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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSt Mary's Hospital And Medical Center, Inc
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    St Mary's Hospital And Medical Center, Inc — Billing Profile & Reimbursement Data

    NPI 1164060877 · Grand Junction, CO · Ambulance

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    St Mary's Hospital And Medical Center, Inc is a ambulance provider located in Grand Junction, Colorado. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSt Mary's Hospital And Medical Center, Inc
    Address2635 N 7th St
    CityGrand Junction
    StateCO
    ZIP81501
    TaxonomyAmbulance
    NPI EnumeratedDecember 12, 2019

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$5.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)1,400$2,810$4M
    A0435Fixed wing air mileage, per statute mile530$1,500$795.6K
    A0431Ambulance service, conventional air services, transport, one way (rotary wing)260$2,630$694.6K
    A0425Ground mileage, per statute mile650$60$36.9K
    A0434Specialty care transport (sct)60$490$30.1K
    A0436Rotary wing air mileage, per statute mile20$1,630$24.5K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)10$140$1.6K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Colorado median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)210270$1,780$1.9M
    A0431Ambulance service, conventional air services, transport, one way (rotary wing)720130$1,830$1.4M
    A0435Fixed wing air mileage, per statute mile310250$1,140$1.1M
    A0436Rotary wing air mileage, per statute mile1320100$1,150$915.8K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)116120700$120$843.2K
    A0425Ground mileage, per statute mile161280990$20$636.8K
    A0434Specialty care transport (sct)1420140$280$125.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with St Mary's Hospital And Medical Center, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services, Inc.UTChildren's Hospital$0$129.5M
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$68.7M
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$65.8M
    Ihc Health Services IncUTGeneral Acute Care Hospital$0$54.1M
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$44.3M
    Ihc Health Services IncUTHome Infusion Therapy Pharmacy$0$38.1M
    Ihc Health Services IncUTDurable Medical Equipment & Medical Supplies$0$26.9M
    Ihc Health Services IncUTGeneral Acute Care Hospital$0$25.3M
    Ihc Health Services, Inc.UTClinical Medical Laboratory$2.7M$17.9M
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$20.4M

    Nearby Providers

    Other providers in the same ZIP code as St Mary's Hospital And Medical Center, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Colorado West Regional Mental Health, Inc.COMental Health Clinic/Center (Including Community Mental Health Center)$0$84.2M
    Mesa Developmental Services Dba StriveCOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$59.6M
    Tazco, Inc.COTaxi$0$39.7M
    Hilltop Health Services CorporationCOAdult Day Care Clinic/Center$0$27.7M
    Hilltop Health Services CorporationCOProfessional Counselor$0$24.2M
    MosaicCOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$16.3M
    Martha AmosCOMental Health Counselor$0$14.6M
    St. Mary's Hospital And Medical Center, Inc.COGeneral Acute Care Hospital$0$14.5M
    Colorado West Emergency Physicians, LLCCOEmergency Medicine Physician$0$10.6M
    Mls Senior CareCOHomemaker$0$9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicaid Revenue by Year vs. Colorado Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Colorado Distribution
    St Mary's Hospital And Medical Center, Inc — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado