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NPI 1518062074 · Pueblo, CO · Ambulance
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American Medical Response Of Colorado Inc is a ambulance provider located in Pueblo, Colorado. This profile covers 4 Medicare and 12 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 | 922 S Santa Fe Ave |
| City | Pueblo |
| State | CO |
| ZIP | 81006 |
| Taxonomy | Ambulance |
| NPI Enumerated | September 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.6M |
| Medicare | $1.5M |
This provider’s billed services are dominated by emergency ambulance transports and mileage: A0427 (advanced life support, emergency), A0429 (basic life support, emergency) and A0425 (ground mileage) appear as the primary revenue-driving codes across payers, consistent with an ambulance-focused operation that emphasizes emergent ALS/BLS responses and billed mileage as a material revenue component. The presence of high claim counts for A0429 and A0427 on Medicaid (40.4K and 31.6K claims respectively) and large Medicare claim volumes for the same codes (2K and 1.6K claims respectively) reinforces that this is an emergency-transport centric business rather than a non-emergency or ancillary services provider.
Revenue concentration is extremely high within a narrow code set for each payer: the top 3 Medicare codes by revenue account for 99.1% of this provider’s total Medicare revenue, and the top 3 Medicaid codes by revenue account for 98.0% of its total Medicaid revenue. This concentration indicates that changes in reimbursement policy or utilization for A0427, A0429, or A0425 would materially affect overall revenue for both payers.
Payer mix is heavily skewed toward Medicaid in scale: total Medicare revenue is $1.5M while total Medicaid revenue is $11.6M, so Medicaid is the dominant payer for this provider. The absolute dollar difference suggests the provider’s operations and revenue streams are primarily driven by Medicaid-covered transports rather than Medicare.
National Medicare standing is high-percentile but described as typical in practice: for Medicare, A0427 ranks #342 of 6841 providers (95th percentile) and A0429 ranks #251 of 7808 providers (97th percentile), both labeled “typical, unremarkable volume for this code,” which indicates the provider is a high-volume national participant for these ambulance codes but not an extreme outlier. A0425 is also above median nationally (rank #1145 of 8934, 87th percentile), so mileage billing is a meaningful, above-average component compared with peers.
State-level Medicaid competitive position is strong for core emergency transport codes: on Medicaid A0429 ranks #5 of 116 providers in-state (97th percentile), A0427 ranks #6 of 125 providers (96th percentile), and A0425 ranks #6 of 279 providers (98th percentile). Those placements indicate the provider is one of the leading in-state billers for both BLS emergency transport and ALS emergency transport and captures a top-tier share of mileage billing among Colorado peers.
Reimbursement patterns differ materially between payers on the same services: A0427 shows $414 avg paid/claim on Medicare versus $131 avg paid/claim on Medicaid, and A0429 shows $349 avg paid/claim on Medicare versus $154 avg paid/claim on Medicaid, implying substantially lower Medicaid unit payments for ALS and BLS emergency transports. By contrast, ground mileage A0425 reports $7 avg paid/claim on Medicare and $14 avg paid/claim on Medicaid, indicating mileage reimbursement per claim is higher on Medicaid in the provided data set.
Several Medicaid-listed codes appear with non-zero claim counts but $0 avg paid/claim and $0 revenue (for example A0999, 93041, A0398), which may reflect non-covered items, bundling, adjudication artifacts, or reporting entries that did not result in paid dollars. These entries are small relative to the overall Medicaid revenue but are notable operationally because they show administrative activity outside the primary paid services.
The provider has a long-tenured NPI (enumerated 2006-09-13, ~20 years ago), supporting that this is an established ambulance operator in Pueblo, CO. Combined with high in-state Medicaid ranks and concentrated emergency-transport code volumes, tenure suggests an entrenched regional presence focused on Medicaid-covered emergency transport services.
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) | 2,010 | $410 | $830.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,640 | $350 | $571.7K |
| A0425 | Ground mileage, per statute mile | 18,800 | $10 | $131.6K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $600 | $13.9K |
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 40,410 | $150 | $6.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 31,650 | $130 | $4.1M |
| A0425 | Ground mileage, per statute mile | 75,360 | $10 | $1.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,520 | $50 | $126.1K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 6,010 | $10 | $78.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 350 | $70 | $24.7K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $260 | $6.1K |
| A0130 | Non-emergency transportation: wheelchair van | 20 | $30 | $590 |
| S0209 | Wheelchair van, mileage, per mile | 20 | $10 | $130 |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 100 | $0 | $0 |
Showing 1–10 of 12
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
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0130 | Non-emergency transportation: wheelchair van | 53 | 50 | 350 | $50 | $12.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 13 | 50 | 360 | $130 | $5.6M |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 5 | 10 | 120 | $130 | $1.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6 | 130 | 750 | $140 | $957.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 120 | 700 | $120 | $843.2K |
| A0425 | Ground mileage, per statute mile | 6 | 280 | 990 | $20 | $636.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 9 | 20 | 110 | $330 | $516.1K |
| A0433 | Advanced life support, level 2 (als 2) | 13 | 20 | 120 | $170 | $183.3K |
| S0209 | Wheelchair van, mileage, per mile | 25 | 30 | 160 | $10 | $120.6K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 6 | 40 | 170 | $30 | $81.1K |
Showing 1–10 of 12
Other providers in the same ZIP code as American Medical Response Of Colorado Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| C.a.r.e., Inc. | CO | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | $0 | $14.6M |
| David Pool | CO | Chiropractor | $21.2K | $0 |
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