Loading...
NPI 1356341531 · Jacksonville, FL · Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
City Of Jacksonville is a ambulance provider located in Jacksonville, Florida. 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 Jacksonville |
| Address | 515 N Julia St |
| City | Jacksonville |
| State | FL |
| ZIP | 32202 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $17.1M |
| Medicare | $7.5M |
City of Jacksonville operates as an ambulance-focused service line: its top revenue-driving codes are A0427 (ALS 1 emergency transport), A0429 (BLS emergency transport), and A0425 (ground mileage), indicating primary activity is emergency ground transports with advanced- and basic-life-support responses. Claim counts and per-claim payment differentials reinforce this operational profile (e.g., Medicare A0427: 11.6K claims at $384 avg paid/claim; Medicaid A0427: 91.2K claims at $123 avg paid/claim).
Revenue concentration is extremely high within a small set of codes for both payers: precomputed top 3 Medicare codes account for 97.9% of Medicare revenue and precomputed top 3 Medicaid codes account for 99.0% of Medicaid revenue, signifying most billing dollars flow from emergency ambulance transports and associated mileage. This concentration suggests limited service-line diversification within payer billing streams.
Payer mix skews toward Medicaid in scale: lifetime Medicaid revenue is $17.1M compared with total Medicare revenue of $7.5M, so Medicaid represents the larger share of reported lifetime public-payer revenue for this provider. Both payers are active, but the provider is effectively heavier on Medicaid volume and dollars.
Competitive standing for Medicare is dominant on core ambulance codes: A0427 ranks #20 of 6841 providers nationally (100th percentile; extreme outlier) and A0429 ranks #33 of 7808 providers nationally (100th percentile; extreme outlier), while A0425 is #113 of 8934 (99th percentile; extreme outlier). These national ranks indicate the provider bills emergency ambulance services at volumes far above typical national peers for the same codes.
Competitive standing within Florida Medicaid market is also concentrated at the top for emergency transport: Medicaid A0427 ranks #5 of 163 in-state (98th percentile; extreme outlier) and A0429 ranks #3 of 143 in-state (99th percentile; extreme outlier), signaling the provider is a major Medicaid emergency-transport participant in-state. By contrast, Medicaid A0433 (ALS 2) ranks #4 of 29 in-state (89th percentile; typical, unremarkable volume), showing dominance is focused on ALS 1 and BLS emergency transports rather than higher-tier ALS 2 volume.
Payment mix shows materially different average paid/claim between payers for the same services: A0427 averages $384 per claim in Medicare versus $123 per claim in Medicaid, and A0429 averages $323 in Medicare versus $103 in Medicaid. These per-claim disparities imply payer-level rate differences drive a substantial portion of revenue mix alongside the much higher Medicaid claim volumes.
Operational footprint is consistent with very high mileage billing: A0425 (ground mileage) appears among the top codes for both payers with Medicare showing 113.1K A0425 claims at $7 avg paid/claim ($791.8K revenue) and Medicaid showing 83.5K A0425 claims at $2 avg paid/claim ($167K revenue). High mileage claim counts alongside emergency transport codes suggest extensive ground-transport operations and frequent patient transfers over distance.
Provider tenure is long-standing: NPI enumerated 2005-07-28 (~21 years ago), indicating this billing profile and market position have been accumulated over a multi-decade operational history. Long tenure combined with extreme-volume rankings suggests entrenched operational scale in both national Medicare and in-state Medicaid ambulance markets.
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) | 11,590 | $380 | $4.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,710 | $320 | $2.2M |
| A0425 | Ground mileage, per statute mile | 113,110 | $10 | $791.8K |
| A0433 | Advanced life support, level 2 (als 2) | 280 | $550 | $157.1K |
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) | 91,200 | $120 | $11.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 52,000 | $100 | $5.4M |
| A0433 | Advanced life support, level 2 (als 2) | 2,100 | $160 | $329.4K |
| A0425 | Ground mileage, per statute mile | 83,510 | $1 | $167K |
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida 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) | 5 | 160 | 4,450 | $110 | $1.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 140 | 2,650 | $90 | $697.1K |
| A0425 | Ground mileage, per statute mile | 7 | 190 | 6,580 | $10 | $250.6K |
| A0433 | Advanced life support, level 2 (als 2) | 4 | 30 | 260 | $140 | $111.6K |
Other providers in the same ZIP code as City Of Jacksonville, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Bureau Of Public Health Laboratories | FL | Clinical Medical Laboratory | $0 | $81.4M |
| Dialysis Clinic Inc | FL | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $28.4M |
| Florida Department Of Health | FL | Clinical Medical Laboratory | $8.8K | $1.4M |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.