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NPI 1386661270 · Soldotna, AK · Land Ambulance
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Kenai Peninsula Borough is a land ambulance provider located in Soldotna, Alaska. This profile covers 5 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 | Kenai Peninsula Borough |
| Address | 144 N Binkley St |
| City | Soldotna |
| State | AK |
| ZIP | 99669 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 16, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.4M |
| Medicare | $780K |
Operational profile: KENAI PENINSULA BOROUGH operates as a land-ambulance provider focused on emergency and non-emergency patient transports, driven by high-revenue ambulance codes. Its Medicare top codes are A0427 (ALS 1 emergency), A0425 (ground mileage), and A0429 (BLS emergency), while Medicaid revenue is concentrated in A0428 (BLS non-emergency), A0429 (BLS emergency), and A0427, indicating routine provision of both advanced life support emergency runs and a substantial volume of basic-life-support non-emergency transports. The prominence of mileage billing (A0425) on Medicare also signals extensive ground transport distances in its service area.
Medicaid-dominant payer mix: This provider has reported Total Medicare revenue of $780K and Total Medicaid revenue of $1.4M, so Medicaid constitutes the larger share of lifetime payer receipts on file. The Medicaid portfolio also shows higher claim counts for BLS codes (e.g., A0429: 3.4K claims; A0428: 2.2K claims), reinforcing that Medicaid-funded trips form a substantial operational throughput for the operation.
Revenue concentration risk: The provider’s top 3 Medicare codes account for 97.6% of Medicare revenue and the top 3 Medicaid codes account for 87.6% of Medicaid revenue, indicating heavy revenue dependence on a very small set of ambulance-related services. This concentration means changes to reimbursement or utilization policy for these specific codes would disproportionately affect the provider’s revenue performance.
Medicare competitive standing: For its largest Medicare code A0427 the provider ranks #794 of 6841 nationally (88th percentile), and it also ranks #1460 of 8934 for A0425 and #1996 of 7808 for A0429, placing it above the median nationally for its top Medicare services but not among the highest-volume national leaders. The dataset’s plain-English characterizations mark these volumes as typical and unremarkable despite these relatively strong national rank positions, suggesting the provider is a solid but not dominant Medicare participant for ambulance services.
Medicaid/state-level positioning: In-state rankings show the provider is a meaningful participant for Medicaid ambulance services—A0427 ranks #4 of 16 in-state, A0429 ranks #7 of 22, A0425 ranks #6 of 26, and A0428 ranks #12 of 23—which places it in the mid-to-upper range among Alaska peers for several high-revenue codes. These rankings, combined with the large Medicaid revenue total ($1.4M) and high claim counts for BLS codes, imply the provider is a significant local supplier of both emergency and non-emergency ground transport.
Price and utilization signals by payer: Average paid-per-claim differs markedly by payer and code in the record: Medicare A0427 shows $530 avg paid/claim with $506.7K revenue, while Medicaid A0427 reports $52 avg paid/claim with $206.5K revenue despite 4K claims. Those reported averages suggest different reimbursement scales and utilization patterns across payers—Medicaid activity is higher-volume on some BLS codes but reimbursed at lower per-claim amounts in these data.
Tenure and operational stability: The provider’s NPI was enumerated on 2006-07-16 (~20 years ago), indicating a long-standing presence in its service market. This longevity, combined with sustained Medicaid and Medicare billing totals, points to an established ambulance operation with entrenched payer relationships in the region.
Statistical outlier context: Across reported codes the plain-English descriptors supplied in the data label most volumes as "typical, unremarkable volume," even where rankings vary (e.g., A0433 for Medicare ranks #1533 of 1632 and is described as typical, and A0428 for Medicare ranks #2242 of 2772 at the lower end). In short, the provider’s patterns are concentrated but generally consistent with typical regional ambulance providers rather than exhibiting extreme outlier behavior in the supplied comparisons.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 960 | $530 | $506.7K |
| A0425 | Ground mileage, per statute mile | 14,260 | $10 | $128.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 270 | $450 | $119.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 40 | $270 | $9.9K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $770 | $8.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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 |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,190 | $240 | $525.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,370 | $150 | $508.3K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,970 | $50 | $206.5K |
| A0425 | Ground mileage, per statute mile | 7,990 | $20 | $175.8K |
How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alaska median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 12 | 20 | 2,190 | $200 | $854.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 20 | 1,410 | $80 | $387.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4 | 20 | 850 | $70 | $352.9K |
| A0425 | Ground mileage, per statute mile | 6 | 30 | 3,170 | $10 | $67.5K |
Other providers in the same ZIP code as Kenai Peninsula Borough, ranked by combined Medicare and Medicaid revenue.
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