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NPI 1477645414 · Tacoma, WA · Land Ambulance
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City Of Tacoma is a land ambulance provider located in Tacoma, Washington. This profile covers 3 Medicare and 16 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 Tacoma |
| Address | 901 Fawcett Ave |
| City | Tacoma |
| State | WA |
| ZIP | 98402 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | September 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $79.8M |
| Medicare | $1.8M |
CITY OF TACOMA is categorized as Land Ambulance and its paid-claim mix is dominated by emergency ground-transport codes, with Medicare concentrated in A0429 (basic life support, emergency transport), A0427 (advanced life support, level 1 emergency), and A0425 (ground mileage). The prominence of these codes across both payers indicates the operation is focused on emergency transport services rather than non-transport or clinic-based care.
Medicare revenue for this provider totals $1.8M and is highly concentrated: the top 3 Medicare codes account for 100.0% of Medicare revenue, led by A0429 (60.1%) and A0427 (32.1%). A0429 ranks #105 of 7808 nationally (99th percentile; notably above typical national volume), signaling an outsized national presence specifically for BLS emergency transports.
Medicaid revenue is $79.8M and is even more concentrated: the top 3 Medicaid codes account for 99.0% of Medicaid revenue, with A0999 (Unlisted ambulance service) alone representing 94.2% of Medicaid revenue. A0999 ranks #1 of 88 in-state (100th percentile; extreme outlier), which indicates that nearly all Medicaid payments to this provider flow through a single, nonstandard ambulance code.
The provider’s payer mix is heavily skewed toward Medicaid: $79.8M in Medicaid revenue versus $1.8M in Medicare revenue, making Medicaid the dominant source of fee-for-service revenue by a large margin. This scale difference implies operational and reimbursement exposure is concentrated in state Medicaid policy and coding practices.
CITY OF TACOMA shows strong competitive standing on different axes: nationally it is a major participant for Medicare A0429 (99th percentile; notably above typical national volume), while within Washington it is dominant for Medicaid A0999 (rank #1 of 88; 100th percentile; extreme outlier) and very high-volume for Medicaid A0427 (rank #3 of 98; 98th percentile). These rank positions suggest the provider is a leading in-state operator for ambulance services billed to Medicaid and a high-volume national performer on select Medicare ambulance codes.
Operational volume signals are visible in mileage and transport counts: A0425 (ground mileage) appears with 19.5K Medicare claims and 45.6K Medicaid claims, showing frequent long or numerous transports that generate mileage line-item activity. Despite high claim counts, A0425 represents 7.7% of Medicare revenue and only 0.7% of Medicaid revenue, meaning mileage is a consistent but smaller share of total dollars relative to transport-level codes and the unlisted Medicaid code.
Several Medicaid line items in the top-25 list report $0 avg paid/claim and $0 revenue (for example, A4556, A9279, J3490, A0422), indicating these services or supplies were reported on claims but did not produce discrete fee-for-service revenue in the dataset. This pattern is consistent with either bundled payments, non-fee components of trips, or administrative reporting of supplies and medications that do not carry separate Medicaid reimbursement in this file.
The NPI was enumerated on 2006-09-28 (~20 years ago), indicating a long-tenured billing entity. Combined with the provider name CITY OF TACOMA and the Land Ambulance taxonomy, the record is consistent with an established municipal or long-running ground-ambulance operation with entrenched billing patterns across both Medicare and Medicaid.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,180 | $330 | $1.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,420 | $400 | $565.4K |
| A0425 | Ground mileage, per statute mile | 19,460 | $10 | $136.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 28,790 | $2,610 | $75.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 20,710 | $100 | $2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 24,530 | $70 | $1.8M |
| A0425 | Ground mileage, per statute mile | 45,610 | $10 | $592.9K |
| A0998 | Ambulance response and treatment, no transport | 2,230 | $100 | $229.7K |
| A0433 | Advanced life support, level 2 (als 2) | 90 | $100 | $8.8K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 510 | $0 | $0 |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 100 | $0 | $0 |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | 220 | $0 | $0 |
| A4772 | Blood glucose test strips, for dialysis, per 50 | 270 | $0 | $0 |
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How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 1 | 90 | 1,150 | $1,820 | $4.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8 | 150 | 1,340 | $120 | $719.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3 | 100 | 1,400 | $120 | $404.9K |
| A0425 | Ground mileage, per statute mile | 8 | 170 | 2,040 | $40 | $373.3K |
| A0433 | Advanced life support, level 2 (als 2) | 6 | 10 | 110 | $180 | $94.7K |
| A0998 | Ambulance response and treatment, no transport | 1 | 10 | 50 | $100 | $35.8K |
| J3490 | Unclassified drugs | 76 | 110 | 380 | $10 | $11.2K |
| J2310 | Injection, naloxone hydrochloride, per 1 mg | 14 | 20 | 50 | $10 | $850 |
| J0171 | Injection, adrenalin, epinephrine, 0.1 mg | 44 | 50 | 310 | $1 | $580 |
| A9279 | Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified | 4 | 10 | 140 | $1 | $450 |
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Other providers in the same ZIP code as City Of Tacoma, ranked by combined Medicare and Medicaid revenue.
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