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NPI 1316993017 · Guaynabo, PR · Land Ambulance
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Cuerpo De Emergencias Medicas De is a land ambulance provider located in Guaynabo, Puerto Rico. This profile covers 3 Medicare and 3 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 | Cuerpo De Emergencias Medicas De |
| Address | Carr 2 Km 4.9 |
| City | Guaynabo |
| State | PR |
| ZIP | 00968 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.4M |
| Medicare | $108.2K |
CUERPO DE EMERGENCIAS MEDICAS DE is a land ambulance operator whose revenue is driven almost entirely by emergency transport services: the top three Medicare codes (A0427, A0429, A0425) account for 100.0% of its Medicare revenue, and the same three codes account for 100.0% of its Medicaid revenue. This concentration indicates the organization’s service mix is tightly focused on advanced life support (A0427), basic life support (A0429), and ground mileage (A0425) transport activity rather than ancillary clinical services or facility-based care.
Medicaid is the overwhelmingly dominant payer by scale for this provider: total Medicaid revenue is $9.4M versus total Medicare revenue of $108.2K, indicating the business operates with a heavily Medicaid-weighted payer mix. That imbalance suggests operational priorities, capacity, and revenue risk are largely tied to Medicaid volume and reimbursement behavior in Puerto Rico.
Medicaid billing volumes are extreme by in-state comparison: A0427 shows 22.1K claims and $5.3M revenue (56.6% of this provider's total Medicaid revenue) and ranks #1 of 64 providers in-state, A0429 shows 22K claims and $3.1M revenue (32.6%) and ranks #1 of 186 providers, and A0425 shows 44.1K claims and $1M revenue (10.8%) and ranks #1 of 226 providers; each Medicaid rank is described as a 100th percentile extreme outlier, far above typical state volume for these codes. Those rankings indicate this entity is the dominant statewide provider of both ALS and BLS emergency transports and ground mileage billing in Medicaid data.
By contrast, the provider’s Medicare footprint is modest and not exceptional nationally: for A0427 the provider posted 194 claims and $76.4K revenue (70.5% of Medicare revenue) and ranks #3160 of 6841 providers nationally (54th percentile; typical, unremarkable volume), A0429 is 61 claims and $20.3K revenue (18.7% of Medicare revenue) and ranks #4934 of 7808 (36th percentile), and A0425 is 1.7K claims and $11.7K revenue (10.8% of Medicare revenue) and ranks #5750 of 8934 (36th percentile). These Medicare ranks characterize the organization as a modest national participant rather than a market leader for ambulance codes in Medicare.
The provider’s top-code revenue shares underline operational dependence on a narrow code set: on Medicare, A0427 contributes $76.4K (70.5%), A0429 $20.3K (18.7%), and A0425 $11.7K (10.8%); on Medicaid, A0427 contributes $5.3M (56.6%), A0429 $3.1M (32.6%), and A0425 $1M (10.8%). With top-three codes making up 100.0% of revenue for each payer, strategic or reimbursement shifts affecting ALS/BLS or mileage rates could materially influence overall revenue.
Payment patterns differ between payers on a per-claim basis: for A0427 the avg paid/claim is $394 in Medicare versus $242 in Medicaid, for A0429 it is $333 in Medicare versus $140 in Medicaid, and for A0425 it is $7 in Medicare versus $23 in Medicaid. These payer-specific average-paid differences suggest variation in allowed amounts and/or claim composition between Medicare and Medicaid that affect revenue per transport.
Operational scale on Medicaid is large in absolute claim counts, with 44.1K A0425 claims and roughly 22K claims each for A0427 and A0429, indicating sustained high-volume transport activity in the state Medicaid population. That level of claim activity supports the interpretation that the provider functions as a primary statewide emergency ground-transport vendor for Medicaid beneficiaries rather than a small local operator.
The provider has an established tenure in the NPI system, enumerated on 2006-05-25 (~20 years ago), which signals long-term participation in public payer billing. Combined with the Medicaid dominance and state-level top ranks, the data profile is consistent with a long-standing, high-volume Medicaid-focused ambulance service that maintains only a modest presence in Medicare billing.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
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How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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.
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How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Puerto Rico median
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| 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) | 1 | 60 | 250 | $200 | $232.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 190 | 300 | $150 | $137.9K |
| A0425 | Ground mileage, per statute mile | 1 | 230 | 480 | $30 | $52.1K |
Other providers in the same ZIP code as Cuerpo De Emergencias Medicas De, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Alivia Specialty, LLC | PR | Specialty Pharmacy | $0 | $189M |
| Medtronic Puerto Rico Operations | PR | Durable Medical Equipment & Medical Supplies | $0 | $19.7M |
| Ortho & Surgical Solutions, Inc | PR | Prosthetic/Orthotic Supplier | $0 | $7.8M |
| Santa Merle | PR | Hematology & Oncology Physician | $4.5K | $2M |
| Bard Shannon Limited | PR | Prosthetic/Orthotic Supplier | $0 | $1.2M |
| Guaynabo Ambulatory Surgical Group, Inc | PR | Ambulatory Surgical Clinic/Center | $275K | $53.4K |
| Ricardo Hernandez-castillo | PR | Pulmonary Disease Physician | $28.6K | $211.9K |
| Maria De Aranzazu Villamil Jarauta | PR | Endocrinology, Diabetes & Metabolism Physician | $42.3K | $151.8K |
| Juan Malpica-santiago | PR | Pulmonary Disease Physician | $33.2K | $148.3K |
| Fernando Zalduondo | PR | Diagnostic Radiology Physician | $125.9K | $0 |
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