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NPI 1235232562 · Las Vegas, NV · Ambulance
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Mercy Inc is a ambulance provider located in Las Vegas, Nevada. This profile covers 7 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 | Mercy Inc |
| Address | 7201 W Post Rd |
| City | Las Vegas |
| State | NV |
| ZIP | 89113 |
| Taxonomy | Ambulance |
| NPI Enumerated | September 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $47.2M |
| Medicare | $5.1M |
Provider scale and payer mix: MERCY INC reports $5.1M in total Medicare revenue and $47.2M in total Medicaid revenue, indicating Medicaid dominates the payer mix by a wide margin. The Medicaid footprint is the provider's primary revenue engine, while Medicare represents a much smaller share of overall billed dollars.
Service-line profile: the provider is classified under Ambulance taxonomy and its top revenue drivers are clearly emergency transport and mileage codes — A0427, A0429, and A0425 — on both payers. Medicare-side top codes are A0427 ($3M, 59.0% of Medicare) and A0429 ($1.3M, 25.4% of Medicare), while Medicaid-side top codes are A0427 ($25.5M, 54.1% of Medicaid) and A0429 ($14.6M, 30.9% of Medicaid), which together signal a business model focused on high-volume ALS/BLS emergency transport and associated mileage.
Revenue concentration by code: the provider’s billing is heavily concentrated in a very small set of ambulance services — top 3 Medicare codes account for 93.0% of Medicare revenue and top 3 Medicaid codes account for 94.4% of Medicaid revenue. This degree of concentration suggests operations are tightly focused on a narrow set of transport services rather than a broad mix of ancillary or outpatient procedures.
National competitive standing for Medicare: MERCY INC ranks at the extreme upper end for its leading Medicare codes, with A0427 ranking #71 of 6841 providers nationally (99th percentile; extreme outlier) and A0429 ranking #78 of 7808 providers nationally (99th percentile; extreme outlier). A0425 also ranks notably high at #293 of 8934 providers nationally (97th percentile; notably above typical national volume for this code), indicating unusually large Medicare volume for core ambulance services relative to most national peers.
State competitive standing for Medicaid: MERCY INC is a dominant in-state performer for its top Medicaid codes, ranking #1 of 30 providers for A0427 (100th percentile; extreme outlier), #1 of 27 for A0429 (100th percentile; extreme outlier), and #1 of 37 for A0425 (100th percentile; extreme outlier). These statewide top ranks, coupled with the Medicaid revenue totals of A0427 $25.5M and A0429 $14.6M, position the provider as a primary ambulance service supplier in Nevada for these code categories.
Operational intensity and claim volume: Medicaid claim volumes are very large for core codes (A0427 143.4K claims, A0429 102.6K claims, A0425 260.7K claims), while Medicare claim volumes are meaningfully smaller but still substantial for ambulance services (A0427 7.5K claims, A0429 3.8K claims, A0425 62.4K claims). The absolute claim counts on Medicaid highlight a high-utilization operational model, especially for ground mileage where A0425 is reported at 260.7K claims in Medicaid.
Payment profile differences across payers: average paid-per-claim differs materially between Medicare and Medicaid for the same codes — for A0427 Medicare avg paid/claim is $401 versus Medicaid $178, for A0429 Medicare $336 versus Medicaid $142, and for A0425 Medicare $7 versus Medicaid $17. These per-claim payment differentials imply the provider’s revenue mix and cash flow are shaped both by much higher Medicaid claim volume and by payer-specific reimbursement rates for identical ambulance services.
Tenure and continuity: the provider’s NPI was enumerated on 2006-09-05 (~20 years ago), indicating long-standing presence in the market. Combined with the concentrated, high-volume Medicaid activity and top-state rankings, the longevity supports a sustained operational footprint in ambulance services rather than a recent entrant or transient billing pattern.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7,480 | $400 | $3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,840 | $340 | $1.3M |
| A0425 | Ground mileage, per statute mile | 62,430 | $10 | $437K |
| A0434 | Specialty care transport (sct) | 240 | $690 | $163.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 360 | $210 | $75.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 280 | $250 | $71.4K |
| A0433 | Advanced life support, level 2 (als 2) | 80 | $580 | $47.2K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 143,390 | $180 | $25.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 102,640 | $140 | $14.6M |
| A0425 | Ground mileage, per statute mile | 260,680 | $20 | $4.4M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9,290 | $100 | $938.1K |
| A0434 | Specialty care transport (sct) | 3,000 | $260 | $777.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5,160 | $130 | $660.6K |
| A0433 | Advanced life support, level 2 (als 2) | 1,400 | $190 | $269.4K |
How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nevada 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) | 1 | 30 | 1,560 | $300 | $5.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 30 | 660 | $210 | $2.3M |
| A0434 | Specialty care transport (sct) | 1 | 10 | 2,060 | $250 | $597.6K |
| A0425 | Ground mileage, per statute mile | 1 | 40 | 1,900 | $20 | $406.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 10 | 1,570 | $100 | $383.4K |
| A0433 | Advanced life support, level 2 (als 2) | 4 | 10 | 1,400 | $260 | $374.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 10 | 970 | $130 | $238.5K |
Other providers in the same ZIP code as Mercy Inc, ranked by combined Medicare and Medicaid revenue.
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