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NPI 1487604468 · Colorado Springs, CO · Ambulance
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American Medical Response Of Colorado Inc is a ambulance provider located in Colorado Springs, Colorado. This profile covers 4 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 | American Medical Response Of Colorado Inc |
| Address | 980 Elkton Dr |
| City | Colorado Springs |
| State | CO |
| ZIP | 80907 |
| Taxonomy | Ambulance |
| NPI Enumerated | May 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $21.6M |
| Medicare | $3.4M |
AMERICAN MEDICAL RESPONSE OF COLORADO INC is classified with an Ambulance taxonomy and its billed services are concentrated in emergency ground transport. The dominant procedure codes are A0427 (ALS 1 emergency) and A0429 (BLS emergency), with ground mileage A0425 also present as a supporting revenue driver, indicating a primary business model of emergent ambulance dispatch and transport rather than, for example, purely non-emergency medical transport or ancillary clinic services.
Medicare revenue is concentrated in a very small set of ambulance services: the top three Medicare codes account for 98.2% of this provider's total Medicare revenue on a $3.4M Medicare base. Specifically, A0427 contributes $1.9M (55.8%) and A0429 contributes $1.2M (34.3%), with A0425 adding $272.4K (8.0%), underscoring that emergency ALS and BLS transports drive nearly all Medicare receipts.
Medicaid revenue shows a similar concentration pattern: the top three Medicaid codes account for 95.3% of total Medicaid revenue on a $21.6M Medicaid base. A0429 ($9.7M, 45.0%) and A0427 ($9M, 41.7%) together make up the large majority of Medicaid dollars, with A0425 contributing $1.9M (8.6%), indicating that the same emergency transport services dominate Medicaid billing.
Payer mix is heavily skewed toward Medicaid by scale: reported Medicaid revenue is $21.6M versus $3.4M in Medicare, making Medicaid the principal revenue source for this provider. Despite lower per-claim payments from Medicaid, the substantially higher claim volumes on the Medicaid side produce the larger overall Medicaid revenue pool.
Against national Medicare peers this provider is a major volume reporter for core emergency transport codes: A0427 ranks #142 of 6841 providers (98th percentile) and A0429 ranks #96 of 7808 providers (99th percentile), both described as notably above typical national volume. By contrast, its Medicare A0425 ground mileage volume ranks #543 of 8934 (94th percentile) and is characterized as typical, unremarkable volume, suggesting national leadership is specific to emergency transport services rather than mileage billing.
Within Colorado Medicaid peers the provider is clearly a top statewide player for the same core services: A0429 and A0427 each rank #3 in-state (98th percentile) and are labeled notably above typical state volume, while A0425 ranks #3 in-state (99th percentile) and is characterized as typical, unremarkable volume. The raw Medicaid claim counts behind those ranks are high (for example, 63.5K claims for A0429, 53.6K claims for A0427, and 123.5K claims for A0425), reinforcing a large operational footprint in the state.
The average paid per claim differs markedly between payers on the same codes, pointing to payer-specific reimbursement dynamics: Medicare average paid per claim for A0427 is $416 versus Medicaid $168, and Medicare A0429 is $350 versus Medicaid $153. This combination of higher Medicare unit rates but far larger Medicaid claim volumes helps explain why Medicaid revenue is the larger share of the provider's lifetime receipts.
The provider has a long tenure in the national registry, with its NPI enumerated 2006-05-11 (~20 years ago), and the mix of high statewide ranks plus very large Medicaid claim volumes suggests established operational capacity (fleet and dispatch) focused on emergency ALS and BLS transport. The data support treating this entity as a mature, high-volume ambulance operator in Colorado with nationally notable Medicare activity on emergency transport codes.
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) | 4,550 | $420 | $1.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,330 | $350 | $1.2M |
| A0425 | Ground mileage, per statute mile | 38,910 | $10 | $272.4K |
| A0433 | Advanced life support, level 2 (als 2) | 100 | $600 | $60.2K |
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.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 63,520 | $150 | $9.7M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 53,610 | $170 | $9M |
| A0425 | Ground mileage, per statute mile | 123,550 | $20 | $1.9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,470 | $70 | $290.6K |
| A0433 | Advanced life support, level 2 (als 2) | 1,170 | $240 | $278.4K |
| A0130 | Non-emergency transportation: wheelchair van | 8,700 | $20 | $200.1K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 9,560 | $10 | $124.3K |
| S0209 | Wheelchair van, mileage, per mile | 6,330 | $10 | $82.2K |
| A0434 | Specialty care transport (sct) | 120 | $170 | $20.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 130 | $70 | $8.8K |
Showing 1–10 of 16
How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Colorado median
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0130 | Non-emergency transportation: wheelchair van | 8 | 50 | 350 | $50 | $12.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8 | 50 | 360 | $130 | $5.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3 | 130 | 750 | $140 | $957.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 120 | 700 | $120 | $843.2K |
| A0425 | Ground mileage, per statute mile | 3 | 280 | 990 | $20 | $636.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 11 | 20 | 110 | $330 | $516.1K |
| A0433 | Advanced life support, level 2 (als 2) | 5 | 20 | 120 | $170 | $183.3K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 89 | 90 | 1,170 | $20 | $141.8K |
| A0434 | Specialty care transport (sct) | 12 | 20 | 140 | $280 | $125.5K |
| S0209 | Wheelchair van, mileage, per mile | 4 | 30 | 160 | $10 | $120.6K |
Showing 1–10 of 16
Other providers in the same ZIP code as American Medical Response Of Colorado Inc, ranked by combined Medicare and Medicaid revenue.
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