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NPI 1154314987 · Coeur D Alene, ID · Land Ambulance
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Kootenai County Emergency Medical Services System is a land ambulance provider located in Coeur D Alene, 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 | Kootenai County Emergency Medical Services System |
| Address | 4381 W Seltice Way |
| City | Coeur D Alene |
| State | ID |
| ZIP | 83814 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 26, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.6M |
| Medicare | $1.7M |
The provider’s taxonomy (Land Ambulance) and top codes indicate an operations profile focused on emergency and non-emergency ground transports: A0427 (ALS emergency), A0429 (BLS emergency) and A0425 (ground mileage) are the primary services listed on file. This aligns with the precomputed concentration: the top 3 Medicare codes by revenue account for 85.7% of Medicare revenue and the top 3 Medicaid codes by revenue account for 95.6% of Medicaid revenue, showing transport and mileage dominate billing activity.
Revenue is highly concentrated in a small set of transport codes for both payers. Specifically, the platform flags that the top 3 Medicare codes represent 85.7% of the provider’s Medicare revenue and the top 3 Medicaid codes represent 95.6% of the provider’s Medicaid revenue, indicating that a handful of ambulance transport services drive nearly all reported payer receipts.
The provider draws notably more revenue from Medicaid than Medicare on a lifetime basis: Total Medicare revenue is $1.7M while total Medicaid revenue is $3.6M. That scale difference suggests operational dependence on Medicaid-funded transports for overall revenue, rather than being effectively single-payer.
Nationally for Medicare, the provider ranks relatively high on its top transport codes but the reporting characterizes volumes as typical. For A0427 the provider reports 2.4K claims, $371 avg paid/claim and $877K revenue and ranks #289 of 6841 providers nationally (96th percentile; typical, unremarkable volume), while A0429 and A0425 also sit in high national percentiles (A0429: #473 of 7808, 94th percentile; A0425: #709 of 8934, 92th percentile), indicating above-median national placement on these core ambulance codes despite dataset notes labeling the volumes as unremarkable.
Within the state Medicaid market the provider is a clear in-state leader on several key codes. A0427 posts 9.3K claims and $1.7M revenue and ranks #5 of 31 providers in-state (87th percentile; typical), A0429 posts 7.4K claims and $1.2M revenue and ranks #3 of 32 (94th percentile; typical), while A0425 ranks #3 of 48 (96th percentile; notably above typical state volume) and A0428 ranks #1 of 13 (100th percentile; notably above typical state volume), together indicating a strong competitive position for both emergency and mileage-related Medicaid billing and exceptional in-state strength for certain BLS/non-emergency mileage services.
While emergency ALS/BLS transports and mileage dominate, the provider also bills for specialized services at smaller scale. Medicare entries for A0434 (Specialty care transport) account for $67.5K (4.1% of Medicare revenue) and A0433 (ALS2) accounts for $44.4K (2.7% of Medicare revenue), showing capacity to deliver specialty and higher-acuity transports but as minority revenue streams.
Payer reimbursement patterns differ by payer and volume: for A0427 the file shows Medicare average paid/claim $371 with 2.4K claims, while Medicaid average paid/claim is $184 with 9.3K claims; similarly A0429 shows $313 avg paid/claim with 1.1K Medicare claims versus $155 avg paid/claim with 7.4K Medicaid claims. These entries indicate materially higher utilization counts on Medicaid for the same core transport codes and lower per-claim payments on Medicaid compared with Medicare for equivalent services.
The provider has long tenure in the NPI registry, enumerated 2005-08-26 (~21 years ago), which is consistent with a longstanding, established EMS operation. This duration, combined with concentrated transport revenue and strong in-state Medicaid rankings, suggests stable, mission-focused ambulance services rather than a newly emergent billing profile.
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) | 2,360 | $370 | $877K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,060 | $310 | $331.8K |
| A0425 | Ground mileage, per statute mile | 29,610 | $10 | $207.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 620 | $190 | $119.3K |
| A0434 | Specialty care transport (sct) | 100 | $650 | $67.5K |
| A0433 | Advanced life support, level 2 (als 2) | 80 | $540 | $44.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $240 | $5.5K |
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) | 9,260 | $180 | $1.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7,450 | $160 | $1.2M |
| A0425 | Ground mileage, per statute mile | 20,000 | $30 | $600.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,160 | $70 | $157.3K |
| A0998 | Ambulance response and treatment, no transport | 30 | $80 | $2.2K |
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) | 5 | 30 | 480 | $220 | $663.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 30 | 570 | $180 | $428.6K |
| A0425 | Ground mileage, per statute mile | 3 | 50 | 960 | $40 | $166.8K |
| A0998 | Ambulance response and treatment, no transport | 5 | 10 | 110 | $180 | $141.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 10 | 260 | $80 | $54.8K |
Other providers in the same ZIP code as Kootenai County Emergency Medical Services System, ranked by combined Medicare and Medicaid revenue.
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