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NPI 1457378150 · Oklahoma City, OK · Land Ambulance
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Emergency Medical Services Authority is a land ambulance provider located in Oklahoma City, Oklahoma. This profile covers 7 Medicare and 7 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 | Emergency Medical Services Authority |
| Address | 6205 S Sooner Rd |
| City | Oklahoma City |
| State | OK |
| ZIP | 73135 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $54M |
| Medicare | $9.7M |
EMERGENCY MEDICAL SERVICES AUTHORITY is primarily a ground ambulance operator: its top Medicare and Medicaid revenue-driving codes are A0427, A0429, A0425 and related ambulance transport codes, indicating the organization provides advanced life support emergency transports, basic life support emergency transports, and high-volume mileage billing consistent with large-scale EMS operations. The presence of A0434 and A0433 in both payer lists also shows capability for specialty care and ALS level 2 services, suggesting it offers a broad spectrum of pre-hospital and interfacility transport services rather than only basic non-emergency transfers.
Revenue concentration is very high on both payers: the top three Medicare codes account for 85.9% of this provider's Medicare revenue and the top three Medicaid codes account for 92.6% of its Medicaid revenue, indicating that a small set of ambulance-level transport services drive almost all payer receipts. For Medicare the single largest code is A0427 (61.8% of Medicare revenue), while for Medicaid A0427 also dominates (68.0% of Medicaid revenue), underscoring dependence on ALS emergency transports.
Payer mix is heavily weighted to Medicaid in scale: lifetime reported Medicaid revenue is $54M versus $9.7M in Medicare, so Medicaid represents the larger revenue pool for the provider. This suggests the entity primarily serves populations and payers aligned with Medicaid reimbursement, while Medicare is a smaller but still meaningful contributor to total lifetime payments.
Competitive standing for Medicare shows exceptionally high national volume on key ambulance codes: A0427 ranks #9 of 6841 providers nationally (100th percentile; labeled an "extreme outlier"), A0425 ranks #54 of 8934 (99th percentile; extreme outlier), and A0429 ranks #87 of 7808 (99th percentile; extreme outlier). These ranks indicate the provider is a national-scale outlier for emergency ambulance volume on Medicare, placing it far above typical peers for these services.
In the state Medicaid market the provider is dominant for core ambulance codes: A0427 ranks #1 of 87 providers in-state (100th percentile; extreme outlier), A0429 ranks #2 of 81 (99th percentile; extreme outlier), and A0425 ranks #2 of 111 (99th percentile; extreme outlier). These in-state rankings show this entity is a leading Medicaid ambulance supplier in Oklahoma, with market activity well above other state peers for emergency and mileage codes.
Operational scale is evident in claim counts and unit pricing differences: Medicaid shows very large claim volumes for mileage and ALS emergency transport (e.g., A0425 198.7K claims; A0427 145.6K claims) while Medicare volumes are smaller but still substantial for ALS emergency transport (e.g., A0427 16.4K claims). The difference in average paid/claim between payers (for example A0427 $369 on Medicare vs $252 on Medicaid) suggests different payment levels by payer while service volumes concentrate the business on Medicaid.
Tenure is long-standing: the provider's NPI was enumerated on 2006-07-17, meaning it has been registered for approximately 20 years. This extended active period supports the high cumulative revenue and large claim volumes observed across both Medicare and Medicaid files and aligns with the organization having established operational scale.
Several codes are explicitly flagged as statistical outliers or notably above typical volume, which supports interpreting its data as concentrated, high-volume ambulance operations rather than random fluctuation. Multiple Medicare codes (A0427, A0425, A0429, A0426, A0433) are labeled "extreme outlier" or similarly, and Medicaid shows similar outlier labels for the same core transport codes, reinforcing that the provider is materially above both national Medicare and in-state Medicaid peers on core 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 16,380 | $370 | $6M |
| A0425 | Ground mileage, per statute mile | 180,000 | $10 | $1.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,500 | $310 | $1.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,020 | $190 | $586.5K |
| A0434 | Specialty care transport (sct) | 490 | $630 | $313.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,250 | $230 | $291.7K |
| A0433 | Advanced life support, level 2 (als 2) | 360 | $540 | $191.4K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 145,600 | $250 | $36.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 35,360 | $230 | $8M |
| A0425 | Ground mileage, per statute mile | 198,670 | $30 | $5.4M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 19,760 | $140 | $2.7M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4,690 | $150 | $702.9K |
| A0433 | Advanced life support, level 2 (als 2) | 1,700 | $330 | $567.5K |
| A0434 | Specialty care transport (sct) | 150 | $200 | $29K |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
7 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 | 1,320 | $240 | $1.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 80 | 760 | $210 | $554.1K |
| A0425 | Ground mileage, per statute mile | 2 | 110 | 2,080 | $60 | $501.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 50 | 370 | $120 | $286.5K |
| A0433 | Advanced life support, level 2 (als 2) | 2 | 10 | 100 | $340 | $187.8K |
| A0434 | Specialty care transport (sct) | 4 | 10 | 170 | $450 | $169.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 40 | 90 | $160 | $132.4K |
Other providers in the same ZIP code as Emergency Medical Services Authority, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Daniel Pham Md PC | OK | Family Medicine Physician | $0 | $1.7M |
| Coty Jewell | OK | Clinical Cardiac Electrophysiology Physician | $603.3K | $0 |
| Shoab Nazir | OK | Pulmonary Disease Physician | $558.4K | $0 |
| Paul Garabelli | OK | Clinical Cardiac Electrophysiology Physician | $438.9K | $0 |
| Naeem Tahirkheli | OK | Interventional Cardiology Physician | $344.8K | $0 |
| Imran Virk | OK | Interventional Cardiology Physician | $327.9K | $0 |
| Marc Weitzel | OK | Interventional Cardiology Physician | $313.8K | $0 |
| Soni Zacharias | OK | Interventional Cardiology Physician | $286.4K | $0 |
| Kevin Miller | OK | Interventional Cardiology Physician | $272.3K | $0 |
| Muhammad Ishaq | OK | Pulmonary Disease Physician | $241.2K | $0 |
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