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NPI 1336290964 · Las Vegas, NV · Ambulance
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City Of Las Vegas is a ambulance provider located in Las Vegas, Nevada. This profile covers 4 Medicare and 4 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 Las Vegas |
| Address | 500 N Casino Center Blvd |
| City | Las Vegas |
| State | NV |
| ZIP | 89101 |
| Taxonomy | Ambulance |
| NPI Enumerated | January 12, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $63.9M |
| Medicare | $2.1M |
CITY OF LAS VEGAS operates as an ambulance service specializing in emergency transports, with its top revenue drivers being A0427 (ALS 1 emergency), A0429 (BLS emergency), and A0425 (ground mileage). The presence of high-volume ALS and mileage codes across both payers indicates a ground-ambulance operation focused on emergency responses rather than non-emergent transport or ancillary services. Medicare and Medicaid top-code detail (A0427, A0429, A0425) consistently point to ALS/BLS emergency transport as the core service line.
Revenue is highly concentrated in a very small set of services for both payers: the precomputed top 3 Medicare codes by revenue account for 95.9% of this provider's total Medicare revenue, and the precomputed top 3 Medicaid codes by revenue account for 99.6% of this provider's total Medicaid revenue. In particular, A0427 alone represents $1.8M (83.0% of Medicare revenue) and $52.1M (81.5% of Medicaid revenue), showing that a single ALS emergency code drives the bulk of revenue on both payers. This concentration suggests the provider’s financial performance is closely tied to volume and reimbursement for ALS emergency responses.
Payer mix is heavily skewed toward Medicaid in scale: total Medicare revenue is $2.1M while total Medicaid revenue is $63.9M, indicating the organization is effectively Medicaid-dominant in its revenue base. Analysts should treat Medicaid payment trends, policy changes, and in-state contracting as primary determinants of cash flow and utilization for this provider. Medicare activity is present but modest by comparison.
On national Medicare benchmarks the provider is a strong performer for certain ALS services: A0427 ranks #149 of 6841 providers nationally (98th percentile; notably above typical national volume) and A0433 ranks #78 of 1632 providers nationally (95th percentile; notably above typical national volume). Those high national ranks for ALS-level codes indicate CITY OF LAS VEGAS is a major national outlier on volume for advanced life support emergency transports relative to peers, even though its overall Medicare revenue is small compared with Medicaid. Conversely, its Medicare activity for A0429 and A0425 is described as typical or unremarkable.
Within Nevada Medicaid, CITY OF LAS VEGAS is a leading in-state provider for key ambulance services: A0427 ranks #3 of 30 providers in-state (93th percentile; notably above typical state volume) and A0433 ranks #2 of 7 providers in-state (83th percentile; typical, unremarkable volume). The provider’s in-state dominance on A0427 aligns with the large Medicaid spend ($52.1M on A0427) and supports characterization as a major statewide ALS emergency transport supplier. Other in-state code ranks (A0429 and A0425) are mid-tier or typical.
Operational metrics show very high claim counts for mileage and Medicaid ALS: Medicare reports 4.5K claims for A0427 and 18.3K claims for A0425, while Medicaid shows 77.5K claims for A0427 and 90.8K claims for A0425. Despite high mileage claim counts, A0425 yields relatively small revenue ($128.2K Medicare; $272.4K Medicaid) because of lower per-claim payments, so mileage is volume-intensive but not revenue-dominant. These claim-level patterns imply operational scale (many transports/miles) even when per-claim reimbursement varies by code and payer.
The provider has established tenure in the market, with an NPI enumerated on 2007-01-12 (~19 years ago), supporting a long operating history that corresponds with the large cumulative Medicaid footprint ($63.9M). This longevity, combined with the concentration in emergency ALS transports and strong in-state ranking, suggests operational stability centered on Medicaid-funded emergency ambulance services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,470 | $400 | $1.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 450 | $340 | $150.2K |
| A0425 | Ground mileage, per statute mile | 18,320 | $10 | $128.2K |
| A0433 | Advanced life support, level 2 (als 2) | 150 | $580 | $88K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 77,520 | $670 | $52.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14,700 | $720 | $10.5M |
| A0433 | Advanced life support, level 2 (als 2) | 2,190 | $470 | $1M |
| A0425 | Ground mileage, per statute mile | 90,800 | $1 | $272.4K |
How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nevada median
4 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) | 3 | 30 | 1,560 | $300 | $5.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6 | 30 | 660 | $210 | $2.3M |
| A0425 | Ground mileage, per statute mile | 5 | 40 | 1,900 | $20 | $406.7K |
| A0433 | Advanced life support, level 2 (als 2) | 2 | 10 | 1,400 | $260 | $374.5K |
Other providers in the same ZIP code as City Of Las Vegas, ranked by combined Medicare and Medicaid revenue.
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