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NPI 1356446405 · Warrenton, OR · Land Ambulance
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Medix Ambulance Service Inc is a land ambulance provider located in Warrenton, Oregon. This profile covers 7 Medicare and 6 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 | Medix Ambulance Service Inc |
| Address | 2325 Se Dolphin Ave |
| City | Warrenton |
| State | OR |
| ZIP | 97146 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | September 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.6M |
| Medicare | $1.7M |
MEDIX AMBULANCE SERVICE INC operates as a land ambulance provider with an emphasis on advanced life support emergency transports and mileage-based ground transports, reflected in its leading codes A0427 and A0425. The NPI was enumerated on 2006-09-13 (~20 years ago), indicating two decades of participation in Medicare/Medicaid billing activity and likely an established local operating footprint in Warrenton, OR.
This provider reports $1.7M in total Medicare revenue and $5.6M in total Medicaid revenue, so Medicaid represents the larger share of its public-payer activity by scale. Both payers are active for this supplier, rather than it being effectively single-payer.
Medicare revenue is highly concentrated: the top 3 Medicare codes account for 86.6% of the provider's Medicare revenue, driven primarily by A0427 (51.5%), A0425 (27.7%), and A0429 (7.4%). A0427 on Medicare appears as 2.3K claims with $394 avg paid/claim for $890.8K revenue, and A0425 is 59.8K claims with $8 avg paid/claim for $478.3K revenue, showing the business is heavily dependent on emergency ALS transports and mileage for Medicare receipts.
Medicaid revenue is similarly concentrated, with the top 3 Medicaid codes accounting for 84.6% of Medicaid revenue, led by A0427 (54.0%), A0425 (20.1%), and A0434 (10.5%). On Medicaid A0427 is 14.8K claims with $206 avg paid/claim for $3M revenue and A0425 is 21.4K claims with $53 avg paid/claim for $1.1M revenue, indicating a comparable ALS-plus-mileage revenue profile in the state program and a meaningful contribution from specialty care transport (A0434).
National competitive standing on Medicare is relatively strong for the two top revenue drivers: A0427 ranks #303 of 6841 and A0425 ranks #314 of 8934, each described in the dataset as 96th percentile with "typical, unremarkable volume for this code," which suggests the provider bills these high-revenue codes at levels well above many peers but the descriptive label in the source frames the observed volumes as within expected ranges. The provider is more modestly ranked on Medicare A0429 (rank #1422 of 7808, 82th percentile; typical, unremarkable volume), indicating BLS-emergency billing is less dominant nationally.
In-state competitive standing for Medicaid shows the provider is a substantial participant for core services: A0427 ranks #12 of 88 (87th percentile; typical, unremarkable volume) and A0425 ranks #12 of 105 (89th percentile; typical, unremarkable volume), signaling above-average statewide volume for emergency ALS and mileage. Specialty care transport (A0434) is middling in-state at rank #11 of 21 (50th percentile; typical, unremarkable volume), so while SCT contributes materially to Medicaid revenue, it is not an outlier among in-state peers.
Claims mix points to a business model that combines frequent mileage billing with frequent emergency ALS moves and a non-trivial specialty transport capability. The large counts for ground mileage—59.8K Medicare claims for A0425 and 21.4K Medicaid claims for A0425—paired with high-revenue A0427 entries (Medicare $890.8K; Medicaid $3M) imply operations that perform many long or frequent transports where mileage is a key revenue driver, and the presence of A0434 on both payers indicates capability to move higher-acuity or monitored patients.
Other Medicaid activity of note includes A0998 (ambulance response and treatment, no transport) which accounts for $308.4K (5.5% of Medicaid revenue) on 998 claims and ranks #6 of 21 in-state (75th percentile; typical, unremarkable volume), suggesting response-and-treat events without transport are a meaningful secondary service line. Medicare also bills A0434 (157 claims, $731 avg, $114.8K revenue, rank #112 of 591, 81th percentile; typical, unremarkable volume), reinforcing that specialty care transports are part of the provider's mixed service offering across payers.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,260 | $390 | $890.8K |
| A0425 | Ground mileage, per statute mile | 59,780 | $10 | $478.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 390 | $330 | $127.7K |
| A0434 | Specialty care transport (sct) | 160 | $730 | $114.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 320 | $210 | $66.6K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $590 | $31.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 70 | $270 | $18.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 14,800 | $210 | $3M |
| A0425 | Ground mileage, per statute mile | 21,400 | $50 | $1.1M |
| A0434 | Specialty care transport (sct) | 530 | $1,120 | $589.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,840 | $130 | $360.9K |
| A0998 | Ambulance response and treatment, no transport | 1,000 | $310 | $308.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,230 | $90 | $200.9K |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
6 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) | 12 | 90 | 2,490 | $240 | $2M |
| A0434 | Specialty care transport (sct) | 11 | 20 | 530 | $670 | $850.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 25 | 70 | 1,600 | $170 | $661.9K |
| A0998 | Ambulance response and treatment, no transport | 6 | 20 | 230 | $200 | $212.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | 30 | 340 | $70 | $141.2K |
| A0425 | Ground mileage, per statute mile | 12 | 110 | 2,790 | $10 | $134.1K |
Other providers in the same ZIP code as Medix Ambulance Service Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Clatsop Behavioral Healthcare | OR | Mental Illness Community Based Residential Treatment Facility | $0 | $4.5M |
| Lincare Inc. | OR | Durable Medical Equipment & Medical Supplies | $0 | $1.5M |
| Costco Wholesale Corporation | OR | Community/Retail Pharmacy | $270.3K | $0 |
| Walgreen Co | OR | Pharmacy | $193.6K | $40 |
| Brianna Stone | OR | Family Nurse Practitioner | $132.3K | $0 |
| Fred Meyer Stores Inc | OR | Community/Retail Pharmacy | $118.7K | $0 |
| Kerry Farmer | OR | Audiologist | $3.6K | $0 |
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