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NPI 1477663839 · Fort Myers, FL · Ambulance
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County Of Lee-office Of County Comm is a ambulance provider located in Fort Myers, Florida. This profile covers 4 Medicare and 6 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 | County Of Lee-office Of County Comm |
| Address | 2000 Main St |
| City | Fort Myers |
| State | FL |
| ZIP | 33901 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $7.1M |
| Medicaid | $6.4M |
COUNTY OF LEE-OFFICE OF COUNTY COMM operates as an ambulance service focused on emergency transport: its top Medicare and Medicaid revenue codes are A0427 (ALS 1), A0429 (BLS emergency) and A0425 (ground mileage), indicating a high-volume ground ambulance operation that bills predominantly for emergency transports and mileage. Code descriptions and claim volumes show the business is oriented around point-to-point emergency response rather than niche non-transport services.
Revenue for Medicare is heavily concentrated in three codes: the precomputed top 3 Medicare codes by revenue account for 99.0% of the provider's total Medicare revenue, with A0427 generating $3.5M (49.4%), A0429 $2.7M (38.2%), and A0425 $803.5K (11.3%). This concentration implies Medicare income is almost entirely driven by emergency ALS/BLS transports and mileage.
Medicaid revenue shows an even more concentrated payer-code mix: the precomputed top 3 Medicaid codes by revenue account for 99.9% of the provider's total Medicaid revenue, led by A0429 at $3.3M (51.5%), A0427 at $3.0M (46.5%), and A0425 at $124.3K (1.9%). Medicaid receipts likewise depend almost entirely on basic and advanced life-support emergency transports, with negligible revenue from other codes.
Payer mix is roughly balanced in scale: lifetime Medicare revenue is $7.1M versus lifetime Medicaid revenue of $6.4M, indicating the provider derives substantial and comparable revenue streams from both federal and state programs rather than being effectively single-payer. This parity suggests operational planning and capacity likely need to accommodate high volumes across both payer types.
National and state competitive standing is pronounced for core transport codes. For Medicare, A0427 ranks #53 of 6841 providers (99th percentile, labeled an "extreme outlier") and A0429 ranks #25 of 7808 providers (100th percentile, labeled an "extreme outlier"), signaling volumes far above typical national peers for emergency transport.
Within-state Medicaid rankings show the provider is also a major local operator for BLS emergency transport: A0429 ranks #5 of 143 providers in-state (97th percentile; "notably above typical state volume") and A0427 ranks #21 of 163 providers in-state (88th percentile; typical). These standings indicate strong competitive presence regionally on Medicaid for both BLS and ALS emergency transport.
Payment and utilization profile differences between payers are visible at the claim level: for A0427 the average paid per claim is $400 in Medicare versus $102 in Medicaid, and for A0429 the average paid per claim is $338 in Medicare versus $79 in Medicaid. Combined with large claim counts (e.g., Medicare A0427: 8.8K claims; Medicaid A0429: 42K claims), these differences drive material revenue mix effects and suggest reimbursement-rate sensitivity across payers.
Less-revenue codes and secondary service lines are minimal: Medicare A0433 (ALS 2) contributes $72.3K (1.0%) and Medicaid A0433 contributes $7.9K (0.1%), both described as typical or unremarkable volumes, and Medicaid non-transport codes (A0999, A0998) account for vanishing shares. This pattern reinforces that the provider’s commercial footprint is narrowly concentrated on emergency ground transport rather than broader ambulance or response-only services.
The provider has long tenure in the NPI registry, enumerated on 2006-08-30 (approximately 20 years), which, paired with sustained high volumes on core transport codes, suggests an established operational presence in its market rather than a new entrant or transient operation.
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) | 8,770 | $400 | $3.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8,030 | $340 | $2.7M |
| A0425 | Ground mileage, per statute mile | 114,780 | $10 | $803.5K |
| A0433 | Advanced life support, level 2 (als 2) | 130 | $580 | $72.3K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 41,980 | $80 | $3.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 29,370 | $100 | $3M |
| A0425 | Ground mileage, per statute mile | 62,170 | $1 | $124.3K |
| A0433 | Advanced life support, level 2 (als 2) | 60 | $130 | $7.9K |
| A0999 | Unlisted ambulance service | 340 | $1 | $340 |
| A0998 | Ambulance response and treatment, no transport | 130 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
6 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) | 21 | 160 | 4,450 | $110 | $1.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 140 | 2,650 | $90 | $697.1K |
| A0999 | Unlisted ambulance service | 26 | 30 | 1,350 | $50 | $305.7K |
| A0425 | Ground mileage, per statute mile | 16 | 190 | 6,580 | $10 | $250.6K |
| A0433 | Advanced life support, level 2 (als 2) | 21 | 30 | 260 | $140 | $111.6K |
| A0998 | Ambulance response and treatment, no transport | 3 | 10 | 60 | $10 | $3K |
Other providers in the same ZIP code as County Of Lee-office Of County Comm, ranked by combined Medicare and Medicaid revenue.
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