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NPI 1316339609 · Concord, CA · Ambulance
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Contra Costa County is a ambulance provider located in Concord, California. This profile covers 5 Medicare and 7 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 | Contra Costa County |
| Address | 4005 Port Chicago Hwy Ste 250 |
| City | Concord |
| State | CA |
| ZIP | 94520 |
| Taxonomy | Ambulance |
| NPI Enumerated | February 24, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $33.2M |
| Medicare | $8.4M |
CONTRA COSTA COUNTY operates as a high-volume emergency ambulance provider: its Medicare billing is dominated by A0427 (A0427 – Ambulance service, advanced life support, emergency transport, level 1) at $6M (71.5% of Medicare revenue), A0429 at $1.5M (18.1%), and A0425 at $730.1K (8.6%); Medicaid mirrors this mix with A0427 at $20.4M (61.5%), A0429 at $8.8M (26.7%), and A0425 at $3.6M (11.0%). These code descriptions (ALS emergency, BLS emergency, and ground mileage) point to a core service line of emergency transport and substantial mileage-based operations rather than non-emergency or ancillary ambulance services.
Revenue is highly concentrated in a small number of codes for both payers: the top three Medicare codes account for 98.3% of Medicare revenue and the top three Medicaid codes account for 99.1% of Medicaid revenue. That concentration indicates most of the provider’s financial performance hinges on emergency ALS/BLS transports and mileage reimbursements, making patient mix or reimbursement changes for those codes disproportionately impactful.
Payer mix is strongly weighted toward Medicaid in scale: lifetime Medicaid revenue is $33.2M compared with Medicare revenue of $8.4M. While both payers fund the same core ambulance services, Medicaid is the materially larger revenue source for this provider, indicating payer-specific volumes or contracting likely favor Medicaid-enrolled transports.
Nationally for Medicare, the provider is an outlier on core emergency codes: A0427 is $6M and ranks #19 of 6841 providers nationally (100th percentile; extreme outlier), A0429 is $1.5M and ranks #84 of 7808 providers (99th percentile; extreme outlier), and A0425 ranks #139 of 8934 providers (98th percentile; notably above typical). These rank and percentile placements indicate the provider handles emergency ambulance volumes that are well above typical national peers and occupies a dominant position for these services on a national scale.
State-level competitive standing for Medicaid also shows above-typical volume: A0427 has 106.6K claims and $20.4M revenue, ranking #10 of 248 in-state (96th percentile; notably above typical), A0429 has 41.3K claims and $8.8M revenue, ranking #15 of 386 in-state (96th percentile; notably above typical), and A0425 ranks #13 of 580 in-state (98th percentile). Taken together, these placements indicate the provider is a major EMS participant within California for emergency ground transport.
The provider’s billing activity demonstrates sustained high throughput: examples include 106.6K Medicaid claims for A0427 and 11.9K Medicare claims for A0427, plus large mileage claim counts of 134.8K (Medicaid A0425) and 104.3K (Medicare A0425). Combined with an NPI enumeration date of 2015-02-24 (~11 years ago), the claims volumes suggest an established operation with long-running, consistent emergency transport workflows.
Less-revenue codes remain marginal or typical relative to peers: Medicare A0433 (183 claims, $134.1K) is noted as notably above typical national volume while Medicaid A0433 (809 claims, $144.8K) is characterized as typical; A0426 appears at much smaller scale in both payers and is labeled typical or unremarkable. This pattern reinforces that the organization’s business is concentrated on emergency ALS/BLS transports rather than on frequent non-emergency ALS-1 or miscellaneous/unlisted ambulance services (A0999 shown as typical/unremarkable in Medicaid).
Operational implications from the code mix include a heavy reliance on ALS-level emergency responses and mileage reimbursement revenue streams, suggesting fleet, crew, and dispatch capacity are central to the business model. Given the extreme-outlier and high-percentile rankings on core emergency codes, any policy, reimbursement, or regional network changes affecting A0427/A0429/A0425 would likely have outsized effects on this provider’s financials.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 11,950 | $510 | $6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,630 | $420 | $1.5M |
| A0425 | Ground mileage, per statute mile | 104,290 | $10 | $730.1K |
| A0433 | Advanced life support, level 2 (als 2) | 180 | $730 | $134.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $320 | $9.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 106,560 | $190 | $20.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 41,270 | $210 | $8.8M |
| A0425 | Ground mileage, per statute mile | 134,840 | $30 | $3.6M |
| A0433 | Advanced life support, level 2 (als 2) | 810 | $180 | $144.8K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 12,530 | $10 | $125.3K |
| A0999 | Unlisted ambulance service | 7,410 | $1 | $22.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $110 | $1.7K |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
7 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) | 10 | 250 | 2,420 | $220 | $3.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 15 | 390 | 1,270 | $220 | $1.5M |
| A0425 | Ground mileage, per statute mile | 13 | 580 | 3,120 | $30 | $963.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 69 | 80 | 280 | $130 | $148.2K |
| A0999 | Unlisted ambulance service | 20 | 100 | 600 | $20 | $111.4K |
| A0433 | Advanced life support, level 2 (als 2) | 9 | 40 | 170 | $210 | $101.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 9 | 140 | 1,000 | $10 | $33.6K |
Other providers in the same ZIP code as Contra Costa County, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Contra Costa County | CA | Adult Mental Health Clinic/Center | $0 | $33.1M |
| John Muir Health | CA | General Acute Care Hospital | $0 | $32.2M |
| Sutter Visiting Nurse Association And Hospice | CA | Home Health Agency | $0 | $23.7M |
| Premier Surgery Center | CA | Ambulatory Surgical Clinic/Center | $3.4M | $4.6M |
| Walailuk Chaiyarat | CA | Hematology & Oncology Physician | $1.3M | $0 |
| Lesley Martin | CA | Hematology & Oncology Physician | $999.5K | $0 |
| Anita Bhat | CA | Endocrinology, Diabetes & Metabolism Physician | $939.8K | $50.8K |
| Clark Tsai | CA | Ophthalmology Physician | $891.3K | $52.2K |
| Imran Junaid | CA | Allergy & Immunology (Internal Medicine) Physician | $626.2K | $0 |
| Chinnavuth De Monteiro | CA | Internal Medicine Physician | $525.5K | $0 |
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