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NPI 1285669903 · Yakima, WA · Ambulance
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American Medical Response Ambulance Service Inc is a ambulance provider located in Yakima, Washington. This profile covers 6 Medicare and 8 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 | American Medical Response Ambulance Service Inc |
| Address | 229 S 2nd Ave |
| City | Yakima |
| State | WA |
| ZIP | 98902 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.6M |
| Medicare | $1.6M |
This provider operates as an ambulance service focused on both emergency and non‑emergency ground transport: the Medicare top codes are A0427 (ALS 1 emergency), A0429 (BLS emergency) and A0425 (ground mileage), and the Medicaid top codes are the same three, indicating core operations are advanced/basic life support emergency transports plus extensive mileage billing. The presence of large claim counts for mileage (A0425) and both ALS and BLS emergency transports suggests fleet-based patient transport rather than narrowly specialized clinical services.
Medicare revenue is highly concentrated in three codes: A0427, A0429 and A0425 together account for 86.8% of this provider's total Medicare revenue. Individually these codes represent material Medicare revenue lines (A0427 $538.1K, A0429 $463.4K, A0425 $452.7K), which implies the provider’s Medicare business is driven almost entirely by standard ambulance transports and mileage.
Medicaid revenue is even more concentrated with A0425, A0429 and A0427 accounting for 89.1% of the provider's total Medicaid revenue, reflecting the same operational focus on mileage and emergency transports in the state payer mix. The Medicaid dollar volumes are substantially larger at the code level (A0425 $4.1M, A0429 $3.6M, A0427 $1.7M), indicating the provider’s Medicaid book is dominated by the same three service lines.
Payer mix is heavily weighted toward Medicaid at scale: total Medicaid revenue is $10.6M versus total Medicare revenue of $1.6M, so Medicaid represents the primary revenue stream for this provider. This profile makes the organization effectively Medicaid-dominant in overall billed revenue, with Medicare present but comparatively small.
Competitive standing on Medicare is high-percentile for the same transport codes but described as typical volume: A0429 ranks #337 of 7808 providers nationally (96th percentile; typical, unremarkable volume) and A0425 ranks #333 of 8934 providers nationally (96th percentile; typical, unremarkable volume). These placements show the provider is a nationally visible participant in ambulance billing for these codes, but not characterized as unusually large or atypical beyond strong percentile placement.
Competitive standing in-state for Medicaid is that of a leading local operator: A0425 ranks #7 of 168 providers in-state (96th percentile) and A0427 ranks #5 of 98 providers in-state (96th percentile), which positions the provider among the higher-volume ambulance suppliers in Washington for mileage and ALS emergency transports. These ranks support an interpretation of the provider as a major Medicaid ambulance vendor in its state market.
Payment mix across payers shows material per-claim differences that reflect payer-specific reimbursement patterns: for A0427 the avg paid/claim is $407 on Medicare versus $135 on Medicaid, for A0429 it is $342 on Medicare versus $167 on Medicaid, and for A0425 it is $8 on Medicare versus $87 on Medicaid. These differences suggest Medicare reimburses more per emergency transport claim while Medicaid contributes larger absolute dollars through high mileage claim volume, shaping different margin drivers by payer.
The provider has a long-tenured enrollment: NPI enumerated 2006-07-11 (~20 years ago), indicating an established presence in Yakima, WA and likely sustained operational relationships with state Medicaid and national Medicare programs. Longevity combined with high in-state Medicaid ranks supports the view of a stable, experienced ambulance operator in the region.
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) | 1,320 | $410 | $538.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,360 | $340 | $463.4K |
| A0425 | Ground mileage, per statute mile | 56,580 | $10 | $452.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 770 | $220 | $165.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 140 | $260 | $35.4K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $600 | $19.7K |
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 47,470 | $90 | $4.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21,690 | $170 | $3.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 12,620 | $140 | $1.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10,760 | $90 | $946.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,290 | $80 | $106.7K |
| A0433 | Advanced life support, level 2 (als 2) | 590 | $170 | $99.6K |
| A0999 | Unlisted ambulance service | 190 | $40 | $8.2K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 70 | 90 | 1,150 | $1,820 | $4.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9 | 150 | 1,340 | $120 | $719.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7 | 40 | 490 | $90 | $569.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5 | 100 | 1,400 | $120 | $404.9K |
| A0425 | Ground mileage, per statute mile | 7 | 170 | 2,040 | $40 | $373.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 20 | 130 | $110 | $99.8K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 10 | 110 | $180 | $94.7K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 2 | 10 | 70 | $0 | $0 |
Other providers in the same ZIP code as American Medical Response Ambulance Service Inc, ranked by combined Medicare and Medicaid revenue.
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