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NPI 1205982246 · Green River, WY · Land Ambulance
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Castle Rock Special Hospital District is a land ambulance provider located in Green River, Wyoming. This profile covers 6 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 | Castle Rock Special Hospital District |
| Address | 1400 Uinta Dr |
| City | Green River |
| State | WY |
| ZIP | 82935 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | January 25, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $719.3K |
| Medicaid | $192.3K |
Service-line profile: CASTLE ROCK SPECIAL HOSPITAL DISTRICT is operating as a ground ambulance provider (taxonomy: Land Ambulance) with a clear emergency-transport focus. Its Medicare revenue is concentrated in advanced life support emergency transports (A0427 at 43.1% of Medicare revenue) and basic life support emergency transports (A0429 at 20.3%), while ground mileage (A0425) is a substantial secondary driver (28.3% of Medicare revenue). This mix indicates primary operations are emergency ALS/BLS transports supplemented by extensive mileage-based runs.
Medicare revenue concentration: the top three Medicare codes (A0427, A0425, A0429) account for 91.6% of the provider's total Medicare revenue, highlighting a narrow revenue base tied to core ambulance services. Reliance on a small set of transport and mileage codes suggests limited service diversification within the Medicare payer stream, which concentrates financial exposure on emergency transport volumes.
Medicaid revenue concentration: the provider's Medicaid revenue is entirely driven by three codes (A0425, A0429, A0427) that together account for 100.0% of its Medicaid revenue. Medicaid receipts therefore reflect a pure ambulance/mileage business model in-state, with negligible Medicaid revenue from ancillary or other clinical services.
Payer mix and scale: this provider reports $719.3K in total Medicare revenue versus $192.3K in total Medicaid revenue, indicating Medicare is the dominant revenue source by scale. The presence of both payers is meaningful but the operation is effectively Medicare-led in overall dollars rather than being single-payer.
Competitive standing — Medicare (national): volume and rank data position the provider as a modest national participant rather than a dominant operator. A0425 ranks #829 of 8934 providers (91st percentile) showing relatively strong mileage activity nationally, while A0427 (rank #1212 of 6841, 82nd percentile) and A0429 (rank #1581 of 7808, 80th percentile) are in the upper-middle of national distributions but described as typical, unremarkable volumes for those codes. These ranks imply the provider achieves respectable but not leading national scale on its top Medicare codes.
Competitive standing — Medicaid (state): in-state ranks for the top Medicaid codes are middle-of-pack to modest (A0425: #8 of 21, 65th percentile; A0429: #6 of 13, 58th percentile; A0427: #8 of 13, 42nd percentile). Those percentiles and the accompanying labels of typical volume indicate the provider is a functional, routine participant in the state Medicaid ambulance market but not a statewide leader.
Payment-rate profile by payer and code: average paid/claim differs markedly between Medicare and Medicaid for the same codes. For ambulance transports, Medicare reports higher avg paid/claim amounts (A0427 $492, A0429 $413) compared with Medicaid (A0427 $84, A0429 $88), whereas ground mileage shows the opposite pattern with Medicaid reporting a higher avg paid/claim (A0425 $44) than Medicare (A0425 $8). These contrasts imply payer-specific reimbursement structures materially affect revenue composition even when the operational service mix is similar across payers.
Tenure and operational implications: the provider's NPI was enumerated 2007-01-25 (~19 years ago), indicating an established local EMS presence. Coupled with large reported mileage volume (Medicare A0425: 25.3K claims and Medicaid A0425: 1.8K claims), this longevity and sustained run volume suggest the organization operates ongoing transport services with a steady stream of patient trips rather than a newly formed or ad-hoc operation.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 630 | $490 | $308K |
| A0425 | Ground mileage, per statute mile | 25,310 | $10 | $202.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 350 | $410 | $145K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 100 | $260 | $26.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 60 | $310 | $19.8K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $700 | $14K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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 Wyoming providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wyoming median
3 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 | 10 | 700 | $90 | $188.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6 | 10 | 610 | $90 | $131.2K |
| A0425 | Ground mileage, per statute mile | 8 | 20 | 540 | $20 | $45.7K |
Other providers in the same ZIP code as Castle Rock Special Hospital District, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Smiths Food & Drug Centers Inc | WY | Community/Retail Pharmacy | $135.2K | $0 |
| Best Care Family Practice LLC | WY | Family Nurse Practitioner | $0 | $128.1K |
| Sweetwater County Child Developmental Center | WY | Clinic/Center | $0 | $100.4K |
| Malinda Tollefson | WY | Clinical Social Worker | $0 | $69.5K |
| Nicholas Hastert | WY | Physical Therapist | $61.3K | $0 |
| Michael Nelson | WY | Physical Therapist | $59.4K | $0 |
| Hayley Strauss | WY | Physical Therapist | $44.8K | $0 |
| Garrett Hybarger | WY | Physical Therapist | $44.5K | $0 |
| Alisa Orr | WY | Adult Health Nurse Practitioner | $34.6K | $0 |
| Jacob Flores | WY | Physical Therapist | $33.1K | $0 |
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