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NPI 1376576181 · Evansville, IN · Land Ambulance
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Mercy Ambulance Of Evansville Inc is a land ambulance provider located in Evansville, Indiana. This profile covers 7 Medicare and 14 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 | Mercy Ambulance Of Evansville Inc |
| Address | 950 E Virginia St |
| City | Evansville |
| State | IN |
| ZIP | 47711 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $13.6M |
| Medicare | $1.8M |
Business mix aligns with emergency ground ambulance operations: taxonomy is Land Ambulance and the revenue picture is dominated by emergency transport codes such as A0427 (Medicare: 2.6K claims, $378 avg paid/claim, $980.5K revenue — 53.7% of Medicare revenue) and A0429 (Medicare: 1.6K claims, $317 avg paid/claim, $516.7K revenue — 28.3% of Medicare revenue). Medicaid activity shows the same service lines at much larger scale, with A0427 (40.6K claims, $152 avg paid/claim, $6.2M revenue — 45.6% of Medicaid revenue) and A0429 (31.8K claims, $152 avg paid/claim, $4.8M revenue — 35.7% of Medicaid revenue), indicating the provider primarily operates emergency ALS and BLS ground transports.
Revenue concentration is very high for both payers: the provider’s top three Medicare codes account for 93.1% of its total Medicare revenue, and the top three Medicaid codes account for 92.7% of its total Medicaid revenue. This split implies that a small set of transport and mileage codes drive nearly all of the provider’s payer revenue, making performance and reimbursement for those specific codes material to financial health.
The payer mix is heavily skewed toward Medicaid at the lifetime level: Total Medicare revenue is $1.8M versus Total Medicaid revenue of $13.6M, so the provider is effectively Medicaid-dominant in scale. Analysts should treat Medicaid reimbursement trends and network relationships as the primary commercial exposure for this entity, with Medicare as a smaller but present line of business.
National competitive standing on Medicare appears elevated by percentile but is characterized in the file as typical: A0427 ranks #266 of 6841 providers nationally (96th percentile; typical, unremarkable volume) and A0429 ranks #252 of 7808 providers nationally (97th percentile; typical, unremarkable volume). In other words, while the provider posts high percentile ranks for key Medicare codes, the supplied descriptors classify these volumes as not making the provider a clear national market leader for ambulance services.
By contrast, the provider is a major in-state Medicaid player for the same codes: A0427 ranks #2 of 181 providers in-state (99th percentile; extreme outlier) and A0429 ranks #4 of 195 providers in-state (98th percentile; notably above typical state volume). A0425 (ground mileage) also ranks #4 of 327 in-state (99th percentile; extreme outlier), so the provider is functionally dominant in its state Medicaid market for emergency transport and mileage billing.
Operational implications from the payer-paid metrics suggest a volume-driven Medicaid model with lower per-claim reimbursement: for A0427 the avg paid/claim is $378 on Medicare versus $152 on Medicaid, and for A0429 it is $317 on Medicare versus $152 on Medicaid, while Medicaid claim counts are much larger (e.g., A0427 40.6K claims, A0429 31.8K claims, A0425 96.4K claims). That pattern — high Medicaid claim volumes combined with lower per-claim revenue — indicates the business relies on high throughput and mileage to generate its Medicaid revenue base and may be sensitive to changes in Medicaid rates or utilization controls.
Provider tenure is long-standing: NPI enumerated 2006-07-08 (~20 years ago), indicating it has been an established ambulance provider for two decades. Combined with the in-state dominance on Medicaid codes, this longevity supports an interpretation of entrenched operational capacity and payer relationships within the state.
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) | 2,590 | $380 | $980.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,630 | $320 | $516.7K |
| A0425 | Ground mileage, per statute mile | 29,090 | $10 | $203.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 460 | $200 | $90.7K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $550 | $20.3K |
| A0434 | Specialty care transport (sct) | 20 | $650 | $11K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $240 | $3.8K |
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.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 40,600 | $150 | $6.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 31,780 | $150 | $4.8M |
| A0425 | Ground mileage, per statute mile | 96,420 | $20 | $1.5M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 21,530 | $40 | $775.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,070 | $50 | $109.7K |
| A0130 | Non-emergency transportation: wheelchair van | 5,380 | $10 | $69.9K |
| A0433 | Advanced life support, level 2 (als 2) | 120 | $190 | $22.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2,500 | $1 | $10K |
| T2005 | Non-emergency transportation; stretcher van | 50 | $40 | $1.9K |
| A0999 | Unlisted ambulance service | 120 | $1 | $230 |
Showing 1–10 of 14
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
14 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 | 180 | 1,730 | $180 | $744.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 200 | 1,130 | $160 | $730.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | 110 | 1,050 | $60 | $342.7K |
| A0425 | Ground mileage, per statute mile | 4 | 330 | 2,010 | $30 | $266.8K |
| A0433 | Advanced life support, level 2 (als 2) | 6 | 20 | 70 | $390 | $141K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 9 | 60 | 210 | $120 | $112.3K |
| A0130 | Non-emergency transportation: wheelchair van | 17 | 80 | 730 | $30 | $88.7K |
| A0434 | Specialty care transport (sct) | 4 | 10 | 120 | $60 | $20.2K |
| A0999 | Unlisted ambulance service | 4 | 10 | 460 | $1 | $14.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2 | 20 | 120 | $10 | $9K |
Showing 1–10 of 14
Other providers in the same ZIP code as Mercy Ambulance Of Evansville Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Kool Smiles In-3, PC | IN | General Practice Dentistry | $0 | $12.4M |
| Evansville-vanderburgh School Corporation | IN | Local Education Agency (LEA) | $0 | $3M |
| Elizibeth Pittman | IN | Family Nurse Practitioner | $144.9K | $0 |
| Joseph Martz | IN | Geriatric Medicine (Family Medicine) Physician | $99K | $0 |
| Amanda Phelps | IN | Women's Health Nurse Practitioner | $16.7K | $0 |
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