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NPI 1467491134 · Missoula, MT · Land Ambulance
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Missoula Emergency Services Inc is a land ambulance provider located in Missoula, Montana. This profile covers 5 Medicare and 11 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 | Missoula Emergency Services Inc |
| Address | 1200 Burlington Ave |
| City | Missoula |
| State | MT |
| ZIP | 59801 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.2M |
| Medicare | $1.1M |
MISSOULA EMERGENCY SERVICES INC is categorized under the Land Ambulance taxonomy and its billings are concentrated in classic ambulance transport and related supply codes. The top Medicare codes are A0427 (advanced life support emergency), A0429 (basic life support emergency) and A0425 (ground mileage), while Medicaid top codes include A0429, A0382 (bls routine disposable supplies) and A0427, indicating operations centered on emergency transport plus extensive consumable supply billing.
Medicare revenue is highly concentrated: the precomputed top three Medicare codes account for 91.9% of this provider's total Medicare revenue, driven by A0427 at $493.6K (45.3%), A0429 at $386.6K (35.5%), and A0425 at $121.7K (11.2%). This concentration implies that emergency ALS/BLS transport and mileage are the primary Medicare service lines for this provider.
Medicaid revenue is also concentrated: the precomputed top three Medicaid codes account for 80.6% of this provider's total Medicaid revenue, led by A0429 at $2.2M (42.8%), A0382 at $1M (19.4%), and A0427 at $960.8K (18.5%). The presence of A0382 and A0398 among high Medicaid contributors shows that disposable supplies and ALS routine supplies are meaningful revenue drivers on the Medicaid side.
The payer mix is skewed toward Medicaid in scale: reported Medicaid revenue is $5.2M compared with Medicare revenue of $1.1M, so this provider operates at materially larger scale with Medicaid patients. That imbalance suggests strategic exposure to state Medicaid policies and contracts rather than federal fee schedules as the primary revenue lever.
National competitive standing on Medicare emergency transport codes is relatively strong: A0427 ranks #618 of 6841 providers nationally (91th percentile), A0429 ranks #434 of 7808 providers nationally (94th percentile), and A0425 ranks #1242 of 8934 providers nationally (86th percentile). These percentiles indicate above-typical national volume for its core ambulance transport services, consistent with a high-activity EMS operator though not necessarily a nationwide dominant player.
Within Montana Medicaid peers the provider is a clear in‑state leader on several measures: A0382 ranks #1 of 21 providers in-state (100th percentile; extreme outlier), A0425 ranks #1 of 49 providers in-state (100th percentile; extreme outlier), and A0429 ranks #2 of 41 providers in-state (98th percentile; notably above typical state volume). These standings imply dominant or near‑dominant market share for disposable supplies and mileage billing in-state and unusually high Medicaid transport volumes relative to peers.
Operational patterns reinforce a rural/coverage footprint: Medicaid claim volumes such as 21.8K claims for A0425 (ground mileage) and 14.5K claims for A0429 (bls emergency) indicate extensive mileage and frequent BLS emergency transports, which is consistent with long‑distance transfers or wide geographic service areas. The large counts combined with high A0382 supply billing (10.3K claims) suggest workflows and reimbursement profiles where supply charges and mileage materially shape Medicaid revenue.
MISSOULA EMERGENCY SERVICES' NPI was enumerated on 2006-06-06 (~20 years ago), signaling long tenure in the market. Coupled with the concentration metrics (top three Medicare codes = 91.9% of Medicare revenue; top three Medicaid codes = 80.6% of Medicaid revenue) and in‑state ranking outliers, the profile is of an established regional ambulance operator with notable Medicaid exposure and limited revenue diversification across procedures.
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) | 1,200 | $410 | $493.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,140 | $340 | $386.6K |
| A0425 | Ground mileage, per statute mile | 17,380 | $10 | $121.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 340 | $210 | $72.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 60 | $260 | $16.4K |
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14,540 | $150 | $2.2M |
| A0382 | Bls routine disposable supplies | 10,290 | $100 | $1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5,820 | $170 | $960.8K |
| A0398 | Als routine disposable supplies | 4,180 | $110 | $472K |
| A0425 | Ground mileage, per statute mile | 21,760 | $10 | $239.4K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 3,030 | $60 | $178.7K |
| A0380 | Bls mileage (per mile) | 360 | $130 | $48K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,860 | $20 | $44.7K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 3,200 | $1 | $12.8K |
| A0390 | Als mileage (per mile) | 70 | $90 | $6.1K |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 40 | 450 | $160 | $374.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3 | 30 | 240 | $180 | $270.7K |
| A0398 | Als routine disposable supplies | 2 | 10 | 490 | $130 | $167.4K |
| A0382 | Bls routine disposable supplies | 1 | 20 | 210 | $90 | $130K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 2 | 10 | 260 | $90 | $96.3K |
| A0380 | Bls mileage (per mile) | 12 | 30 | 180 | $60 | $63.9K |
| A0425 | Ground mileage, per statute mile | 1 | 50 | 390 | $30 | $48.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 20 | 290 | $70 | $44.7K |
| A0390 | Als mileage (per mile) | 15 | 20 | 110 | $20 | $42.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 4 | 10 | 310 | $10 | $7.8K |
Showing 1–10 of 11
Other providers in the same ZIP code as Missoula Emergency Services Inc, ranked by combined Medicare and Medicaid revenue.
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