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NPI 1245325059 · Klamath Falls, OR · Ambulance
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Klamath County Fire District No 1 is a ambulance provider located in Klamath Falls, Oregon. This profile covers 3 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 | Klamath County Fire District No 1 |
| Address | 143 N Broad Street |
| City | Klamath Falls |
| State | OR |
| ZIP | 97601 |
| Taxonomy | Ambulance |
| NPI Enumerated | October 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.8M |
| Medicare | $880.4K |
KLAMATH COUNTY FIRE DISTRICT NO 1 is an ambulance service provider (taxonomy: Ambulance) with an NPI enumerated on 2006-10-04, indicating roughly 20 years of enrollment and operational tenure in Medicare/Medicaid billing. The long-standing NPI suggests established emergency medical transport operations in the KLAMATH FALLS area rather than a recent entrant.
Revenue scale is skewed toward Medicaid: lifetime Medicaid revenue is $2.8M versus total Medicare revenue of $880.4K, indicating Medicaid payments are roughly three times larger in absolute terms and that this provider is meaningfully more dependent on Medicaid volume. Both payers are active contributors to overall revenue rather than a single-payer profile.
Top-code concentration is high for both payers: the precomputed top three Medicare codes account for 100.0% of the provider's Medicare revenue, and the precomputed top three Medicaid codes account for 100.0% of the provider's Medicaid revenue. This concentration shows the business is narrowly focused on routine ambulance transports and mileage rather than a broad range of billed services.
Service-line implication from code mix: the dominant Medicare and Medicaid codes are A0429 (BLS emergency transport) and A0427 (ALS 1 emergency transport), with A0425 (ground mileage) also present. This mix indicates the operation primarily provides emergent ground transports across basic and advanced life support levels, with mileage billed as a consistent ancillary revenue source, consistent with a municipal fire-based ambulance operation.
Competitive standing differs by payer and code: for Medicare, A0429 ranks #516 of 7808 providers (93rd percentile) and A0427 ranks #1008 of 6841 (85th percentile), indicating the provider has above-typical national volume for its leading Medicare transport services but is not among the very largest national operators. For Medicaid in-state performance, A0429 ranks #6 of 68 providers (93rd percentile) and A0427 ranks #21 of 88 (77th percentile), signaling a strong statewide position for BLS emergency transports and a solid but less dominant role for ALS emergency transports.
Code-level payment and utilization signal operational emphasis: Medicare average paid per claim is $406 for A0429 and $484 for A0427, whereas Medicaid averages are $139 and $187 respectively, showing lower per-claim Medicaid reimbursements offset by substantially higher Medicaid claim counts (e.g., 10.7K Medicaid A0429 claims vs 1K Medicare A0429 claims). This pattern suggests reliance on Medicaid volume to generate higher aggregate Medicaid revenue despite lower per-claim payments.
Mileage contribution differs by payer: A0425 accounts for 12.3% of Medicare revenue and 1.9% of Medicaid revenue, with very different per-claim payments reported ($10 avg on Medicare vs $3 avg on Medicaid) and higher raw Medicaid mileage claim counts (18.1K claims). Mileage is a meaningful secondary revenue stream for Medicare but relatively minor in Medicaid by revenue share, reinforcing that transport level codes drive most revenue.
Statistical standing descriptors align with typical volumes: all listed code ranks are described as 'typical, unremarkable volume' despite high percentile placements, which indicates the provider's volumes fall within common ranges for ambulance providers at those percentiles rather than representing statistical outliers. The ranks (national and in-state) show consistent above-median activity without exceptional deviation.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,010 | $410 | $409.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 760 | $480 | $365.4K |
| A0425 | Ground mileage, per statute mile | 10,840 | $10 | $108.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10,650 | $140 | $1.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6,860 | $190 | $1.3M |
| A0425 | Ground mileage, per statute mile | 18,050 | $1 | $54.1K |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon 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) | 21 | 90 | 2,490 | $240 | $2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6 | 70 | 1,600 | $170 | $661.9K |
| A0425 | Ground mileage, per statute mile | 14 | 110 | 2,790 | $10 | $134.1K |
Other providers in the same ZIP code as Klamath County Fire District No 1, ranked by combined Medicare and Medicaid revenue.
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