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NPI 1164612925 · Las Cruces, NM · Ambulance
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American Medical Response Ambulance Service Inc is a ambulance provider located in Las Cruces, New Mexico. This profile covers 6 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | American Medical Response Ambulance Service Inc |
| Address | 920 S Valley Dr |
| City | Las Cruces |
| State | NM |
| ZIP | 88005 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 27, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $16.9M |
| Medicare | $1.5M |
This provider is predominantly a Medicaid-billed ambulance operator by scale: total Medicare revenue on file is $1.5M while total Medicaid revenue is $16.9M, indicating the bulk of billed activity and dollars come from Medicaid rather than Medicare. The disparity suggests operational focus, contracting, and payer relationships are likely concentrated in the state Medicaid market.
The code mix shows an operational emphasis on emergency advanced life support and high-mileage transports: A0427 (ALS emergency) is the single largest line on both payers and together with mileage and BLS codes composes the service footprint. Medicare and Medicaid top codes are consistent with an ambulance/EMS operator that bills both ALS emergency responses and routine BLS transports plus substantial ground mileage.
Revenue concentration is high for both payers: the top three Medicare codes account for 87.8% of the provider's total Medicare revenue, and the top three Medicaid codes account for 91.2% of its total Medicaid revenue. This level of concentration indicates revenue vulnerability to changes in reimbursement or utilization for a small set of transport codes, primarily A0427, A0425, and A0428/A0429.
On Medicare this provider appears as a high‑percentile but not extreme national participant for its top codes: A0427 ranks #314 of 6841 providers (95th percentile) and A0425 ranks #465 of 8934 providers (95th percentile), both labeled as "typical, unremarkable volume" despite their high percentiles. In practice that means the provider operates at a nationally notable scale for those codes but is within expected patterns for ambulance services rather than being a statistical outlier.
Within New Mexico Medicaid the provider is a major in-state player for key ambulance services: A0427 ranks #3 of 53 providers (96th percentile) and A0425 ranks #3 of 65 providers (97th percentile), and A0428 ranks #4 of 27 (88th percentile) with A0428 noted as "notably above typical state volume." These ranks and percentile labels indicate strong statewide market share for emergency ALS and mileage-based billing.
Claims-level volumes reinforce an operational model centered on frequent transports and mileage billing: Medicaid claim counts include 35.5K claims for A0427, 47.7K claims for A0425, and 16.9K claims for A0428, showing very high utilization of both emergency ALS and mileage units in the Medicaid population. Those claim counts, together with the in-state ranks, point to sustained, high-throughput ambulance operations rather than infrequent or episodic use.
Payment patterns show payer-level unit-price differences that shape revenue per-claim: for A0427 the Medicare average paid/claim is $374 versus Medicaid $263, and for A0428 Medicare avg paid/claim is $197 versus Medicaid $130. These provided averages indicate Medicare pays more per claim on the same service codes, even though total Medicaid dollars are larger due to much higher Medicaid claim volume.
The provider has long tenure in the NPI registry — enumerated (registered) 2007-07-27 (~19 years ago) — which supports interpretation of its high in-state Medicaid volumes as the result of an established operating presence rather than a recent entrant. Longevity combined with concentrated revenue lines suggests established service patterns and entrenched payer relationships in the state EMS market.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,190 | $370 | $819.4K |
| A0425 | Ground mileage, per statute mile | 43,700 | $10 | $305.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,020 | $200 | $200.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 460 | $310 | $142.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 120 | $240 | $27.5K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $540 | $14.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 35,470 | $260 | $9.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13,900 | $280 | $3.9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 16,940 | $130 | $2.2M |
| A0425 | Ground mileage, per statute mile | 47,690 | $20 | $1.1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,580 | $130 | $343.1K |
| A0998 | Ambulance response and treatment, no transport | 640 | $80 | $50.1K |
| A0999 | Unlisted ambulance service | 1,460 | $1 | $1.5K |
How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Mexico median
7 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) | 3 | 50 | 1,320 | $270 | $2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 60 | 1,850 | $260 | $1.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4 | 30 | 1,050 | $120 | $515.6K |
| A0425 | Ground mileage, per statute mile | 3 | 70 | 2,010 | $50 | $332.1K |
| A0999 | Unlisted ambulance service | 4 | 10 | 1,160 | $70 | $280.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 10 | 560 | $120 | $225.1K |
| A0998 | Ambulance response and treatment, no transport | 11 | 30 | 470 | $40 | $77.6K |
Other providers in the same ZIP code as American Medical Response Ambulance Service Inc, ranked by combined Medicare and Medicaid revenue.
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