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NPI 1164557880 · Livingston, MT · Ambulance
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City Of Livingston is a ambulance provider located in Livingston, Montana. This profile covers 7 Medicare and 6 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 Livingston |
| Address | 414 E Callender St |
| City | Livingston |
| State | MT |
| ZIP | 59047 |
| Taxonomy | Ambulance |
| NPI Enumerated | February 22, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $448.2K |
| Medicaid | $281.4K |
CITY OF LIVINGSTON operates as a ground ambulance service with a code mix dominated by advanced life support (ALS) and basic life support (BLS) transports; the presence of high-volume codes like A0427, A0425, and A0428 across payers points to a mixed emergency and non-emergency transport operation that bills for mileage and ALS disposable supplies in addition to transport fees. The prominence of A0427 (ALS emergency transport) on both Medicare and Medicaid indicates emergency ALS response is a core service line.
Revenue concentration is high on both payers: the top 3 Medicare codes by revenue account for 82.9% of this provider's total Medicare revenue, while the top 3 Medicaid codes account for 97.5% of total Medicaid revenue. This indicates the business is heavily dependent on a small set of transport and ALS-supply codes for the majority of its reimbursement.
On payer mix, CITY OF LIVINGSTON reports $448.2K in total Medicare revenue and $281.4K in total Medicaid revenue, so Medicare is the larger single payer by dollars but Medicaid remains a substantial revenue source. Both payers are active for this ambulance operation rather than it being effectively single-payer.
Medicare revenue is driven primarily by A0427 (49.8% of Medicare revenue; $221.7K), A0425 (23.2%; $103.3K), and A0428 (9.8%; $43.7K). Each of these Medicare codes is described in the source as having "typical, unremarkable volume" relative to national peers (A0427 at the 76th percentile, A0425 at the 82th percentile, A0428 at the 49th percentile), which characterizes CITY OF LIVINGSTON as a steady but not exceptional national participant on those lines.
On the Medicaid side the top drivers are also concentrated: A0427 ($157.5K, 55.9% of Medicaid revenue), A0398 ($80.7K, 28.7%), and A0390 ($36.2K, 12.9%). State-level ranks place A0427 and A0398 in mid-to-upper state percentiles described as "typical, unremarkable volume" (A0427 at the 71th percentile, A0398 at the 67th), while A0390 sits at an 80th percentile, indicating relatively stronger in-state mileage billing compared with other Medicaid providers. The precomputed 97.5% concentration underscores near-total reliance on these three Medicaid codes.
Competitive standing: nationally, the provider is a modest participant for its Medicare top codes (percentiles in the 49th–82th range) rather than a dominant national player, while in-state Medicaid ranks (for example A0427 at #9 of 29 and A0390 at #5 of 21) indicate a mid-tier to upper-mid-tier position for ALS emergency transports and mileage within Montana. Specialty Care Transport (A0434) appears in the Medicare top list but at lower relative volume (37th percentile of 591) suggesting SCT is present but not a major revenue driver versus national peers.
The NPI has been enumerated since 2007-02-22 (~19 years ago), indicating long tenure in the market. Combined with the concentrated code mix—strong ALS emergency billing, mileage, and ALS disposable supplies—this tenure and code profile are consistent with an established local EMS/ambulance operation that relies on repeat transport activity and consumable billing rather than diversified ancillary services.
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) | 460 | $480 | $221.7K |
| A0425 | Ground mileage, per statute mile | 12,910 | $10 | $103.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 170 | $250 | $43.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 70 | $420 | $28.2K |
| A0434 | Specialty care transport (sct) | 30 | $840 | $24.2K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $710 | $15.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $260 | $8.1K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,160 | $140 | $157.5K |
| A0398 | Als routine disposable supplies | 770 | $110 | $80.7K |
| A0390 | Als mileage (per mile) | 650 | $60 | $36.2K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 50 | $120 | $6.2K |
| A0425 | Ground mileage, per statute mile | 750 | $1 | $750 |
| 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… | 30 | $1 | $100 |
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
6 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 | 30 | 240 | $180 | $270.7K |
| A0398 | Als routine disposable supplies | 5 | 10 | 490 | $130 | $167.4K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 8 | 10 | 260 | $90 | $96.3K |
| A0425 | Ground mileage, per statute mile | 17 | 50 | 390 | $30 | $48.3K |
| A0390 | Als mileage (per mile) | 5 | 20 | 110 | $20 | $42.3K |
| 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… | 10 | 10 | 310 | $1 | $4.4K |
Other providers in the same ZIP code as City Of Livingston, ranked by combined Medicare and Medicaid revenue.
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