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NPI 1225048754 · Farmington, MO · Land Ambulance
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St. Francois County Ambulance District is a land ambulance provider located in Farmington, Missouri. This profile covers 6 Medicare and 7 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 | St. Francois County Ambulance District |
| Address | 820 Electric St |
| City | Farmington |
| State | MO |
| ZIP | 63640 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.4M |
| Medicare | $1.5M |
ST. FRANCOIS COUNTY AMBULANCE DISTRICT is categorized under the Land Ambulance taxonomy and its code mix is dominated by transport and mileage codes (notably A0429, A0425 and A0427), indicating the operation is focused on both emergency basic and advanced life support transports plus substantial ground mileage billing. The presence of A0426 and A0428 among reported codes also shows the organization performs non-emergency ALS and BLS transports in addition to emergency responses, so its service line spans both emergency and scheduled patient movement.
Revenue concentration is high on Medicare: the precomputed top three Medicare codes account for 83.5% of this provider's Medicare revenue, and those leading codes each contribute materially (A0429 $475.2K, 32.7% of Medicare revenue; A0425 $426.9K, 29.4%; A0427 $312.2K, 21.5%). This concentration signals that a small set of transport and mileage services drive the bulk of Medicare payments.
Medicaid revenue is even more concentrated: the precomputed top three Medicaid codes account for 96.5% of this provider's Medicaid revenue, led by A0425 $5.6M (45.3% of Medicaid revenue), A0429 $3.9M (31.5%), and A0427 $2.4M (19.7%). This indicates Medicaid payments are overwhelmingly tied to a very narrow set of ambulance and mileage codes.
Payer mix is heavily skewed toward Medicaid in scale: reported lifetime Medicaid revenue is $12.4M versus Medicare revenue of $1.5M, so Medicaid is the dominant public payer in the provider's revenue profile. Analysts should treat Medicaid reimbursement dynamics and state-level policy as primary drivers of this provider's financial performance.
Competitive standing on Medicare shows high national percentiles for core codes but is described in the benchmarking notes as typical for several lines: A0429 ranks #273 of 7808 (97th percentile) and A0425 ranks #352 of 8934 (96th percentile), yet the dataset labels volumes for those codes as "typical, unremarkable." By contrast A0426 is flagged as "notably above typical national volume" (rank #71 of 1568, 96th percentile), suggesting pockets of above-average activity in non-emergency ALS transports at the national level.
On Medicaid within-state benchmarking the provider is a leading in-state participant for core ambulance services: A0429 ranks #6 of 135 (96th percentile), A0425 ranks #11 of 203 (95th percentile), and A0427 ranks #11 of 171 (94th percentile), indicating it is among the higher-volume Medicaid ambulance suppliers in Missouri. A0426 is a clear state outlier for non-emergency ALS (rank #2 of 36, 97th percentile, described as "notably above typical state volume"), which may reflect a specialized in-state capability or referral relationships for non-emergency ALS transports.
Operationally, ground mileage is a major revenue driver and a differentiator between payers: A0425 appears as a large claim volume line for both payers (Medicare 53.4K claims, $8 avg paid/claim; Medicaid 36.8K claims, $153 avg paid/claim) and accounts for the single largest share of Medicaid revenue. The large differences in average paid/claim between Medicare and Medicaid for the same code suggest payer-specific rate structures are materially affecting revenue per transport.
The provider has long tenure in national enrollment (NPI enumerated 2006-08-08 (~20 years ago)), which combined with concentrated revenue on a small set of transport and mileage codes implies an established ambulance operator with stable, repeat transport volumes in its service area. This longevity plus high in-state Medicaid ranks supports the view of a well-established local ambulance service focused on both emergency and non-emergency transport lines.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,550 | $310 | $475.2K |
| A0425 | Ground mileage, per statute mile | 53,360 | $10 | $426.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 850 | $370 | $312.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 570 | $230 | $131.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 380 | $190 | $72.8K |
| A0433 | Advanced life support, level 2 (als 2) | 70 | $530 | $35.6K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 36,800 | $150 | $5.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19,420 | $200 | $3.9M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 11,760 | $210 | $2.4M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4,230 | $90 | $367.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,050 | $40 | $40.8K |
| A0998 | Ambulance response and treatment, no transport | 140 | $110 | $16K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $310 | $11.6K |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
7 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) | 11 | 170 | 1,670 | $230 | $1.1M |
| A0425 | Ground mileage, per statute mile | 11 | 200 | 3,230 | $90 | $827.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6 | 140 | 1,010 | $200 | $803.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 27 | 60 | 880 | $160 | $725.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 40 | 220 | $350 | $320.8K |
| A0433 | Advanced life support, level 2 (als 2) | 5 | 10 | 80 | $270 | $139.4K |
| A0998 | Ambulance response and treatment, no transport | 18 | 30 | 300 | $120 | $129.4K |
Other providers in the same ZIP code as St. Francois County Ambulance District, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Parkland Health Center | MO | General Acute Care Hospital | $0 | $33.5M |
| L.i.f.e Center For Independent Living | MO | Specialist | $0 | $19.5M |
| L.i.f.e., Inc. | MO | In Home Supportive Care Agency | $0 | $5.4M |
| Greater Heights Adhc, LLC | MO | Adult Day Care Clinic/Center | $0 | $5.2M |
| St. Francois County Board For The Developmentally Disabled | MO | Case Management Agency | $0 | $4.5M |
| Healthy Home & Family, Inc. | MO | Home Health Agency | $0 | $4.3M |
| Physician Groups Lc | MO | Multi-Specialty Clinic/Center | $0 | $4.2M |
| Sarah Hull | MO | Nurse Practitioner | $2.6M | $0 |
| Surgery Center Of Farmington, L.L.C. | MO | Ambulatory Surgical Clinic/Center | $538.5K | $262.7K |
| Air Evac Ems Inc | MO | Air Ambulance | $497.3K | $0 |
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