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NPI 1194750802 · Woodway, TX · Ambulance
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American Medical Response Ambulance Service Inc is a ambulance provider located in Woodway, Texas. 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 | American Medical Response Ambulance Service Inc |
| Address | 6800 Woodway Dr |
| City | Woodway |
| State | TX |
| ZIP | 76712 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.8M |
| Medicare | $5M |
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE INC is an ambulance-focused operator as indicated by its dominant use of advanced life support and basic life support transport codes; Medicare top codes include A0427, A0429, and A0425 which together account for 90.4% of Medicare revenue, while Medicaid top codes A0427, A0429, and A0425 account for 98.3% of Medicaid revenue. This concentration in emergency and mileage codes reflects a business model centered on transported emergency responses and extensive ground mileage rather than non-transport or ancillary services.
Revenue concentration is highly concentrated in a small set of transport codes for both payers: the precomputed top-three share is 90.4% for Medicare and 98.3% for Medicaid. That concentration signals that overall financial performance is driven almost entirely by a few high-volume ambulance services (primarily A0427, A0429, and A0425), leaving little revenue diversification across other service lines.
Payer mix shows materially greater lifetime Medicaid revenue ($11.8M) than Medicare revenue ($5M), indicating the entity operates with a Medicaid-heavy billing profile. While both payers are present, Medicaid is the larger revenue source by reported totals, so payers and analysts should treat the provider as effectively Medicaid-dominant in scale.
On Medicare, A0427 is the single largest revenue driver with $2.7M and represents 55.9% of the provider's Medicare revenue; this code ranks #83 of 6841 nationally and is labeled an extreme outlier, indicating the provider operates at a far-above-typical national volume for urgent advanced life support emergency transports. Similarly, A0429 ($950K, 19.3% of Medicare revenue) and A0425 ($750.3K, 15.2% of Medicare revenue) are both in the 99th percentile nationally, reinforcing that the provider is a high-volume ambulance transporter at the national level for these codes.
Within the state Medicaid market the provider is a major in-state player on core transport codes: A0427 accounts for $7.9M and 66.6% of its Medicaid revenue and ranks #8 of 317 in-state (98th percentile, extreme outlier), demonstrating market dominance for ALS emergency transports in-state. A0429 and A0425 also rank in high state percentiles (A0429 #14 of 310, 96th; A0425 #12 of 496, 98th), confirming that the provider is among the largest in Texas on both emergency BLS transports and mileage.
Operational footprint implications: the extremely high counts of mileage claims (A0425: 107.2K Medicare claims and 59.2K Medicaid claims) combined with the dominance of emergency ALS and BLS transport codes suggest extensive ground coverage and frequent emergency dispatches. This pattern is consistent with a high-volume emergency ambulance service that records substantial per-transport mileage.
Competitive standing differs by payer scope: nationally for Medicare the provider is an outlier on several core codes (99th percentile ranks for A0427, A0429, A0425), meaning it competes at a very high volume relative to peers across the U.S.; within Texas Medicaid the provider likewise ranks among the top few providers for A0427 and in the top percentiles for other core codes, indicating strong regional market share in emergency transport services.
Tenure is long-standing: the NPI was enumerated on 2006-07-11 (~20 years ago), which supports that the organization has been operating for multiple licensing cycles and may have established referral and payer relationships that align with its 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7,110 | $390 | $2.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,910 | $330 | $950K |
| A0425 | Ground mileage, per statute mile | 107,180 | $10 | $750.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,400 | $200 | $284K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 510 | $240 | $121.9K |
| A0433 | Advanced life support, level 2 (als 2) | 100 | $570 | $58.8K |
| A0434 | Specialty care transport (sct) | 10 | $670 | $7.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
View: State1 / 2
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) | 41,110 | $190 | $7.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11,620 | $170 | $2M |
| A0425 | Ground mileage, per statute mile | 59,240 | $30 | $1.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,060 | $40 | $154.4K |
| A0433 | Advanced life support, level 2 (als 2) | 70 | $330 | $22.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 410 | $50 | $21.9K |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas 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) | 8 | 320 | 920 | $180 | $720.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14 | 310 | 500 | $160 | $474.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 81 | 190 | 2,590 | $60 | $427.4K |
| A0425 | Ground mileage, per statute mile | 12 | 500 | 1,970 | $40 | $284.3K |
| A0433 | Advanced life support, level 2 (als 2) | 16 | 30 | 110 | $560 | $224.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | 40 | 130 | $70 | $45.6K |
Other providers in the same ZIP code as American Medical Response Ambulance Service Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Hillcrest Baptist Medical Center | TX | General Acute Care Hospital | $0 | $14.3M |
| Ivan Castillo-salazar | TX | Ophthalmology Physician | $4.7M | $0 |
| Waco Ambulatory Surgery Center, LP | TX | Ambulatory Surgical Clinic/Center | $2.3M | $0 |
| James Myatt | TX | Cardiovascular Disease Physician | $770K | $0 |
| Waco Gastroenterology Endoscopy Center LLC | TX | Ambulatory Surgical Clinic/Center | $757.9K | $0 |
| Rodney Brown | TX | Cardiovascular Disease Physician | $612.8K | $0 |
| Pramila Daftary | TX | Specialist | $181.1K | $411.9K |
| Shawn Skeen | TX | Cardiovascular Disease Physician | $435.3K | $0 |
| Lisa Kirk | TX | Family Medicine Physician | $364K | $0 |
| Randy Gardell | TX | Neurology Physician | $349.1K | $0 |
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