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NPI 1366499121 · Muskogee, OK · Land Ambulance
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Muskogee County Emergency Medical Service is a land ambulance provider located in Muskogee, Oklahoma. This profile covers 7 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 | Muskogee County Emergency Medical Service |
| Address | 200 Callahan St |
| City | Muskogee |
| State | OK |
| ZIP | 74403 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.7M |
| Medicare | $2.5M |
This provider’s revenue is concentrated in Medicaid rather than Medicare: Total Medicare revenue is $2.5M while Total Medicaid revenue is $12.7M, so the provider is materially larger on the Medicaid side and operates with a Medicaid-dominant revenue profile. Analyses and network decisions should treat this entity as primarily driven by state-plan volumes and payments rather than Medicare flows.
Revenue concentration is high for both payers. The top 3 Medicare codes by revenue account for 84.5% of this provider's total Medicare revenue, driven by A0427 (41.0%), A0425 (31.3%), and A0428 (12.2%); likewise, the top 3 Medicaid codes by revenue account for 86.0% of this provider's total Medicaid revenue, dominated by A0427 (50.1%), A0425 (26.3%), and A0429 (9.6%). This pattern indicates a narrow set of ambulance services account for most of billed revenue in each program.
The code mix (A0427, A0425, A0428, plus presence of A0434 and A0433) indicates a ground-ambulance operation centered on emergency advanced life support and extensive mileage billing. High shares for A0427 (advanced life support emergency transport) and A0425 (ground mileage) across both payers suggest routine ALS emergency responses with substantial transport distances, while codes like A0434 and A0433 show the capability to provide specialty and higher-acuity interfacility transports.
Medicare competitive standing is mixed by code: A0427 (2.8K claims, $373 avg paid/claim, $1.1M revenue) ranks #234 of 6841 providers nationally (97th percentile; typical, unremarkable volume for this code), while A0425 (89.5K claims, $9 avg paid/claim, $805.2K revenue) ranks #184 of 8934 providers nationally (98th percentile; notably above typical national volume for this code). In short, mileage billing (A0425) is a national outlier in volume, whereas ALS emergency transport (A0427) places the provider solidly high in national percentiles but is characterized in the data as typical rather than exceptional.
State-level Medicaid standing shows the provider as a major in Oklahoma for core ambulance services: A0427 (27.6K claims, $230 avg paid/claim, $6.3M revenue) ranks #4 of 87 providers in-state (97th percentile; typical, unremarkable volume for this code), and A0425 (47.1K claims, $71 avg paid/claim, $3.3M revenue) ranks #4 of 111 providers in-state (97th percentile; typical, unremarkable volume for this code). Notably, A0426 (3.6K claims, $150 avg paid/claim, $536.4K revenue) ranks #2 of 40 providers in-state (97th percentile; notably above typical state volume for this code), indicating strong positioning on advanced-life-support non-emergency transports within the state.
Observed payment-level differences between payers are notable for identical codes: for A0427 the avg paid/claim is $373 in Medicare versus $230 in Medicaid, for A0428 it is $197 in Medicare versus $100 in Medicaid, and for A0425 it is $9 in Medicare versus $71 in Medicaid. These stated averages indicate different payment profiles by payer and should be considered when modeling unit economics or setting contract expectations for specific transport types.
Service-mix nuances appear across payers: specialty care transport A0434 generates meaningful Medicare revenue (202 claims, $636 avg paid/claim, $128.5K revenue; ranks #85 of 591 nationally, 86th percentile) but very limited Medicaid revenue (194 claims, $147 avg paid/claim, $28.5K revenue; ranks #3 of 6 in-state, 60th percentile). This suggests the provider markets or captures higher-acuity interfacility business more effectively in Medicare populations or settings, while Medicaid volumes for SCT are comparatively small.
The provider has an established billing history with NPI enumerated 2006-05-27 (~20 years ago), and several high-volume code counts underline operational scale—examples include 89.5K Medicare claims for A0425 and 47.1K Medicaid claims for A0425. Combined tenure and large mileage claim counts imply a mature ambulance operator with entrenched routing and transport activity that drives most of its payer revenue.
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) | 2,830 | $370 | $1.1M |
| A0425 | Ground mileage, per statute mile | 89,470 | $10 | $805.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,590 | $200 | $312.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 430 | $310 | $132.6K |
| A0434 | Specialty care transport (sct) | 200 | $640 | $128.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 330 | $240 | $77.4K |
| A0433 | Advanced life support, level 2 (als 2) | 110 | $540 | $60.1K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 27,610 | $230 | $6.3M |
| A0425 | Ground mileage, per statute mile | 47,060 | $70 | $3.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,080 | $200 | $1.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10,100 | $100 | $1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3,580 | $150 | $536.4K |
| A0433 | Advanced life support, level 2 (als 2) | 570 | $360 | $203.7K |
| A0434 | Specialty care transport (sct) | 190 | $150 | $28.5K |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma 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) | 4 | 90 | 1,320 | $240 | $1.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8 | 80 | 760 | $210 | $554.1K |
| A0425 | Ground mileage, per statute mile | 4 | 110 | 2,080 | $60 | $501.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 50 | 370 | $120 | $286.5K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 10 | 100 | $340 | $187.8K |
| A0434 | Specialty care transport (sct) | 3 | 10 | 170 | $450 | $169.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 40 | 90 | $160 | $132.4K |
Other providers in the same ZIP code as Muskogee County Emergency Medical Service, ranked by combined Medicare and Medicaid revenue.
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