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NPI 1316944846 · Lake Havasu City, AZ · Land Ambulance
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River Medical Inc is a land ambulance provider located in Lake Havasu City, Arizona. This profile covers 6 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 | River Medical Inc |
| Address | 415 El Camino Way |
| City | Lake Havasu City |
| State | AZ |
| ZIP | 86403 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 30, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $55.7M |
| Medicare | $3.4M |
RIVER MEDICAL INC is operating as a land ambulance service and its claim mix is concentrated in emergency transport and mileage-oriented codes, indicating a business focused on point-to-point patient transport rather than outpatient or clinic care. The presence of high-revenue emergency codes A0427 and A0429 alongside large-volume mileage billing under A0425 suggests routine ALS/BLS emergency transports with substantial travel distances; non-emergency codes A0428 and A0426 appear but contribute materially less to revenue.
Medicare revenue is highly concentrated: the provider reports $3.4M in total Medicare revenue with the top three Medicare codes accounting for 92.8% of that total. Within Medicare, A0427 (50.6%), A0425 (25.6%), and A0429 (16.6%) together dominate receipts, signaling reliance on a very small set of transport and mileage services for the bulk of Medicare payments.
Medicaid billing is also concentrated but on a larger scale: the provider reports $55.7M in total Medicaid revenue with the top three Medicaid codes accounting for 86.0% of that total. The Medicaid mix mirrors Medicare with A0427 (41.5%), A0425 (27.8%), and A0429 (16.6%) driving most revenue, indicating the same emergency ambulance and mileage services are the primary revenue drivers across both public payers.
The payer mix is heavily weighted toward Medicaid by dollar volume — $55.7M in Medicaid revenue versus $3.4M in Medicare — making Medicaid the dominant public payer for this provider. This scale difference suggests the organization operates primarily in Medicaid-covered transport markets or holds significant Medicaid contracts in its service area, rather than being balanced between the two payers.
Competitive standing on Medicare shows unusually high national volumes for key codes: A0427 ranks #188 of 6841 providers (97th percentile) and A0425 ranks #129 of 8934 providers (99th percentile), both labeled as notably above typical national volume, while A0429 ranks #293 of 7808 (96th percentile) and is described as typical. These percentiles indicate RIVER MEDICAL is a high-volume national participant for ALS emergency and ground mileage billing on the Medicare side, rather than a low-activity or niche operator.
Within Arizona Medicaid, RIVER MEDICAL is a leading in-state participant for its primary codes: A0427 ranks #7 of 102 providers (94th percentile), A0425 ranks #9 of 107 (92th percentile), and A0429 ranks #12 of 82 (86th percentile). Those near-top in-state ranks support characterization as a major Medicaid ambulance provider in Lake Havasu City and the surrounding region, particularly for emergency ALS and mileage-driven transports.
Operational signals from claim counts and average paid-per-claim highlight payer reimbursement differences and scale: Medicare A0425 shows 107.8K claims with $8 avg paid/claim while Medicaid A0425 shows 56.9K claims with $272 avg paid/claim, and Medicaid A0427 reports 33.8K claims with $684 avg paid/claim compared with Medicare A0427 at 3.6K claims with $477 avg paid/claim. These figures indicate the provider files very large volumes of mileage and emergency-transport claims and faces substantial variability in per-claim reimbursement between Medicare and Medicaid, which will materially affect margins and contracting strategies.
The NPI tenure (enumerated 2005-06-30, ~21 years ago) indicates a long-established operation in the local market; combined with the high-volume ranks and large Medicaid revenue base, this tenure supports that RIVER MEDICAL is an entrenched regional ambulance provider with sustained public-payer relationships.
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) | 3,580 | $480 | $1.7M |
| A0425 | Ground mileage, per statute mile | 107,810 | $10 | $862.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,460 | $380 | $559.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 500 | $230 | $115.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 350 | $300 | $103K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $670 | $22.8K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 33,810 | $680 | $23.1M |
| A0425 | Ground mileage, per statute mile | 56,930 | $270 | $15.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11,990 | $770 | $9.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6,750 | $760 | $5.1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3,970 | $680 | $2.7M |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 40 | $150 | $6K |
| A0398 | Als routine disposable supplies | 120 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona 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) | 7 | 100 | 3,400 | $580 | $5.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 12 | 80 | 2,320 | $570 | $4.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9 | 30 | 1,370 | $460 | $4.4M |
| A0425 | Ground mileage, per statute mile | 9 | 110 | 4,860 | $50 | $3.1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 6 | 30 | 690 | $500 | $1.6M |
| A0398 | Als routine disposable supplies | 32 | 40 | 4,730 | $20 | $362.8K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 8 | 10 | 450 | $120 | $167.7K |
Other providers in the same ZIP code as River Medical Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rural Metro Corporation | AZ | Land Ambulance | $1.3M | $22.3M |
| Havasu Regional Medical Center LLC | AZ | Rural Acute Care Hospital | $0 | $23.2M |
| North Country Healthcare, Inc. | AZ | Multi-Specialty Clinic/Center | $0 | $9.6M |
| Fadi Atassi | AZ | Interventional Cardiology Physician | $2.5M | $15.4K |
| Rajitha Premaratne | AZ | Rheumatology Physician | $1.6M | $0 |
| Barnet Dulaney Perkins Eye Center, PC | AZ | Ambulatory Surgical Clinic/Center | $1.1M | $46.2K |
| Michael Prater | AZ | Otolaryngology Physician | $982K | $0 |
| William Anderson | AZ | Dermatology Physician | $964.8K | $0 |
| Daniel Heiner | AZ | Orthopaedic Surgery Physician | $827.1K | $0 |
| Selaiman Noori | AZ | Pain Medicine (Anesthesiology) Physician | $651K | $0 |
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