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NPI 1477588101 · Lincoln, NE · Land Ambulance
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City Of Lincoln, Nebraska is a land ambulance provider located in Lincoln, Nebraska. This profile covers 4 Medicare and 3 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 Lincoln, Nebraska |
| Address | 901 W Bond St |
| City | Lincoln |
| State | NE |
| ZIP | 68521 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.2M |
| Medicare | $2.2M |
Clinical/business profile: City of Lincoln, Nebraska is a Land Ambulance provider whose Medicare and Medicaid revenue is overwhelmingly driven by emergency transport services (ALS and BLS) and ground mileage. The top billed HCPCS codes are A0427 (advanced life support, emergency transport), A0429 (basic life support, emergency transport), and A0425 (ground mileage), which together define a traditional municipal EMS transport operation rather than a mixed outpatient or non-emergency transport business.
Medicare revenue concentration: This provider reported $2.2M in total Medicare revenue, with the top 3 Medicare codes (A0427, A0429, A0425) accounting for 97.1% of that Medicare revenue. The single largest Medicare code is A0427 ($1.5M, 4K claims, $378 avg paid/claim; 69.4% of Medicare revenue), indicating heavy dependence on ALS emergency transports for Medicare receipts.
Medicaid revenue concentration: The provider reported $8.2M in total Medicaid revenue and its top 3 Medicaid codes (A0427, A0429, A0425) account for 100.0% of Medicaid revenue. A0427 is the largest Medicaid code ($5.6M, 25.4K claims, $221 avg paid/claim; 68.1% of Medicaid revenue), showing Medicaid receipts are likewise concentrated in emergency transport and mileage.
Payer mix and scale: City of Lincoln’s Medicaid revenue ($8.2M) substantially exceeds its Medicare revenue ($2.2M), making Medicaid the dominant payer by scale for this provider. This imbalance, along with the claim volumes reported (e.g., 25.4K Medicaid A0427 claims vs. 4K Medicare A0427 claims), suggests the provider’s operational capacity and case mix are oriented toward Medicaid-covered transports in-state.
Competitive standing — Medicare (national): For Medicare A0427 the provider ranks #166 of 6841 (98th percentile) and is described as notably above typical national volume for that code, indicating it is a high-volume national performer on ALS emergency transports. Other Medicare codes such as A0429 (#309 of 7808, 96th percentile) and A0425 (#991 of 8934, 89th percentile) are high-percentile but noted as typical or unremarkable in volume, so the provider’s national prominence is concentrated most strongly in A0427.
Competitive standing — Medicaid (state): In the state Medicaid comparisons the provider ranks #3 for A0427 (25.4K claims; 92nd percentile) and #3 for A0429 (19.5K claims; 93rd percentile), with both labeled as notably above typical state volume. Those in-state ranks position City of Lincoln as one of the largest Medicaid emergency-transport vendors in Nebraska for both ALS and BLS emergency services.
Payer reimbursement and utilization pattern: The data show materially different average paid/claim levels between payers for the same services — for example, A0427 averages $378 paid/claim in Medicare versus $221 paid/claim in Medicaid, and A0429 averages $317 in Medicare versus $121 in Medicaid. Coupled with far higher Medicaid claim counts (e.g., 25.4K Medicaid A0427 claims vs. 4K Medicare A0427 claims), this pattern indicates high Medicaid utilization with lower per-claim reimbursement compared with Medicare.
Tenure and operational implication: The provider’s NPI was enumerated on 2006-07-11 (~20 years ago), indicating long-standing enrollment and operational presence. Combined with sustained, concentrated billing in core ambulance codes and strong in-state Medicaid rankings, the profile is consistent with an established municipal EMS operation that is a primary Medicaid transport provider in its 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) | 3,970 | $380 | $1.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,420 | $320 | $449.8K |
| A0425 | Ground mileage, per statute mile | 21,400 | $10 | $149.8K |
| A0433 | Advanced life support, level 2 (als 2) | 110 | $550 | $62.5K |
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 25,380 | $220 | $5.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19,490 | $120 | $2.4M |
| A0425 | Ground mileage, per statute mile | 26,430 | $10 | $264.3K |
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
3 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) | 3 | 30 | 990 | $180 | $864.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 30 | 730 | $110 | $424.2K |
| A0425 | Ground mileage, per statute mile | 3 | 50 | 350 | $30 | $280.1K |
Other providers in the same ZIP code as City Of Lincoln, Nebraska, ranked by combined Medicare and Medicaid revenue.
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