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NPI 1194821595 · Rockledge, FL · Land Ambulance
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Brevard County Board Of County Commissioner is a land ambulance provider located in Rockledge, Florida. This profile covers 4 Medicare and 5 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 | Brevard County Board Of County Commissioner |
| Address | 1040 Florida Ave S |
| City | Rockledge |
| State | FL |
| ZIP | 32955 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | September 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.2M |
| Medicare | $5.5M |
The provider’s code mix (A0427, A0429, A0433, A0425) indicates a core operation of emergency land ambulance transport with heavy use of advanced life support (ALS) and basic life support (BLS) services alongside extensive ground mileage. Medicare volumes include A0427 with 7.4K claims at $384 avg paid/claim generating $2.8M and A0429 with 6.4K claims at $324 avg paid/claim generating $2.1M, while Medicaid volumes show A0427 at 35.6K claims ($101 avg paid/claim, $3.6M) and A0429 at 30.4K claims ($79 avg paid/claim, $2.4M), consistent with an entity focused on high-frequency emergency transports rather than elective or non-transport services.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 97.4% of this provider’s total Medicare revenue, with A0427 and A0429 alone representing 51.2% and 37.2% respectively. That concentration implies financial dependence on a small set of emergency-transport codes for Medicare reimbursement and limited revenue diversification within Medicare claims.
Medicaid revenue is even more concentrated: the precomputed top 3 Medicaid codes account for 99.0% of this provider’s total Medicaid revenue, led by A0427 at 57.9% and A0429 at 38.7%. This pattern indicates that nearly all Medicaid receipts derive from emergency ALS and BLS transports, leaving little Medicaid revenue outside those primary transport services.
On payer mix, this entity reports $5.5M in total Medicare revenue versus $6.2M in total Medicaid revenue, so Medicaid is the slightly larger payer by scale but both payers are material. The provider is not single-payer dependent; analysts should treat it as a dual-payer ambulance operator with similar service emphasis across Medicare and Medicaid.
National competitive standing on Medicare shows extreme concentration and above-typical volume for multiple codes: A0427 ranks #74 of 6841 (99th percentile; extreme outlier) and A0429 ranks #37 of 7808 (100th percentile; extreme outlier), with A0433 (#26 of 1632, 98th percentile; extreme outlier) and A0425 (#250 of 8934, 97th percentile; notably above typical). These rankings characterize the provider as a major high-volume national outlier for core ambulance transport codes on the Medicare side.
In-state competitive standing for Medicaid is high but less exceptional: A0427 ranks #18 of 163 (90th percentile; typical, unremarkable volume) and A0429 ranks #8 of 143 (95th percentile; notably above typical state volume), while A0433 and A0425 sit at more typical in-state percentiles. The provider is a leading Medicaid transport vendor in Florida for BLS and ALS emergency transports, particularly for A0429 where it is notably above typical state volume.
A notable operational anomaly appears in the Medicaid A0422 line: 3.4K claims are reported for A0422 with $0 avg paid/claim and $0 revenue, yet the provider ranks #1 of 24 in-state (100th percentile; notably above typical state volume). This suggests a billing pattern where oxygen/supplies are being reported but not yielding paid dollars (possible bundling, zero-dollar adjustments, or payer-specific payment rules), and it is worth targeted review of claim adjudication or coding practices for A0422.
The provider’s NPI enumerated date is 2006-09-15 (~20 years ago), indicating long tenure in the market. That longevity, combined with the very high claim volumes and percentile rankings, supports the interpretation of a stable, established county-level emergency transport operation (BREVARD COUNTY BOARD OF COUNTY COMMISSIONER) with entrenched payer relationships and high utilization of ALS/BLS 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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7,390 | $380 | $2.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,370 | $320 | $2.1M |
| A0425 | Ground mileage, per statute mile | 71,970 | $10 | $503.8K |
| A0433 | Advanced life support, level 2 (als 2) | 250 | $560 | $141.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 35,620 | $100 | $3.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 30,430 | $80 | $2.4M |
| A0433 | Advanced life support, level 2 (als 2) | 1,050 | $140 | $150K |
| A0425 | Ground mileage, per statute mile | 60,710 | $1 | $60.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 3,380 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
5 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) | 18 | 160 | 4,450 | $110 | $1.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8 | 140 | 2,650 | $90 | $697.1K |
| A0425 | Ground mileage, per statute mile | 18 | 190 | 6,580 | $10 | $250.6K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | 30 | 260 | $140 | $111.6K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 20 | 710 | $1 | $1.1K |
Other providers in the same ZIP code as Brevard County Board Of County Commissioner, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Bridges Btc | FL | Developmentally Disabled Services Day Training Agency | $0 | $12.9M |
| Coastal Health Systems Of Brevard, Inc. | FL | Ambulance | $1.8M | $768K |
| David Ross | FL | Medical Oncology Physician | $1.1M | $0 |
| Andrew Miner | FL | Dermatology Physician | $1M | $0 |
| Giuseppe Palermo | FL | Medical Oncology Physician | $944.8K | $0 |
| Mario Sequeira | FL | Dermatology Physician | $479.8K | $0 |
| Richard Kirkpatrick | FL | Dermatology Physician | $422.7K | $0 |
| John Brodnan | FL | Pulmonary Disease Physician | $350.4K | $0 |
| Rita Jain | FL | Endocrinology, Diabetes & Metabolism Physician | $326.5K | $0 |
| Marja Sprock | FL | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | $279.1K | $0 |
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