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NPI 1194926659 · Valley City, ND · Paramedic
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Barnes County Ambulance Inc is a paramedic provider located in Valley City, North Dakota. This profile covers 5 Medicare and 3 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 | Barnes County Ambulance Inc |
| Address | 914 11th Ave Sw |
| City | Valley City |
| State | ND |
| ZIP | 58072 |
| Taxonomy | Paramedic |
| NPI Enumerated | May 30, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $326.1K |
| Medicare | $299.2K |
BARNES COUNTY AMBULANCE INC reports $299.2K in lifetime Medicare revenue and $326.1K in lifetime Medicaid revenue, so its business is split across both payers with Medicaid slightly larger in scale. This is not a single-payer operation; both payers materially contribute to the provider’s overall revenue profile.
The provider’s service mix is clearly ambulance/EMS-focused, dominated by transport and mileage codes: A0427, A0425 and A0429 drive the bulk of activity on both payers. The precomputed concentration metrics reinforce this operational focus: the top 3 Medicare codes account for 94.3% of Medicare revenue and the top 3 Medicaid codes account for 100.0% of Medicaid revenue, indicating a narrow service line concentrated on ground transport and life-support levels.
On the Medicare side, A0427 is the largest single line at $132.9K (44.6% of Medicare revenue), followed by A0425 at $80K (26.9%) and A0429 at $67.9K (22.8%). National ranking information places these codes in the typical activity band (A0427 ranks #2561 of 6841, 62th percentile; A0425 ranks #2031 of 8934, 77th percentile; A0429 ranks #2943 of 7808, 62th percentile), signaling a modest national presence rather than a dominant market position for Medicare ambulance services.
For Medicaid, A0425 is the dominant revenue source at $201.9K (61.8% of Medicaid revenue), with A0427 at $103.7K (31.7%) and A0429 at $21K (6.4%). In-state competitive standing is middle-to-lower for these codes (A0425 ranks #12 of 23, 50th percentile; A0427 ranks #12 of 17, 31th percentile; A0429 ranks #13 of 15, 14th percentile), indicating the provider is a typical local operator for mileage and ALS emergency transport but not a top statewide competitor.
There is a marked payer-level difference in mileage billing: Medicare A0425 shows 10K claims at $8 avg paid/claim for $80K revenue, while Medicaid A0425 shows 2.1K claims at $97 avg paid/claim for $201.9K revenue. This disparity suggests materially different reimbursement levels or billing practices between Medicare and in-state Medicaid for ground mileage, and it makes mileage a primary revenue driver especially on the Medicaid side.
High revenue concentration in a small set of transport codes creates operational risk: with the top 3 Medicare codes representing 94.3% of Medicare revenue and the top 3 Medicaid codes representing 100.0% of Medicaid revenue, changes to payer policy, mileage reimbursement, or transport authorization could materially affect cash flow. The current mix indicates limited diversification beyond emergency and non-emergency ground transport services.
The provider’s NPI was enumerated on 2007-05-30 (~19 years ago), reflecting a long-tenured operation in the community. This tenure is consistent with an established ambulance/EMS provider rather than a newly formed entrant.
Smaller code activity provides additional context: A0426 contributes $3.8K (1.3% of Medicare revenue) and ranks #1509 of 1568 nationally (1th percentile), indicating very limited non-emergency ALS billing compared with peers. This further underscores that the provider’s core revenue is concentrated in emergency ALS/BLS transports and mileage rather than non-emergency ALS 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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 270 | $500 | $132.9K |
| A0425 | Ground mileage, per statute mile | 10,000 | $10 | $80K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 160 | $420 | $67.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 50 | $260 | $13.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | $320 | $3.8K |
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.
3 rows
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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13 | 20 | 1,330 | $340 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 12 | 20 | 1,740 | $370 | $1.3M |
| A0425 | Ground mileage, per statute mile | 12 | 20 | 2,080 | $100 | $703K |
Other providers in the same ZIP code as Barnes County Ambulance Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Open Door Center | ND | Community/Behavioral Health Agency | $0 | $51.1M |
| Innovis Health, LLC | ND | Family Medicine Physician | $0 | $752.9K |
| Bridge City Dentistry P.C. | ND | General Practice Dentistry | $0 | $351.6K |
| Mercy Hospital Of Valley City | ND | Critical Access Hospital | $0 | $279.2K |
| Misty Anderson | ND | Internal Medicine Physician | $221.9K | $0 |
| City County Health District | ND | Public Health or Welfare Agency | $149K | $59.5K |
| Genevieve Goven | ND | Family Medicine Physician | $126.8K | $0 |
| Ashley Horner | ND | Family Medicine Physician | $101.5K | $0 |
| Tanya Diegel | ND | Family Medicine Physician | $92.7K | $0 |
| South Central Adult Services Council Inc. | ND | In Home Supportive Care Agency | $0 | $68.5K |
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