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NPI 1447200167 · Portland, OR · Ambulance
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American Medical Response Northwest Inc is a ambulance provider located in Portland, Oregon. This profile covers 6 Medicare and 10 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 | American Medical Response Northwest Inc |
| Address | 1 Se 2nd Ave |
| City | Portland |
| State | OR |
| ZIP | 97214 |
| Taxonomy | Ambulance |
| NPI Enumerated | May 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $62M |
| Medicare | $4.4M |
This provider is functionally an emergency ambulance operator with a heavy ALS focus: A0427 (ALS1 emergency) drives the business on both payers (Medicare: 7.9K claims, $422 avg paid/claim, $3.3M revenue and 74.9% of Medicare revenue; Medicaid: 194.7K claims, $263 avg paid/claim, $51.2M revenue and 82.5% of Medicaid revenue). The prominence of A0429 (BLS emergency) and A0433 (ALS2) alongside large ground mileage reporting (A0425) further supports a model centered on emergency scene responses and transports rather than non-emergency or purely mileage-based work.
Revenue is highly concentrated in a very small set of codes for each payer: the top three Medicare codes account for 96.8% of Medicare revenue, and the top three Medicaid codes account for 97.8% of Medicaid revenue. That concentration indicates the provider’s income streams are overwhelmingly tied to a few emergent transport services rather than a broad mix of ancillary ambulance or non-transport lines.
Payer mix is heavily Medicaid-weighted: total Medicaid revenue is $62M compared with total Medicare revenue of $4.4M, making Medicaid the clear revenue driver for this entity. This means state-level reimbursement dynamics and Medicaid contracting will have outsized influence on the provider’s financial performance and capacity planning.
The provider is a statistical outlier and leading actor for core ambulance codes at different scopes: for Medicare A0427 it ranks #65 of 6841 (99th percentile; extreme outlier) and for Medicaid A0427 it ranks #1 of 88 in-state (100th percentile; extreme outlier). Those rankings signal this operator is far above typical peers both nationally for Medicare ALS emergency billing and statewide for Medicaid ALS emergency billing.
Several supporting codes underline operational scale and intensity: Medicare A0425 (ground mileage) appears as 49.7K claims and is responsible for $347.6K (7.9% of Medicare revenue), while Medicaid shows even larger mileage volume with A0425 at 238.9K claims and $477.8K revenue (0.8% of Medicaid revenue) where it ranks #1 in-state (100th percentile; extreme outlier). High mileage claim counts alongside mass ALS billing are consistent with a large-area response network or high trip volumes rather than short, local transports.
Competitive standing differs by payer scope: nationally the provider is an extreme outlier on A0427 in Medicare (99th percentile) and notably above typical on A0433 (95th percentile), indicating exceptional national ALS emergency billing for those CPTs; in-state it is the leading filer on the major Medicaid codes (A0427, A0429, A0433 all rank #1 in-state and are labeled extreme outliers or notably above typical), showing clear dominance in the local Medicaid ambulance market.
Operational breadth beyond emergency transport appears limited: non-transport response A0998 appears in Medicaid with 3.4K claims and $660.1K revenue (1.1% of Medicaid revenue) and ranks #3 of 21 in-state (90th percentile), while non-emergency BLS and SCT volumes are present but much smaller shares. This pattern suggests the provider’s service mix is concentrated on emergency pickups and transports with modest ancillary non-transport activity.
The provider has long tenure in the dataset, with an NPI enumeration date of 2006-05-11 (~20 years ago), which aligns with the scale and entrenched market position observed in state Medicaid rankings and its outsized Medicare ALS billing. Long-standing operation combined with extreme outlier rankings implies established infrastructure and sustained throughput in emergency ambulance services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 7,860 | $420 | $3.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,750 | $350 | $619.2K |
| A0425 | Ground mileage, per statute mile | 49,660 | $10 | $347.6K |
| A0433 | Advanced life support, level 2 (als 2) | 150 | $610 | $88.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 140 | $220 | $31.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 90 | $270 | $23.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 194,710 | $260 | $51.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 44,910 | $190 | $8.7M |
| A0433 | Advanced life support, level 2 (als 2) | 3,450 | $240 | $833.9K |
| A0998 | Ambulance response and treatment, no transport | 3,370 | $200 | $660.1K |
| A0425 | Ground mileage, per statute mile | 238,910 | $1 | $477.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,440 | $60 | $151.3K |
| A0434 | Specialty care transport (sct) | 30 | $1,230 | $39.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 390 | $60 | $21.8K |
| S0215 | Non-emergency transportation; mileage, per mile | 290 | $10 | $2.1K |
| A0999 | Unlisted ambulance service | 210 | $1 | $630 |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
10 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) | 1 | 90 | 2,490 | $240 | $2M |
| A0434 | Specialty care transport (sct) | 19 | 20 | 530 | $670 | $850.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 70 | 1,600 | $170 | $661.9K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 410 | $240 | $238.9K |
| A0998 | Ambulance response and treatment, no transport | 3 | 20 | 230 | $200 | $212.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9 | 30 | 340 | $70 | $141.2K |
| A0425 | Ground mileage, per statute mile | 1 | 110 | 2,790 | $10 | $134.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 9 | 20 | 270 | $100 | $56.5K |
| S0215 | Non-emergency transportation; mileage, per mile | 11 | 10 | 580 | $1 | $47K |
| A0999 | Unlisted ambulance service | 3 | 10 | 210 | $1 | $390 |
Other providers in the same ZIP code as American Medical Response Northwest Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Coda, Inc. | OR | Substance Abuse Rehabilitation Facility | $442.9K | $81M |
| Volunteers Of America Inc. | OR | Contractor | $0 | $33.6M |
| Native American Rehabilitation Assoc Inc | OR | Federally Qualified Health Center (FQHC) | $0 | $32.5M |
| Crc Health Oregon, LLC | OR | Methadone Clinic | $177.6K | $24.3M |
| Advanced Wellness Center | OR | Multi-Specialty Clinic/Center | $0 | $5M |
| Larsen Sanchez Psychology, LLC | OR | Clinical Psychologist | $0 | $4.4M |
| Tiffany Kettermann, LLC | OR | Mental Health Counselor | $0 | $4.2M |
| Center For Natural Medicine, Inc | OR | Multi-Specialty Clinic/Center | $0 | $4.1M |
| Climb Behavioral Solutions, LLC | OR | Behavior Analyst | $0 | $3.9M |
| Cascade Aids Project | OR | Primary Care Clinic/Center | $0 | $1.8M |
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