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NPI 1285685578 · Vancouver, WA · Ambulance
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American Medical Response Northwest Inc is a ambulance provider located in Vancouver, Washington. This profile covers 6 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 | American Medical Response Northwest Inc |
| Address | 409 Ne 76th St |
| City | Vancouver |
| State | WA |
| ZIP | 98665 |
| Taxonomy | Ambulance |
| NPI Enumerated | May 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $18.7M |
| Medicare | $3.3M |
AMERICAN MEDICAL RESPONSE NORTHWEST INC is an ambulance-focused operator by taxonomy and billing mix: its Medicare top revenue drivers are A0427 (advanced life support, emergency) with 4.6K claims and $1.9M revenue, A0429 (basic life support, emergency) with 1.7K claims and $573.2K revenue, and A0425 (ground mileage) with 61.7K claims and $431.6K revenue. Together these three Medicare codes account for 87.5% of the provider's total Medicare revenue, indicating operations heavily centered on emergency transports and associated mileage reimbursement.
On the Medicaid side the same service lines dominate: A0429 (basic life support, emergency) generated 41.6K claims and $6.9M revenue, A0427 (advanced life support, emergency) generated 42.3K claims and $6.3M revenue, and A0425 (ground mileage) generated 102.4K claims and $3.7M revenue. Those three Medicaid codes make up 90.3% of the provider's total Medicaid revenue, reinforcing that emergency ALS/BLS and mileage are the core revenue streams for Medicaid as well.
The provider's payer mix is heavily weighted to Medicaid at the lifetime level: total Medicaid revenue is $18.7M versus total Medicare revenue of $3.3M, showing Medicaid contributes the bulk of recorded lifetime government payer dollars for this NPI. This disparity means reimbursement trends, policy changes, or contract shifts in Medicaid will have a larger near-term impact on overall revenue than equivalent changes in Medicare.
Competitively, AMERICAN MEDICAL RESPONSE NORTHWEST shows outsized volume for key ambulance codes at the national level for Medicare: A0427 ranks #137 of 6841 providers (98th percentile) and A0425 ranks #299 of 8934 providers (97th percentile), both described as notably above typical national volume for those codes. Those ranks suggest a strong national standing on the specific emergency transport and mileage codes relative to peers, rather than a modest or peripheral presence.
Within Washington state Medicaid billing the provider is a dominant outlier on several core codes: A0427 ranks #1 of 98 providers (100th percentile, described as an extreme outlier), A0429 ranks #4 of 145 (98th percentile, notably above typical state volume), and A0425 ranks #5 of 168 (98th percentile, extreme outlier). These statewide ranks indicate the provider is a major in-state supplier of emergency ambulance services and associated mileage billing.
Although emergency transports drive the vast majority of revenue, the provider also bills non-emergency transport codes at materially lower volumes — for Medicare A0428 (BLS non-emergency) appears with 1.5K claims and $319.8K revenue and A0426 (ALS non-emergency) with 117 claims and $30.3K revenue; for Medicaid A0428 has 15.8K claims and $1.3M revenue while A0426 has 662 claims and $49.7K revenue. This mix indicates the operation performs both emergency and non-emergency transports but is primarily focused on emergency ALS/BLS activity.
Revenue concentration is high across both payers: the provider's top three Medicare codes account for 87.5% of Medicare revenue and the top three Medicaid codes account for 90.3% of Medicaid revenue. Such concentration means that reimbursement policy changes, audit focus, or utilization shifts affecting A0427, A0429, or A0425 would disproportionately influence the provider's financial profile.
The NPI tenure shows long-standing participation in federal programs, enumerated on 2006-05-12 (~20 years ago), and the lifetime revenue figures ($3.3M Medicare and $18.7M Medicaid) reflect a sustained Medicaid-focused billing footprint over that period. Combined with the high in-state ranks and lifetime Medicaid scale, the provider presents as an established, high-volume ambulance supplier in its state with a national-level presence on select Medicare ambulance codes.
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) | 4,640 | $410 | $1.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,670 | $340 | $573.2K |
| A0425 | Ground mileage, per statute mile | 61,660 | $10 | $431.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,520 | $210 | $319.8K |
| A0433 | Advanced life support, level 2 (als 2) | 110 | $590 | $62.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 120 | $260 | $30.3K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 41,560 | $170 | $6.9M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 42,250 | $150 | $6.3M |
| A0425 | Ground mileage, per statute mile | 102,430 | $40 | $3.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 15,840 | $90 | $1.3M |
| A0433 | Advanced life support, level 2 (als 2) | 2,200 | $190 | $422.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 660 | $80 | $49.6K |
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
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 150 | 1,340 | $120 | $719.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6 | 40 | 490 | $90 | $569.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1 | 100 | 1,400 | $120 | $404.9K |
| A0425 | Ground mileage, per statute mile | 5 | 170 | 2,040 | $40 | $373.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5 | 20 | 130 | $110 | $99.8K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 110 | $180 | $94.7K |
Other providers in the same ZIP code as American Medical Response Northwest Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pediatric Services Of America, LLC | WA | Nursing Care Agency | $0 | $26.8M |
| The Sw Washington Council Of Govs On Aging & Disabilities | WA | Case Management Agency | $0 | $22.5M |
| Pediatric Services Of America, LLC | WA | Nursing Care Agency | $0 | $18.9M |
| Sea Mar Community Health Centers | WA | Federally Qualified Health Center (FQHC) | $0 | $9.3M |
| Cowlitz Indian Tribe | WA | Substance Use Disorder Rehabilitation Clinic/Center | $0 | $3.9M |
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