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NPI 1447375282 · Houston, TX · Ambulance
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City Of Houston is a ambulance provider located in Houston, Texas. This profile covers 4 Medicare and 8 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 Of Houston |
| Address | 611 Walker St. |
| City | Houston |
| State | TX |
| ZIP | 77002 |
| Taxonomy | Ambulance |
| NPI Enumerated | March 20, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $37.8M |
| Medicare | $6.7M |
CITY OF HOUSTON’s billing mix is centered squarely on emergency ground ambulance services: the top three Medicare codes account for 98.0% of Medicare revenue and are dominated by A0427 (44.0%), A0429 (43.7%), and A0425 (10.3%), indicating core revenue comes from advanced life support and basic life support emergency transports plus ground mileage. The Medicaid picture is even more concentrated, with the top three Medicaid codes accounting for 99.4% of Medicaid revenue and led by A0429 (60.9%), A0427 (26.8%), and A0425 (11.8%), which reinforces that transport and mileage are the primary service lines for this entity.
The provider’s payer mix is heavily weighted toward Medicaid in scale: lifetime Medicaid revenue is $37.8M versus $6.7M in Medicare, making Medicaid the dominant revenue source on an order-of-magnitude basis. This concentration means payor policy changes or Medicaid network decisions will materially affect this provider’s topline more than Medicare adjustments.
CITY OF HOUSTON is a major outlier on both Medicare and Medicaid for core ambulance codes. Nationally for Medicare, A0429 ranks #22 of 7808 providers (100th percentile; extreme outlier) and A0427 ranks #80 of 6841 providers (99th percentile; extreme outlier), indicating volumes far above typical national peers for emergency transport. In-state for Medicaid, A0429 ranks #1 of 310 providers (100th percentile; extreme outlier), A0425 ranks #3 of 496 (100th percentile; extreme outlier), and A0427 ranks #6 of 317 (98th percentile; extreme outlier), reflecting dominant statewide standing for both BLS/ALS transport and mileage.
Ground mileage is a consistent high-volume contributor across payers: Medicare shows 98.3K claims for A0425 with $7 avg paid/claim and $688.3K revenue, while Medicaid shows 185.7K claims for A0425 with $24 avg paid/claim and $4.5M revenue. The combination of very large mileage claim counts and modest per-claim payments suggests the provider performs a high number of trips or long-distance transports, making mileage a meaningful portion of revenue despite low per-mile reimbursement.
The service-intensity mix shows both BLS and ALS activity but with different weightings: A0429 (BLS emergency) is the largest single Medicaid revenue driver at $23M (60.9%), while A0427 (ALS 1 emergency) is a substantial second driver at $10.1M (26.8%). Higher-intensity ALS level 2 (A0433) is present but minor—Medicare A0433 accounts for $136K (2.0%) and Medicaid A0433 for $179.8K (0.5%)—suggesting most transports are billed as ALS 1 or BLS rather than frequent ALS 2 calls.
The provider’s claims and revenue profile indicate a municipal-scale EMS operation rather than a small private ambulance contractor: large absolute claim counts (e.g., 130.8K Medicaid claims for A0429 and 54.2K for A0427) and multi-million-dollar Medicaid revenues ($23M for A0429 and $10.1M for A0427) are consistent with city-run emergency transport services handling substantial 911 volumes. Analysts evaluating network adequacy or competitive displacement in Houston should treat this entity as a primary regional provider for emergency ground transport.
CITY OF HOUSTON has an established presence with an NPI enumerated 2007-03-20 (~19 years ago), which aligns with its scale and outsized rank positions on core ambulance codes. The combination of long tenure, extreme percentile rankings in core codes, and Medicaid-dominant revenue exposure suggests continuity of large-scale emergency transport operations that are strategically important in the local Medicaid market.
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) | 7,260 | $410 | $2.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8,590 | $340 | $2.9M |
| A0425 | Ground mileage, per statute mile | 98,330 | $10 | $688.3K |
| A0433 | Advanced life support, level 2 (als 2) | 230 | $590 | $136K |
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 130,850 | $180 | $23M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 54,190 | $190 | $10.1M |
| A0425 | Ground mileage, per statute mile | 185,700 | $20 | $4.5M |
| A0433 | Advanced life support, level 2 (als 2) | 710 | $250 | $179.8K |
| A0398 | Als routine disposable supplies | 1,060 | $20 | $19K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 740 | $10 | $9.6K |
| A0382 | Bls routine disposable supplies | 30 | $10 | $190 |
| A0998 | Ambulance response and treatment, no transport | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
8 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) | 6 | 320 | 920 | $180 | $720.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 310 | 500 | $160 | $474.9K |
| A0425 | Ground mileage, per statute mile | 3 | 500 | 1,970 | $40 | $284.3K |
| A0433 | Advanced life support, level 2 (als 2) | 4 | 30 | 110 | $560 | $224.9K |
| A0382 | Bls routine disposable supplies | 194 | 220 | 460 | $10 | $31.6K |
| A0398 | Als routine disposable supplies | 61 | 180 | 420 | $10 | $29.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 26 | 90 | 270 | $20 | $15.6K |
| A0998 | Ambulance response and treatment, no transport | 26 | 30 | 120 | $1 | $40 |
Other providers in the same ZIP code as City Of Houston, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| National Smart Healthcare Services, Inc | TX | Mental Health Counselor | $0 | $12.5M |
| Golden State Imaging Associates Inc | TX | Diagnostic Radiology Physician | $0 | $11.7M |
| Robert Cornell | TX | Urology Physician | $317.8K | $0 |
| Michael Mapp | TX | Ophthalmology Physician | $188.9K | $0 |
| Andrea Mccoy | TX | Gerontology Nurse Practitioner | $38.7K | $4.2K |
| Daniel Sykes | TX | Anesthesiology Physician | $31.1K | $0 |
| Aji Kurian | TX | Physician Assistant | $19.6K | $0 |
| Allen Criswell | TX | Orthopaedic Surgery Physician | $960 | $0 |
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