Loading...
NPI 1205883717 · Tucson, AZ · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Southwest Ambulance Of Tucson Inc is a land ambulance provider located in Tucson, Arizona. This profile covers 7 Medicare and 10 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 | Southwest Ambulance Of Tucson Inc |
| Address | 3759 N Commerce Dr |
| City | Tucson |
| State | AZ |
| ZIP | 85705 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $98.5M |
| Medicare | $3.8M |
Business profile: SOUTHWEST AMBULANCE OF TUCSON INC’s billing mix is dominated by ground ambulance transports — the top Medicare and Medicaid revenue codes are A0429 (BLS emergency), A0427/A0428 (ALS/BLS emergency and non‑emergency), and A0425 (ground mileage). This pattern indicates an operator focused on high-volume emergency and non-emergency ground transports rather than primarily interfacility specialty programs, with mileage billing a material part of its service delivery model.
Revenue concentration: The provider’s revenue is highly concentrated in a few codes — the top 3 Medicare codes by revenue account for 88.7% of its total Medicare revenue and the top 3 Medicaid codes by revenue account for 89.4% of its total Medicaid revenue. That degree of concentration means changes to reimbursement or utilization for A0429, A0427/A0428, or A0425 would materially impact total revenue.
Payer mix and scale: SOUTHWEST AMBULANCE reports $3.8M in lifetime Medicare revenue versus $98.5M in lifetime Medicaid revenue, indicating the business is overwhelmingly Medicaid‑driven in scale. Analysts should treat this entity as effectively Medicaid‑centric for competitive and contract considerations, with Medicare a much smaller revenue stream.
Medicare competitive standing: For Medicare, A0429 is an extreme outlier nationally — 6K claims and $2M revenue, ranking #41 of 7808 providers (99th percentile; extreme outlier) — and A0425 mileage also ranks notably high (#171 of 8934, 98th percentile; notably above typical national volume). Together with A0427 activity, these ranks show the provider operates at unusually high national volume for core ambulance emergency services on the Medicare side, not a modest local participant.
Medicaid competitive standing: On Medicaid the provider is a dominant state participant for BLS emergency work: A0429 accounts for $60.6M and 115.7K claims and ranks #2 of 82 in‑state (99th percentile; extreme outlier). Additional strong in‑state positions for A0428 (#4 of 33, 91th percentile; typical, unremarkable volume) and A0425 (#5 of 107, 96th percentile; typical, unremarkable volume) reinforce that it is a major Medicaid ambulance supplier in Arizona.
Operational implications from mileage and claim volumes: The provider reports very large mileage claim counts (94.6K Medicare claims for A0425 and 164K Medicaid claims for A0425) alongside high counts for A0429 (6K Medicare claims and 115.7K Medicaid claims), which suggests extensive geographic coverage or consistently long transports as a core feature of operations. High mileage exposure can drive reimbursement sensitivity to per‑mile rates and contract terms with managed Medicaid plans.
Supply and ancillary billing signals: Medicaid billing includes large counts for disposable supplies (A0382 — 141.8K claims, ranks #2 of 27 in‑state, 96th percentile; notably above typical state volume) and ALS supplies (A0398), indicating routine itemized supply billing accompanies transport revenue. These ancillary codes are small as revenue share but are billed at scale and may be meaningful when modeling total encounter economics.
Tenure and service breadth: The provider’s NPI was enumerated 2006-05-28 (~20 years ago), indicating long tenure in the market which is consistent with the developed Medicaid footprint observed. Although specialty care transport (A0434) and ALS‑2 (A0433) appear in the mix at much lower revenue shares, their presence shows capability to provide higher‑acuity transports even though those services are not primary revenue drivers.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,980 | $330 | $2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,980 | $390 | $775.4K |
| A0425 | Ground mileage, per statute mile | 94,640 | $10 | $662.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,120 | $200 | $229.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 560 | $250 | $138.3K |
| A0434 | Specialty care transport (sct) | 80 | $670 | $55.1K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $580 | $12.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 115,700 | $520 | $60.6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 31,510 | $490 | $15.4M |
| A0425 | Ground mileage, per statute mile | 164,050 | $70 | $12M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9,430 | $580 | $5.5M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 6,260 | $530 | $3.3M |
| A0382 | Bls routine disposable supplies | 141,770 | $10 | $850.6K |
| A0398 | Als routine disposable supplies | 16,310 | $20 | $358.8K |
| A0434 | Specialty care transport (sct) | 360 | $710 | $254.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 17,400 | $10 | $121.8K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 640 | $150 | $92.4K |
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona median
10 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) | 21 | 100 | 3,400 | $580 | $5.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 80 | 2,320 | $570 | $4.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4 | 30 | 1,370 | $460 | $4.4M |
| A0425 | Ground mileage, per statute mile | 5 | 110 | 4,860 | $50 | $3.1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 30 | 690 | $500 | $1.6M |
| A0382 | Bls routine disposable supplies | 2 | 30 | 9,790 | $10 | $428.6K |
| A0398 | Als routine disposable supplies | 9 | 40 | 4,730 | $20 | $362.8K |
| A0434 | Specialty care transport (sct) | 3 | 10 | 250 | $550 | $315.7K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 4 | 10 | 450 | $120 | $167.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 4 | 30 | 1,780 | $10 | $47.8K |
Other providers in the same ZIP code as Southwest Ambulance Of Tucson Inc, ranked by combined Medicare and Medicaid revenue.
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.