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    OpenPayerNPI Medicare & MedicaidMagic Valley Paramedics L L C
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    Magic Valley Paramedics L L C — Billing Profile & Reimbursement Data

    NPI 1205827813 · Twin Falls, ID · Land Ambulance

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    Magic Valley Paramedics L L C is a land ambulance provider located in Twin Falls, Idaho. This profile covers 6 Medicare and 8 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)

    FieldValue
    Entity TypeOrganization
    OrganizationMagic Valley Paramedics L L C
    Address285 Martin St
    CityTwin Falls
    StateID
    ZIP83301
    TaxonomyLand Ambulance
    NPI EnumeratedNovember 2, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$4.6M
    Medicare$976.6K

    Key Findings

    MAGIC VALLEY PARAMEDICS L L C operates as a land ambulance/ground transport provider: its highest-revenue Medicare and Medicaid codes are A0427, A0429, and A0425, which correspond to advanced life support emergency transport, basic life support emergency transport, and ground mileage. The code mix—high volumes of ALS/BLS emergency transport plus extensive mileage billing—indicates routine emergency transport operations rather than a focus on non-transport or ancillary procedures.

    Revenue concentration is high on both payers: the top 3 Medicare codes account for 90.3% of the provider's total Medicare revenue, and the top 3 Medicaid codes account for 96.4% of total Medicaid revenue. This indicates financial dependence on a narrow set of transport services (ALS/BLS emergency transports and mileage) rather than diversified ancillary billing.

    Payer mix is Medicaid-dominant by scale: Total Medicare revenue is $976.6K while Total Medicaid revenue is $4.6M, so Medicaid drives the bulk of this provider's billed dollars. Both payers are active, but Medicaid represents the larger revenue stream and larger claim volumes overall for this provider.

    On Medicare metrics the provider ranks well above many national peers for its top codes: A0427 ranks #610 of 6841 nationally (91th percentile; typical, unremarkable volume), A0425 ranks #740 of 8934 (92th percentile; typical, unremarkable volume), and A0429 ranks #934 of 7808 (88th percentile; typical, unremarkable volume). These placements suggest a solid national footprint on high-volume ambulance codes — not an extreme outlier but consistently in the upper tier of national providers for these services.

    In-state competitive standing on Medicaid is strong: A0427 is #4 of 31 providers in-state (90th percentile), A0429 is #4 of 32 (90th percentile), and A0425 is #4 of 48 (94th percentile; noted as notably above typical state volume for this code). These ranks indicate MAGIC VALLEY PARAMEDICS is one of the leading Idaho providers for emergency ALS/BLS transports and for billed ground mileage.

    Claim-count patterns reinforce an operational profile centered on frequent ground transports: the provider reported 28.1K Medicare claims and 19.6K Medicaid claims for A0425 (ground mileage), alongside 1.2K Medicare and 10K Medicaid claims for A0427 (ALS emergency transport). High mileage counts paired with sizable emergency transport counts are consistent with frequent, routine inter- and scene-to-facility ground transports.

    Average paid-per-claim differs by payer in expected ways and affects revenue composition: for A0427 the average paid/claim is $371 on Medicare vs $225 on Medicaid, and for A0429 it is $307 on Medicare vs $182 on Medicaid. Given the provider's heavier Medicaid volume, lower Medicaid rates per claim are offset by higher claim counts, shaping overall revenue outcomes.

    The provider has a long tenure in the market (NPI enumerated 2005-11-02 (~21 years ago)), indicating established operations and experience in regional ambulance services. Small ancillary codes such as A0998 (12 Medicaid claims) and 36000 (15 Medicaid claims, $0 revenue) are present but contribute negligible revenue, further emphasizing that core ALS/BLS transports and mileage are the financial drivers.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)1,220$370$453.7K
    A0425Ground mileage, per statute mile28,110$10$253K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)600$310$183.6K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)230$200$45.3K
    A0433Advanced life support, level 2 (als 2)50$520$26.7K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)90$260$23.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427540130$390$138.8K
    A042946060$330$60.6K
    A04252603,210$10$44.4K
    A042842040$200$22.3K
    A043341030$550$21.3K
    A042632030$260$12.5K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)10,050$230$2.3M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)6,970$180$1.3M
    A0425Ground mileage, per statute mile19,630$50$883.1K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)1,100$100$105.7K
    A0433Advanced life support, level 2 (als 2)90$370$32.6K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)170$150$25.7K
    A0998Ambulance response and treatment, no transport10$190$2.3K
    36000The provider introduces a needle or intracatheter into a vein to administer or withdraw fluids or other substances.20$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Idaho median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)430480$220$663.4K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)430570$180$428.6K
    A0425Ground mileage, per statute mile450960$40$166.8K
    A0998Ambulance response and treatment, no transport710110$180$141.8K
    A0433Advanced life support, level 2 (als 2)310140$400$64.9K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)410260$80$54.8K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)210120$160$40.5K
    36000The provider introduces a needle or intracatheter into a vein to administer or withdraw fluids or other substances.510110$10$1.8K

    Nearby Providers

    Other providers in the same ZIP code as Magic Valley Paramedics L L C, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Homestyle Direct LLC.IDHome Delivered Meals$0$65.4M
    St Luke's Clinic LLCIDFamily Medicine Physician$0$39.5M
    Primary Therapy Source, LLCIDPhysical Therapist$0$11.7M
    Wright Physical Therapy Limited PartnershipIDPhysical Therapist$0$8.8M
    Smiles 4 Kids, LLCIDPediatric Dentistry$0$8.7M
    Family Health Services CorporationIDFederally Qualified Health Center (FQHC)$0$8.1M
    St. Luke's Magic Valley Regional Medical Center, Ltd.IDGeneral Acute Care Hospital$0$7.9M
    Twin Falls School District #411IDLocal Education Agency (LEA)$0$6.6M
    Sunshine Therapy LLCIDBehavior Analyst$0$5.7M
    Twin Falls Senior Living LLCIDAssisted Living Facility$0$4.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Idaho Distribution
    Magic Valley Paramedics L L C — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho
    Medicaid Revenue by Year vs. Idaho Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    Magic Valley Paramedics L L C — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho