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NPI 1174513311 · Cedar Rapids, IA · Land Ambulance
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Area Ambulance Authority is a land ambulance provider located in Cedar Rapids, Iowa. This profile covers 6 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 | Area Ambulance Authority |
| Address | 2730 12th St Sw |
| City | Cedar Rapids |
| State | IA |
| ZIP | 52404 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 27, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.6M |
| Medicare | $1.7M |
AREA AMBULANCE AUTHORITY’s payer mix is heavily weighted toward Medicaid by scale: total Medicaid revenue is $4.6M compared with total Medicare revenue of $1.7M, indicating Medicaid receipts are the larger component of its publicly reported reimbursement base. This suggests the organization’s financial performance and utilization patterns are driven more by state program volume than by Medicare.
The provider’s service mix is focused on emergency ambulance transports and mileage: top codes across both payers are A0427 (ALS emergency), A0429 (BLS emergency), and A0425 (ground mileage). These codes’ prominence reflects an operational emphasis on emergent pre-hospital transport services rather than non-transport or ancillary care.
Revenue concentration is high on Medicare: the precomputed top-3 Medicare codes account for 89.9% of this provider’s Medicare revenue, with A0427 at $815.8K (46.9%), A0429 at $497.9K (28.6%), and A0425 at $248.7K (14.3%). This level of concentration means changes in reimbursement or utilization for these three codes would disproportionately affect the provider’s $1.7M Medicare revenue.
Medicaid revenue is even more concentrated: the top-3 Medicaid codes account for 95.6% of this provider’s Medicaid revenue, led by A0427 at $2.1M (45.4%), A0429 at $1.8M (38.8%), and A0425 at $519.2K (11.4%). The provider’s $4.6M Medicaid total therefore depends almost entirely on emergency ALS/BLS transports and mileage billing.
Competitive standing for Medicare shows the provider posts high national percentiles but is described as typical for volume: A0427 ranks #308 of 6841 (96th percentile), A0429 ranks #254 of 7808 (97th percentile), and A0425 ranks #596 of 8934 (93rd percentile). Those placements indicate above-average national activity on these ambulance codes while the dataset labels the volumes as “typical, unremarkable,” positioning the provider as a solid national participant rather than an extreme outlier.
By contrast, the provider is a dominant outlier in-state on Medicaid for its emergency transport lines: A0427 ranks #3 of 92 (98th percentile, labeled an extreme outlier), A0429 ranks #2 of 94 (99th percentile, extreme outlier), and A0425 ranks #3 of 157 (99th percentile, extreme outlier). These state-level rankings mark AREA AMBULANCE AUTHORITY as a major Medicaid ambulance supplier in Iowa, far above typical state volumes for those codes.
Payment rate differentials between payers are notable and operationally relevant: average paid/claim for A0427 is $367 on Medicare versus $94 on Medicaid, and for A0429 is $306 on Medicare versus $83 on Medicaid, while A0425 shows $7 on Medicare and $11 on Medicaid. These per-claim differences imply materially different revenue per transport across payers and underscore why volume concentration on Medicaid can still produce different margin dynamics than Medicare.
The provider has long tenure in the dataset, with an NPI enumerated on 2005-10-27 (~21 years ago), indicating an established land ambulance operation. That longevity, combined with the dominant in-state Medicaid footprint, suggests entrenched operational relationships with state payers and referral sources that sustained the high-volume emergency transport activity.
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) | 2,220 | $370 | $815.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,630 | $310 | $497.9K |
| A0425 | Ground mileage, per statute mile | 35,530 | $10 | $248.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 620 | $200 | $121.3K |
| A0433 | Advanced life support, level 2 (als 2) | 70 | $530 | $35.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 80 | $240 | $19.2K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 21,960 | $90 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21,230 | $80 | $1.8M |
| A0425 | Ground mileage, per statute mile | 47,200 | $10 | $519.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,640 | $50 | $134.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 790 | $80 | $60.3K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $200 | $2.6K |
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa 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) | 3 | 90 | 570 | $80 | $180.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 90 | 170 | $70 | $134.3K |
| A0425 | Ground mileage, per statute mile | 3 | 160 | 730 | $20 | $60.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 30 | 350 | $50 | $49.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5 | 20 | 150 | $80 | $44K |
| A0433 | Advanced life support, level 2 (als 2) | 4 | 10 | 100 | $190 | $20.2K |
Other providers in the same ZIP code as Area Ambulance Authority, ranked by combined Medicare and Medicaid revenue.
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