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NPI 1376845008 · Saint Joseph, MO · Land Ambulance
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Regional Emergency Medical Services Authority is a land ambulance provider located in Saint Joseph, Missouri. This profile covers 7 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 | Regional Emergency Medical Services Authority |
| Address | 5010 Frederick Ave |
| City | Saint Joseph |
| State | MO |
| ZIP | 64506 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 1, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $7.4M |
| Medicare | $1.3M |
This provider is materially Medicaid‑dominant by scale: Total Medicare revenue: $1.3M versus Total Medicaid revenue: $7.4M, so Medicaid represents the substantially larger payer relationship in absolute dollars. Analysts should treat Medicaid performance as the primary driver of the provider’s financial footprint while Medicare appears secondary in scale.
The clinical/service mix is narrowly focused on ground ambulance emergency responses and mileage-based transports. Top codes across payers are A0427 (advanced life support, emergency), A0429 (basic life support, emergency) and A0425 (ground mileage), with high claim volumes such as A0427: 2.2K Medicare claims and 21.9K Medicaid claims, and A0425: 23.8K Medicare claims and 31.2K Medicaid claims, indicating operations centered on frequent emergency transports and substantial mileage billing.
Revenue is highly concentrated in a small set of transport codes. Per precomputed metrics, the top 3 Medicare codes by revenue account for 90.1% of this provider's total Medicare revenue and the top 3 Medicaid codes by revenue account for 99.7% of this provider's total Medicaid revenue, driven principally by A0427, A0429 and A0425 on both payers.
Medicare competitive standing is mixed: A0427 generates $793.4K (60.3% of this provider's total Medicare revenue) and ranks #310 of 6841 providers nationally (95th percentile; typical, unremarkable volume for this code), while A0429 and A0425 also rank in the top decile nationally but are characterized as typical volumes for those codes. In aggregate this suggests the provider achieves relatively high national percentile positions for core ambulance codes but operates at volumes that other peers also commonly report.
In-state (Medicaid) competitive standing is more prominent and concentrated. A0427 accounts for $4.8M (64.8% of this provider's total Medicaid revenue) and ranks #9 of 171 providers in-state (95th percentile; notably above typical state volume for this code), with A0425 and A0429 also ranking high in-state (#13 of 203, 94th percentile; and #18 of 135, 87th percentile respectively), indicating a leading regional role in Medicaid-funded emergency transport and mileage.
There is minimal reported activity in specialty or non-emergency transport lines relative to core emergency services. For Medicare, A0434 (specialty care transport) produced $8.1K (0.6% of Medicare revenue) and ranks #551 of 591 providers nationally (5th percentile; typical, unremarkable volume for this code), and A0428 (BLS non‑emergency) contributes only $88K (6.7% of Medicare revenue) and $23.1K (0.3% of Medicaid revenue), signaling limited SCT and non-emergency business.
The provider has an established operating history to support current volumes: NPI enumerated (registered): 2010-12-01 (~16 years ago). That tenure is consistent with the scale and concentration observed in its Medicaid-dominant ambulance operations.
High claim counts for ground mileage—A0425 with 23.8K Medicare claims and 31.2K Medicaid claims—alongside heavy reliance on A0427 transport revenue suggest operational models driven by either high trip frequency or long-distance transfers. For network and rate negotiations, these mileage and ALS1 emergency patterns are the key levers affecting utilization and cost exposure.
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) | 2,210 | $360 | $793.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 750 | $300 | $226.1K |
| A0425 | Ground mileage, per statute mile | 23,790 | $10 | $166.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 460 | $190 | $88K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $510 | $23.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 50 | $230 | $10.8K |
| A0434 | Specialty care transport (sct) | 10 | $620 | $8.1K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 21,880 | $220 | $4.8M |
| A0425 | Ground mileage, per statute mile | 31,180 | $40 | $1.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,520 | $190 | $1.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 960 | $20 | $23.1K |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri 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) | 9 | 170 | 1,670 | $230 | $1.1M |
| A0425 | Ground mileage, per statute mile | 13 | 200 | 3,230 | $90 | $827.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 18 | 140 | 1,010 | $200 | $803.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 28 | 60 | 880 | $160 | $725.7K |
Other providers in the same ZIP code as Regional Emergency Medical Services Authority, ranked by combined Medicare and Medicaid revenue.
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