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NPI 1306838859 · Lewiston, ID · Land Ambulance
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City Of Lewiston is a land ambulance provider located in Lewiston, Idaho. 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 | City Of Lewiston |
| Address | 1134 F St |
| City | Lewiston |
| State | ID |
| ZIP | 83501 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 19, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.9M |
| Medicare | $697.3K |
CITY OF LEWISTON’s Land Ambulance taxonomy and its top codes show it operates as a ground EMS provider with a heavy mix of emergency BLS and ALS transports: Medicare revenue is led by A0429 ($290.9K, 41.7% of Medicare revenue) and A0427 ($249.1K, 35.7%), with A0428 contributing $72.9K (10.4%). On the Medicaid side, the picture includes a large share billed to A0999 ($774.9K, 40.3%) alongside A0427 ($470.2K, 24.4%) and A0429 ($459.1K, 23.8%), indicating the agency is billing both standard transport codes and a substantial volume under an unlisted ambulance code for Medicaid.
Revenue is highly concentrated in a small set of codes for both payers: the top three Medicare codes account for 87.8% of the provider’s Medicare revenue, and the top three Medicaid codes account for 88.5% of the provider’s Medicaid revenue. This level of concentration means changes in reimbursement or utilization for those specific codes could materially affect overall revenue.
CITY OF LEWISTON’s payer mix is skewed toward Medicaid in scale: total Medicaid revenue is $1.9M compared with Medicare revenue of $697.3K, so Medicaid represents the larger portion of reported public-payer billing. Analysts should treat the provider as more Medicaid-reliant when modeling revenue exposure or negotiating network arrangements.
On national Medicare measures the provider is a modest participant for its leading transport codes: A0429 ranks #548 of 7808 (93th percentile; typical, unremarkable volume) and A0427 ranks #1137 of 6841 (83th percentile; typical, unremarkable volume). These percentiles place the provider above many peers for those services but the dataset’s plain-English characterization is still “typical, unremarkable,” suggesting steady operational volumes rather than outsized national dominance.
Within Idaho Medicaid comparisons the provider shows stronger local presence for some lines: A0999 ranks #1 of 2 in-state (100th percentile; typical, unremarkable volume) and both A0427 and A0429 rank in the upper state percentiles (#7 of 31 and #7 of 32, 80th–81th percentiles; typical, unremarkable volume). That combination — a top position for A0999 plus upper-percentile ranks for core transport codes — indicates notable state-level footprint for certain Medicaid billing categories, though the in-state sample sizes for some codes are small.
Mileage and non-transport activity contribute meaningfully by claim count but less by dollar value: A0425 shows 9.4K Medicare claims generating $65.5K (9.4% of Medicare revenue) and 9.7K Medicaid claims generating $174.6K (9.1% of Medicaid revenue). The high claim counts with relatively low average paid/claim reflect routine ground-mileage billing that supports transports but does not drive the majority of revenue.
CITY OF LEWISTON has an established operating history, with its NPI enumerated on 2005-08-19 (~21 years ago). That tenure supports interpretation of the reported code mix as reflective of an ongoing municipal or long-standing EMS operation rather than a newly entered competitor.
There are a few atypical reporting patterns worth noting for follow-up: Medicaid revenue includes a large single-code share under A0999 (unlisted ambulance service) at $774.9K (40.3% of Medicaid revenue) while some Medicare codes such as A0426 show very low national standing (rank #1444 of 1568, 6th percentile; typical, unremarkable volume). These items do not imply incorrect billing but represent focal points for utilization review or payer audit prioritization because they account for outsized shares of payer-specific revenue.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 960 | $300 | $290.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 680 | $370 | $249.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 370 | $200 | $72.9K |
| A0425 | Ground mileage, per statute mile | 9,350 | $10 | $65.5K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $540 | $16.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | $240 | $3.4K |
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 |
|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 950 | $820 | $774.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,460 | $140 | $470.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,780 | $100 | $459.1K |
| A0425 | Ground mileage, per statute mile | 9,700 | $20 | $174.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,020 | $30 | $28.5K |
| A0998 | Ambulance response and treatment, no transport | 170 | $100 | $17.8K |
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho 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) | 7 | 30 | 480 | $220 | $663.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 30 | 570 | $180 | $428.6K |
| A0999 | Unlisted ambulance service | 1 | 10 | 800 | $480 | $388.3K |
| A0425 | Ground mileage, per statute mile | 7 | 50 | 960 | $40 | $166.8K |
| A0998 | Ambulance response and treatment, no transport | 3 | 10 | 110 | $180 | $141.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 10 | 260 | $80 | $54.8K |
Other providers in the same ZIP code as City Of Lewiston, ranked by combined Medicare and Medicaid revenue.
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