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NPI 1477599900 · Detroit, MI · Ambulance
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City Of Detroit is a ambulance provider located in Detroit, Michigan. 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 Detroit |
| Address | 1301 3rd St Fl 7 |
| City | Detroit |
| State | MI |
| ZIP | 48226 |
| Taxonomy | Ambulance |
| NPI Enumerated | June 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $52.4M |
| Medicare | $2.4M |
CITY OF DETROIT is effectively Medicaid-dominant by scale: reported lifetime Medicaid revenue is $52.4M compared with $2.4M in Medicare, indicating Medicaid drives the vast majority of this provider's billed volume and financial footprint. This asymmetry suggests operational priorities and payer contracting exposure are concentrated on Medicaid populations and state reimbursement rules.
The provider's code mix and top-revenue codes identify it clearly as a high-volume municipal ambulance operator: Medicare and Medicaid top codes are dominated by emergency transport services (A0429 and A0427) and ground mileage (A0425). High counts for A0429 and A0425—including 228.1K Medicaid claims for A0429 and 272.1K Medicaid claims for A0425—underscore routine emergency transport and long-distance ground-response activity as core service lines.
Revenue concentration is extremely high within a narrow set of ambulance CPT/HCPCS codes: the provider's top three Medicare codes account for 99.3% of total Medicare revenue, and the top three Medicaid codes account for 95.8% of total Medicaid revenue. This degree of concentration (across A0429, A0427, and A0425) implies that shifts in reimbursement or utilization for these specific codes would materially affect the provider's overall revenue.
Competitive standing on Medicare for the leading BLS emergency code A0429 is nationally exceptional: the provider ranks #50 of 7,808 (99th percentile) and is labeled an extreme outlier for A0429, indicating a far higher Medicare BLS-emergency volume than virtually all peers. By contrast, its Medicare positioning on A0427 (#542 of 6,841, 92th percentile) and A0425 (#1,247 of 8,934, 86th percentile) is solid but not extraordinary, reflecting a specialized national footprint concentrated in BLS emergency transports.
On Medicaid the provider is a dominant statewide operator for several core codes: A0429 ranks #1 of 153 providers in-state (100th percentile; extreme outlier) and A0425 ranks #1 of 199 (100th percentile; extreme outlier), establishing municipal dominance in both basic life support emergency transports and billed ground mileage within Michigan. A0427 is also notably strong in-state (rank #7 of 163, 96th percentile), confirming that both BLS and ALS emergency transports comprise the bulk of its Medicaid business.
There is an anomalous claims-to-revenue pattern for oxygen supplies under A0422 in Medicaid: the file reports 9.5K claims with $0 avg paid/claim and $0 revenue, yet ranks #1 of 30 providers in-state (100th percentile; extreme outlier). This unusual combination of high claim volume and zero reported revenue warrants targeted review of coding, bundling, or reimbursement reporting practices for oxygen-related services.
Payer-level reimbursement dynamics differ by scale and unit payment: Medicare A0429 shows 5.1K claims at $330 avg paid/claim versus Medicaid A0429 with 228.1K claims at $157 avg paid/claim, indicating materially higher per-claim Medicare payments but vastly greater Medicaid claim volume driving total Medicaid revenue. Analysts should interpret per-claim payment differences in the context of the provider's heavy Medicaid utilization, which results in Medicaid being the primary revenue driver despite lower average paid per claim.
The provider has a long-established presence in the market, with its NPI enumerated on 2006-06-22 (~20 years ago), supporting the interpretation that its dominant Medicaid volumes and statewide rankings reflect sustained operational scale rather than a short-term surge. Combined tenure and the extreme-percentile rankings on core ambulance codes suggest entrenched municipal EMS capacity that will be strategically important for payers managing network adequacy and emergency transport arrangements.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5,120 | $330 | $1.7M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,370 | $390 | $541.4K |
| A0425 | Ground mileage, per statute mile | 17,320 | $10 | $121.2K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $570 | $16.1K |
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) | 228,060 | $160 | $35.8M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 41,010 | $240 | $9.9M |
| A0425 | Ground mileage, per statute mile | 272,150 | $20 | $4.6M |
| A0998 | Ambulance response and treatment, no transport | 10,410 | $160 | $1.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,410 | $100 | $419.1K |
| A0433 | Advanced life support, level 2 (als 2) | 290 | $260 | $75.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 140 | $200 | $28.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 9,510 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan 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) | 7 | 160 | 1,880 | $230 | $1.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 22 | 70 | 1,790 | $130 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 150 | 1,570 | $150 | $951.3K |
| A0425 | Ground mileage, per statute mile | 1 | 200 | 2,950 | $50 | $648.5K |
| A0998 | Ambulance response and treatment, no transport | 3 | 50 | 1,100 | $180 | $553.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 34 | 50 | 540 | $220 | $285.3K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 10 | 140 | $270 | $108.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 30 | 290 | $1 | $1 |
Other providers in the same ZIP code as City Of Detroit, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Wayne County Jail Pharmacy | MI | Prison Health Clinic/Center | $0 | $16.3M |
| Wayne County Jail | MI | Psychiatric Hospital | $0 | $11.5M |
| Abdiel Ramos Mercado | MI | Infectious Disease Physician | $192.7K | $0 |
| Sandra Johnson-gamlin | MI | Psychologist | $3.1K | $0 |
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