary Medicare service lines driving revenue.
On Medicare-specific competitive standing, the provider reports exceptionally high national volumes for A0427 and A0429: A0427 ranks #37 of 6841 providers nationally (99th percentile; extreme outlier) and A0429 ranks #116 of 7808 providers nationally (99th percentile; notably above typical national volume). A0425 also ranks highly (#201 of 8934, 98th percentile; notably above typical national volume), positioning the organization as a national high-volume outlier for emergency ground-transport services.
Medicaid revenue shows a nearly identical concentration pattern: A0427 (70.0%), A0425 (13.9%), and A0429 (10.1%) make up 94.0% of total Medicaid revenue. The raw claim counts reported — for example A0427 with 126.7K claims and A0425 with 144.8K claims — underscore large operational throughput on Medicaid across ALS/BLS emergency transports and mileage.
Within the state Medicaid market the provider is a major participant for key codes: A0427 ranks #7 of 248 in-state (98th percentile; notably above typical state volume), while A0425 ranks #12 of 580 in-state (98th percentile; labeled as typical, unremarkable volume for this code). An additional Medicaid signal is the presence of 93041 (54.6K claims, $818.5K revenue) which ranks #1 of 98 in-state (100th percentile; extreme outlier), indicating an unusually high volume of billed technical ECG services relative to in-state peers.
The overall code mix — dominated by A0427 (ALS emergency), A0429 (BLS emergency), and A0425 (ground mileage) across both payers — indicates a business model focused on high-volume emergency ground transport rather than elective non-emergency service lines. Smaller but present codes such as A0434 (Specialty care transport) and A0433 (ALS 2) appear in Medicare top codes at modest shares, suggesting occasional specialty or higher-acuity transport capability.
Operationally, ground mileage (A0425) is a large-volume component on both payers (83.8K Medicare claims and 144.8K Medicaid claims) and is reimbursed at materially different average rates between payers (Medicare avg paid/claim $7 vs. Medicaid avg paid/claim $24). This pattern points to extensive service area movement and highlights how payer-specific reimbursement differences shape revenue from the same service line.
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) | 10,390 | $420 | $4.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,000 | $360 | $1.1M |
| A0425 | Ground mileage, per statute mile | 83,820 | $10 | $586.7K |
| A0434 | Specialty care transport (sct) | 130 | $730 | $97.2K |
| A0433 | Advanced life support, level 2 (als 2) | 110 | $620 | $68.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 140 | $270 | $37.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | $230 | $4.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
View: State1 / 2
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 126,680 | $140 | $17.5M |
| A0425 | Ground mileage, per statute mile | 144,840 | $20 | $3.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 17,510 | $140 | $2.5M |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 54,570 | $20 | $818.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,680 | $100 | $165.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 16,200 | $10 | $145.8K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 19,440 | $10 | $136.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,350 | $90 | $118.5K |
| A0433 | Advanced life support, level 2 (als 2) | 480 | $130 | $60.8K |
| A0434 | Specialty care transport (sct) | 290 | $200 | $57.1K |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
11 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) | 7 | 250 | 2,420 | $220 | $3.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 34 | 390 | 1,270 | $220 | $1.5M |
| A0425 | Ground mileage, per statute mile | 12 | 580 | 3,120 | $30 | $963.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 115 | 190 | 2,470 | $80 | $674.3K |
| A0434 | Specialty care transport (sct) | 45 | 60 | 700 | $350 | $672.4K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 127 | 760 | 1,930 | $20 | $196K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 15 | 80 | 280 | $130 | $148.2K |
| A0999 | Unlisted ambulance service | 88 | 100 | 600 | $20 | $111.4K |
| A0433 | Advanced life support, level 2 (als 2) | 11 | 40 | 170 | $210 | $101.5K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 1 | 100 | 890 | $10 | $73.5K |
Showing 1–10 of 11
Other providers in the same ZIP code as American Medical Response West, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Port City Operating Company, LLC | CA | General Acute Care Hospital | $0 | $121.5M |
| Al Del Monte Inc | CA | Assisted Living Facility | $0 | $22.8M |
| Stockton Cardiology Medical Group Complete Heart Care Inc | CA | Cardiovascular Disease Physician | $285.5K | $6.3M |
| Stockton Outpatient Surgery Center LLC | CA | Ambulatory Surgical Clinic/Center | $2.6M | $2.1K |
| San Joaquin Laser And Surgery Center | CA | Ambulatory Surgical Clinic/Center | $643.9K | $1.4M |
| Ajithkumar Puthillath | CA | Specialist | $2M | $0 |
| Aminder Mehdi | CA | Specialist | $2M | $0 |
| Ramin Manshadi | CA | Cardiovascular Disease Physician | $1.3M | $0 |
| Surrender Raina | CA | Cardiovascular Disease Physician | $1.3M | $0 |
| Francis Isidoro | CA | Nuclear Imaging & Therapy Physician | $831.8K | $0 |
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