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NPI 1346213899 · Saint Paul, MN · Land Ambulance
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City Of St Paul is a land ambulance provider located in Saint Paul, Minnesota. 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 | City Of St Paul |
| Address | 645 Randolph Ave |
| City | Saint Paul |
| State | MN |
| ZIP | 55102 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $40.9M |
| Medicare | $2M |
Payer mix is heavily skewed toward Medicaid: the provider reports $2M in total Medicare revenue versus $40.9M in total Medicaid revenue, indicating Medicaid is the primary revenue source and the organization is effectively Medicaid-dominant in scale. This imbalance suggests financial performance and utilization patterns will be driven predominantly by state Medicaid contracting and volume.
Medicare revenue is highly concentrated in a few transport services: the top 3 Medicare codes account for 95.6% of this provider's total Medicare revenue, led by A0429, A0427, and A0425. That concentration signals the provider’s Medicare activity is almost entirely driven by ambulance transports (BLS and ALS) and ground mileage rather than a broad mix of ancillary services.
Medicaid revenue is even more concentrated: the top 3 Medicaid codes account for 99.0% of the provider’s total Medicaid revenue, again concentrated in A0429, A0427, and A0425. This near-exclusive reliance on three transport-related codes underscores that Medicaid billing is dominated by emergency/basic life support and advanced life support transports plus mileage.
The specific code mix (A0429 – BLS emergency, A0427 – ALS level 1 emergency, and A0425 – ground mileage) points to an operation focused on high-volume emergency ground transport with both BLS and ALS capabilities. Per-claim averages reported for A0429 are similar across payers (Medicare $333 avg paid/claim; Medicaid $315 avg paid/claim), indicating consistent per-transport reimbursement levels while overall revenue differences are driven by much larger Medicaid claim volumes.
On national Medicare benchmarks the provider shows above-typical volume for core ambulance services: A0429 ranks #114 of 7808 providers nationally (99th percentile) and A0427 ranks in the 95th percentile, while A0425 is in the 88th percentile. These rankings characterize the provider as a high-volume national outlier for BLS emergency transports and above-average for ALS and mileage among Medicare-reporting peers.
Within Minnesota Medicaid peers the provider is a major statewide operator for core transport codes: A0429 ranks #4 of 78 providers in-state (96th percentile), A0427 ranks #5 of 60 (93rd percentile), and A0425 ranks #5 of 107 (96th percentile). Those state-level standings indicate the provider is one of the dominant in-state ambulance billing entities for emergency transport and mileage.
There are notable coding/reimbursement anomalies that merit attention: A0422 shows 335 claims with $0 avg paid/claim and $0 revenue while ranking #1 of 1 providers in-state, which appears as an unusual zero-dollar reimbursement pattern for oxygen supplies. Also, the Medicaid volumes for A0429 (62K claims) and A0427 (59.6K claims) are described as "notably above typical" state volume, further signaling concentrated, high-frequency transport activity.
The provider has long tenure in the registry (NPI enumerated 2006-02-07, ~20 years ago), and combined with the concentrated, high-volume transport billing profile this supports the interpretation of an established, operationally mature ambulance service. That longevity plus Medicaid-dominant revenue should influence how analysts assess payer-contract exposure and operational scale risk.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,010 | $330 | $1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,900 | $400 | $752.4K |
| A0425 | Ground mileage, per statute mile | 20,110 | $10 | $140.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 330 | $220 | $71.4K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $570 | $16.6K |
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 62,040 | $320 | $19.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 59,600 | $320 | $18.8M |
| A0425 | Ground mileage, per statute mile | 127,330 | $20 | $2.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,820 | $160 | $295.3K |
| A0433 | Advanced life support, level 2 (als 2) | 150 | $580 | $87.3K |
| A0998 | Ambulance response and treatment, no transport | 170 | $190 | $32.1K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 340 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota 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) | 5 | 60 | 780 | $470 | $5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 80 | 410 | $430 | $2.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6 | 30 | 420 | $220 | $1.1M |
| A0425 | Ground mileage, per statute mile | 5 | 110 | 870 | $80 | $971K |
| A0433 | Advanced life support, level 2 (als 2) | 6 | 10 | 560 | $790 | $714.1K |
| A0998 | Ambulance response and treatment, no transport | 5 | 10 | 140 | $230 | $59K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 10 | 340 | $0 | $0 |
Other providers in the same ZIP code as City Of St Paul, ranked by combined Medicare and Medicaid revenue.
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