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NPI 1376600965 · San Francisco, CA · Ambulance
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City & County Of San Francisco is a ambulance provider located in San Francisco, California. This profile covers 4 Medicare and 5 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 & County Of San Francisco |
| Address | 698 2nd St |
| City | San Francisco |
| State | CA |
| ZIP | 94107 |
| Taxonomy | Ambulance |
| NPI Enumerated | January 2, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $76.3M |
| Medicare | $6.5M |
CITY & COUNTY OF SAN FRANCISCO is operating in the ambulance service line, with billing dominated by emergency transport codes that map to advanced life support and basic life support services. The provider’s Medicare top-code A0427 (A0427 – Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)) generated $5.6M revenue and A0429 and A0425 also appear in the top Medicare mix, indicating a fleet configured for both ALS and BLS emergency response. The presence of ground mileage code A0425 across payers confirms routine transport operations rather than purely non-transport clinical encounters.
Revenue concentration is extremely high on a very small set of CPT/HCPCS codes for Medicare: the precomputed top 3 Medicare codes account for 97.8% of this provider’s total Medicare revenue. In particular, A0427 alone accounts for $5.6M (86.7% of Medicare revenue), which signals that Medicare receipts are highly dependent on ALS emergency transports rather than a diversified set of billed services.
Medicaid revenue shows an even tighter concentration: the precomputed top 3 Medicaid codes account for 99.1% of this provider’s total Medicaid revenue. A0427 drives the majority of Medicaid receipts with $60.8M revenue (79.8% of Medicaid revenue), and A0429 and A0425 together supply nearly all remaining Medicaid revenue, underscoring a payer-specific reliance on a narrow set of transport codes.
The provider’s payer mix is heavily skewed toward Medicaid in scale: reported lifetime Medicaid revenue is $76.3M versus $6.5M in Medicare. This makes the organization effectively Medicaid-dominant in terms of revenue footprint, with Medicaid accounting for the vast majority of billed dollars across the ambulance service line.
Competitive standing differs by payer and code: for Medicare the provider’s A0427 performance is an outlier nationally, ranking #24 of 6841 providers (100th percentile; extreme outlier, far above typical national volume for this code), while its Medicare A0429 and A0425 volumes are high but described as typical or unremarkable (95th and 92th percentiles respectively). Additionally, the Medicare A0433 line shows notable above-typical volume (rank #43 of 1632, 97th percentile), indicating elevated ALS2 activity beyond the core ALS1 billing.
Within California Medicaid, the provider is a top-tier emitter for the same core codes: A0427 ranks #11 of 248 (96th percentile; notably above typical state volume for this code) and A0429 ranks #18 of 386 (96th percentile). A0425 ranks #15 of 580 (98th percentile) in-state, which together positions the provider as a dominant ambulance/transport supplier in its state market for the principal emergency transport codes.
The provider has a long operational tenure in the NPI registry, enumerated on 2007-01-02 (~19 years ago), which combined with the heavy traffic on emergency transport codes suggests an established, high-capacity ambulance operation rather than a recent entrant. Longevity plus the concentrated billing profile implies sustained specialty in emergency transport services.
Operational nuance: non-transport response and treatment code A0998 represents only a trivial share of Medicaid activity ($22.9K revenue) and is low relative to transport lines, confirming transport-focused operations. The contrast between an A0427 extreme national outlier on Medicare and very large A0427 Medicaid volumes indicates consistent heavy use of ALS1 emergency transports across payers rather than payer-specific anomalies.
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) | 11,210 | $500 | $5.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,210 | $410 | $498.9K |
| A0425 | Ground mileage, per statute mile | 31,540 | $10 | $220.8K |
| A0433 | Advanced life support, level 2 (als 2) | 200 | $730 | $143.8K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 106,180 | $570 | $60.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 31,510 | $420 | $13.3M |
| A0425 | Ground mileage, per statute mile | 115,050 | $10 | $1.5M |
| A0433 | Advanced life support, level 2 (als 2) | 940 | $670 | $628.3K |
| A0998 | Ambulance response and treatment, no transport | 230 | $100 | $22.9K |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
5 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) | 11 | 250 | 2,420 | $220 | $3.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 18 | 390 | 1,270 | $220 | $1.5M |
| A0425 | Ground mileage, per statute mile | 15 | 580 | 3,120 | $30 | $963.2K |
| A0433 | Advanced life support, level 2 (als 2) | 7 | 40 | 170 | $210 | $101.5K |
| A0998 | Ambulance response and treatment, no transport | 10 | 30 | 80 | $90 | $53.7K |
Other providers in the same ZIP code as City & County Of San Francisco, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| American Medical Response West | CA | Ambulance | $1.5M | $16.8M |
| Michael Dick | CA | Diagnostic Radiology Physician | $224.5K | $0 |
| Theodore Kurtz | CA | Anatomic Pathology & Clinical Pathology Physician | $179.6K | $0 |
| William Karlon | CA | Anatomic Pathology & Clinical Pathology Physician | $46.2K | $0 |
| Dianna Ng | CA | Anatomic Pathology & Clinical Pathology Physician | $35.8K | $0 |
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