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NPI 1255468435 · Philadelphia, PA · Land Ambulance
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City Of Philadelphia is a land ambulance provider located in Philadelphia, Pennsylvania. This profile covers 4 Medicare and 6 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 | City Of Philadelphia |
| Address | 240 Spring Garden St |
| City | Philadelphia |
| State | PA |
| ZIP | 19123 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 27, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $108.1M |
| Medicare | $8.3M |
CITY OF PHILADELPHIA is operating as a land ambulance service, with its billed activity overwhelmingly concentrated in emergency transport services: the top Medicare and Medicaid revenue codes are A0429 (BLS emergency transport) and A0427 (ALS1 emergency transport), with A0425 (ground mileage) present as the third major code. This code mix indicates a primary business line of high-volume patient transports rather than ancillary clinic or diagnostic services.
Revenue concentration is extreme for both payers: the top 3 Medicare codes account for 98.6% of the provider's total Medicare revenue, and the top 3 Medicaid codes account for 99.4% of total Medicaid revenue. Those precomputed shares confirm that a very small set of transport and mileage codes drive nearly all documented revenue.
Payer mix is heavily Medicaid-weighted: total Medicaid revenue is $108.1M compared with total Medicare revenue of $8.3M, indicating the provider is effectively a Medicaid-dominant ambulance operator in scale. Analysts should treat Medicare claims as a much smaller portion of overall activity when modeling revenue or utilization.
Medicare-level competitive standing for key codes is above typical national volumes: A0429 generated $5.3M (15.3K claims) and ranks #4 of 7808 providers nationally (100th percentile; extreme outlier), while A0427 generated $2.5M (6K claims) and ranks #100 of 6841 providers (99th percentile; extreme outlier). These ranks show the provider is a national outlier on high-volume emergency transport billing for Medicare, especially for A0429. A0425 is more typical by comparison, with $305.8K revenue and a rank of #467 of 8934 providers (95th percentile; typical, unremarkable).
State-level competitive standing for Medicaid is dominant across the same transport codes: A0429 produced $75.9M (281.1K claims) and ranks #1 of 385 providers in-state (100th percentile; extreme outlier), A0427 produced $30.2M (99.6K claims) and ranks #1 of 285 (100th percentile; extreme outlier), and A0425 produced $1.4M (171.3K claims) and ranks #1 of 442 providers in-state (100th percentile; extreme outlier). These #1 in-state positions indicate the provider is the leading ambulance billing entity in Pennsylvania for both basic and advanced emergency transport.
Unit-level economics visible in the data show relatively low average payments per claim consistent with EMS transport pricing: Medicare A0429 average paid/claim is $350 and A0427 is $417, while Medicaid A0429 average paid/claim is $270 and A0427 is $303. Given the very high claim volumes (e.g., 281.1K Medicaid A0429 claims), the provider’s revenue scale on Medicaid is driven by volume rather than high per-claim reimbursement.
Tenure and enrollment history show this NPI was enumerated on 2007-02-27 (~19 years ago), indicating nearly two decades of operation under this registration. That longevity combined with the dominant in-state ranks suggests an established, high-capacity public EMS operation rather than a recently entered competitor.
There are limited non-transport services in the billing mix: a small number of other codes (for example A0433 and a few procedure codes with $0 avg paid/claim) contribute negligible revenue, reinforcing that the provider’s financial and operational profile is specialized on ground ambulance emergency transports and mileage. Analysts focusing on network capacity, reimbursement risk, or utilization management should prioritize transport-code trends and Medicaid exposure based on this concentrated profile.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 15,260 | $350 | $5.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6,040 | $420 | $2.5M |
| A0425 | Ground mileage, per statute mile | 43,690 | $10 | $305.8K |
| A0433 | Advanced life support, level 2 (als 2) | 200 | $590 | $116.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 281,110 | $270 | $75.9M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 99,580 | $300 | $30.2M |
| A0425 | Ground mileage, per statute mile | 171,300 | $10 | $1.4M |
| A0433 | Advanced life support, level 2 (als 2) | 1,960 | $330 | $635.4K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 880 | $0 | $0 |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 270 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
6 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 | 290 | 710 | $300 | $631.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 390 | 510 | $250 | $557.8K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 40 | $360 | $115.7K |
| A0425 | Ground mileage, per statute mile | 1 | 440 | 400 | $30 | $76K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 154 | 220 | 2,320 | $10 | $51.2K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 3 | 10 | 270 | $1 | $490 |
Other providers in the same ZIP code as City Of Philadelphia, ranked by combined Medicare and Medicaid revenue.
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