Loading...
NPI 1396790218 · Saint Peters, MO · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
St. Charles County Ambulance District is a land ambulance provider located in Saint Peters, Missouri. This profile covers 7 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 | St. Charles County Ambulance District |
| Address | 2000 Salt River Rd |
| City | Saint Peters |
| State | MO |
| ZIP | 63376 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 23, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.7M |
| Medicare | $3.4M |
ST. CHARLES COUNTY AMBULANCE DISTRICT is a long-standing land ambulance provider, with its NPI enumerated on 2006-05-23 (~20 years ago), indicating established operations and likely sustained relationships with regional payers and referral sources. The top Medicare revenue codes (A0427, A0425, A0428) and Medicaid top codes (A0427, A0425, A0429) align with traditional emergency and non-emergency ground transport services, confirming the organization functions primarily as a municipal/territorial ambulance service rather than a short-term specialty transport vendor.
Revenue concentration is high on both payers: the top 3 Medicare codes account for 83.8% of the provider’s total Medicare revenue and the top 3 Medicaid codes account for 91.5% of its total Medicaid revenue. This concentration indicates that a few core transport services (advanced life support emergency, mileage, and basic life support transports) dominate the business and drive the vast majority of reimbursement across both payers.
Payer mix shows Medicaid receipts materially exceed Medicare receipts in scale for this provider: Total Medicare revenue is $3.4M versus Total Medicaid revenue of $10.7M, suggesting the entity’s patient population and reimbursement exposure are heavier on Medicaid. This makes Medicaid program policy, rate levels, and state network positioning particularly influential to the provider’s overall financial performance.
On Medicare the provider is a high-volume national performer for key emergency transport codes: A0427 (56.3% of Medicare revenue) ranks #125 of 6841 providers nationally in the 98th percentile and A0425 (16.0% of Medicare revenue) ranks #227 of 8934 providers nationally in the 97th percentile, which together indicate the organization is a significant national outlier in billed volume for ALS emergency trips and mileage. These ranks suggest operations with unusually high ALS emergency and mileage activity relative to most peers.
Within state Medicaid markets the provider is also a leading participant for core ambulance services: A0427 accounts for 49.0% of Medicaid revenue and ranks #8 of 171 in-state (96th percentile), while A0425 accounts for 28.6% of Medicaid revenue and ranks #9 of 203 in-state (96th percentile). These standings imply the district is among the top in-state suppliers of ALS emergency transports and billed mileage, consistent with a dominant regional role for emergency response and transport.
The code mix shows both emergency and non-emergency transports are significant lines of business. Medicare top codes include A0427 (ALS emergency) and A0428/A0429 (BLS non-emergency and BLS emergency), and Medicaid activity mirrors that mix with A0427, A0425, and A0429 prominent. This pattern suggests the provider handles a broad spectrum of ground-ambulance demands — from high-acuity ALS emergency calls to routine BLS transfers and substantial mileage-driven transports.
Several codes are flagged as “notably above typical” or similarly high-volume versus peers, which underscores statistical outlier status rather than routine volumes: both Medicare A0427 and A0425 are described as notably above typical national volume, and Medicaid A0427 and A0425 are notably above typical state volume. Analysts should treat these high-rank patterns as indicators of concentrated operational focus (ALS emergency and mileage) rather than isolated or marginal revenue streams.
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) | 4,940 | $390 | $1.9M |
| A0425 | Ground mileage, per statute mile | 77,650 | $10 | $543.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,910 | $200 | $389.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,110 | $330 | $362K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 410 | $250 | $101.6K |
| A0433 | Advanced life support, level 2 (als 2) | 130 | $560 | $70.4K |
| A0434 | Specialty care transport (sct) | 30 | $670 | $18.8K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 22,790 | $230 | $5.2M |
| A0425 | Ground mileage, per statute mile | 45,690 | $70 | $3.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8,010 | $190 | $1.5M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 12,280 | $60 | $724.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,930 | $90 | $181.4K |
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
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) | 8 | 170 | 1,670 | $230 | $1.1M |
| A0425 | Ground mileage, per statute mile | 9 | 200 | 3,230 | $90 | $827.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 13 | 140 | 1,010 | $200 | $803.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4 | 60 | 880 | $160 | $725.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7 | 40 | 220 | $350 | $320.8K |
Other providers in the same ZIP code as St. Charles County Ambulance District, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.