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NPI 1376575134 · Fairfax, VA · Ambulance
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Director Of Finance-county Of Fairfax Va is a ambulance provider located in Fairfax, Virginia. 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 | Director Of Finance-county Of Fairfax Va |
| Address | 12099 Government Center Pkwy |
| City | Fairfax |
| State | VA |
| ZIP | 22035 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $7.9M |
| Medicaid | $7.3M |
DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA operates as a ground emergency ambulance provider: its top revenue-driving codes are A0427, A0429 and A0425 across both payers, which correspond to advanced life support emergency transport, basic life support emergency transport, and ground mileage. The presence of large counts for A0427 and A0429 in both Medicare and Medicaid lists signals an operation focused on emergency transport rather than non-emergency or non-transport services.
Revenue is highly concentrated in a narrow set of emergency-transport codes: the top three Medicare codes account for 98.4% of this provider's total Medicare revenue, and the top three Medicaid codes account for 99.8% of its total Medicaid revenue. That concentration, combined with total reported lifetime revenue of $7.9M Medicare and $7.3M Medicaid, indicates most billed activity and dollars come from a small number of transport services.
The provider has a balanced dual-payer footprint rather than being single-payer dependent: lifetime Medicare revenue is $7.9M while lifetime Medicaid revenue is $7.3M, so Medicare and Medicaid are roughly comparable in scale for this entity. Both payers are material to the business model, meaning changes in either program could meaningfully affect overall revenue.
On Medicare measures the operation is a national-volume leader for core ambulance services: A0427 is ranked #21 of 6841 providers (100th percentile, labeled an extreme outlier) and A0429 is ranked #53 of 7808 providers (99th percentile, extreme outlier), while A0425 ranks #188 of 8934 (98th percentile, notably above typical national volume). Those ranks indicate unusually high national activity for ALS and BLS emergency transports relative to peers.
Within Virginia Medicaid the provider is a dominant in-state ambulance operator: A0427 ranks #2 of 199 providers in-state (99th percentile, extreme outlier), A0425 ranks #4 of 273 providers in-state (99th percentile, extreme outlier), and A0429 ranks #10 of 221 (96th percentile, notably above typical state volume). This pattern shows the organization captures very large shares of in-state emergency transport volume, especially for ALS-level care.
There is a marked payer-level difference in unit payments for the same services: for A0427 the average paid per claim is $459 on Medicare versus $83 on Medicaid, and for A0429 it is $387 on Medicare versus $76 on Medicaid; ground mileage A0425 shows $7 avg paid/claim on both payers. Those stated averages indicate substantially higher Medicare unit rates for ALS and BLS emergency transports while the same code mix drives revenue on both payers.
The code-level mix emphasizes advanced life support: A0427 alone represents 66.4% of this provider's Medicare revenue and 70.4% of its Medicaid revenue, demonstrating an ALS-heavy case mix across payers. Operationally, that ALS dominance suggests staffing, equipment and dispatch patterns oriented toward higher-acuity emergency transports rather than routine BLS or non-transport services.
The provider has long tenure in the NPI registry (enumerated 2006-07-06, ~20 years ago), consistent with an established public-county ambulance operation. Coupled with the extreme-outlier ranks and concentrated revenue profile, this tenure points to sustained, high-volume emergency-transport activity rather than a recent or transient billing pattern.
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) | 11,450 | $460 | $5.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,990 | $390 | $1.9M |
| A0425 | Ground mileage, per statute mile | 87,290 | $10 | $611K |
| A0433 | Advanced life support, level 2 (als 2) | 190 | $650 | $123.2K |
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) | 62,110 | $80 | $5.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 20,590 | $80 | $1.6M |
| A0425 | Ground mileage, per statute mile | 83,540 | $10 | $584.8K |
| A0433 | Advanced life support, level 2 (als 2) | 200 | $90 | $17.6K |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia 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) | 2 | 200 | 1,250 | $90 | $326K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10 | 220 | 1,390 | $80 | $307.1K |
| A0425 | Ground mileage, per statute mile | 4 | 270 | 2,410 | $20 | $166.7K |
| A0433 | Advanced life support, level 2 (als 2) | 7 | 10 | 200 | $160 | $33.2K |
Other providers in the same ZIP code as Director Of Finance-county Of Fairfax Va, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Fairfax County, Virginia | VA | Multi-Specialty Clinic/Center | $0 | $55.7M |
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