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NPI 1174737712 · Williston, ND · Land Ambulance
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City Of Williston is a land ambulance provider located in Williston, North Dakota. This profile covers 5 Medicare and 4 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 Williston |
| Address | 317 11th St W |
| City | Williston |
| State | ND |
| ZIP | 58801 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 10, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2M |
| Medicare | $398.3K |
Service mix and operations: CITY OF WILLISTON is filed under the Land Ambulance taxonomy and its top-billed codes are predominantly emergency and transport services (A0427, A0429) plus ground mileage (A0425), indicating this operation functions primarily as a municipal ambulance/EMS transport provider rather than a specialty outpatient or procedural facility. The presence of substantial claim counts for A0427 (356 Medicare claims) and large mileage volumes (14.6K Medicare claims, 5.1K Medicaid claims) suggests routine reliance on point-to-point emergency and non-emergency patient transports as the core service line.
Revenue concentration by code: The provider’s Medicare revenue is highly concentrated in a very small set of codes — the top three Medicare codes account for 93.8% of total Medicare revenue — driven by A0427 (43.0%), A0425 (29.1%), and A0429 (21.7%). Similarly, Medicaid revenue is even more concentrated with the top three Medicaid codes accounting for 98.8% of Medicaid revenue, led by A0425 (50.6%), A0427 (29.2%), and A0429 (19.0%). These concentrations indicate that a few transport-related codes underpin almost all payer revenue.
Payer mix and scale: CITY OF WILLISTON reports substantially more Medicaid revenue than Medicare revenue on a lifetime basis, with $2M in Medicaid revenue versus $398.3K in Medicare revenue, positioning the provider as effectively Medicaid-dominant in absolute revenue terms. That scale difference implies Medicaid reimbursement rules and local managed care contracts will disproportionately affect this provider’s financial performance compared with Medicare.
Per-claim payment and state vs federal differences: There is a stark difference in per-claim payments for mileage between payers: A0425 is paid on average $8 per claim in Medicare data but $196 per claim in Medicaid data, reflecting major differences in how mileage or bundled transport is reimbursed across payers or between fee schedules. Medicare per-claim averages for ambulance transports (A0427 at $483, A0429 at $411) are higher than the Medicaid per-claim averages reported for the same transport codes (A0427 $286, A0429 $271), which further illustrates payer-level pricing variance rather than volume differences alone.
Competitive standing — Medicare (national): On Medicare-coded services CITY OF WILLISTON occupies a modest national footprint: A0427 ranks #2044 of 6841 (70th percentile) and A0429 ranks #2404 of 7808 (69th percentile), while A0425 ranks #1431 of 8934 (84th percentile). These percentiles indicate the provider operates at or slightly above a median national volume for its primary codes but is not a national leader or extreme outlier in any top Medicare code.
Competitive standing — Medicaid (in-state): Within North Dakota Medicaid billing the provider is a mid-to-upper peer for mileage and typical for emergency transport: A0425 ranks #6 of 23 in-state (77th percentile), A0427 ranks #8 of 17 (56th percentile), and A0429 ranks #7 of 15 (57th percentile). That pattern makes CITY OF WILLISTON a meaningful in-state contributor for ground mileage receipts while remaining a typical participant for ALS/BLS emergency transport codes.
Low-volume Medicare codes and distribution nuance: Less-prominent Medicare codes such as A0428 (33rd percentile) and A0426 (13th percentile) contribute only small portions of Medicare revenue (A0428 $19.2K, A0426 $5.7K), reinforcing that non-emergency BLS and non-emergency ALS transports are minor pieces of the billing mix. The Medicaid breakdown shows A0428 also small ($24.1K, 1.2% of Medicaid revenue), so both payers reflect a consistent emphasis on emergency and mileage-driven billing rather than on elective or non-emergency transport.
Tenure and stability signal: The NPI was enumerated on 2007-05-10 (~19 years ago), indicating a long-established presence in the market which, combined with concentrated code reliance and substantial Medicaid receipts, suggests an operationally stable municipal ambulance service whose revenue exposure is concentrated into a few transport and mileage codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 360 | $480 | $171.9K |
| A0425 | Ground mileage, per statute mile | 14,580 | $10 | $116.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 210 | $410 | $86.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 70 | $260 | $19.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $320 | $5.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 5,140 | $200 | $1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,040 | $290 | $582.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,400 | $270 | $378.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 190 | $130 | $24.1K |
How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Dakota median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 20 | 1,330 | $340 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8 | 20 | 1,740 | $370 | $1.3M |
| A0425 | Ground mileage, per statute mile | 6 | 20 | 2,080 | $100 | $703K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4 | 10 | 190 | $210 | $269.1K |
Other providers in the same ZIP code as City Of Williston, ranked by combined Medicare and Medicaid revenue.
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