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NPI 1518075449 · Redlands, CA · Ambulance
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American Medical Response Of Inland Empire is a ambulance provider located in Redlands, California. This profile covers 7 Medicare and 13 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 Inland Empire |
| Address | 1930 W Park Ave |
| City | Redlands |
| State | CA |
| ZIP | 92373 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $61.3M |
| Medicare | $8.2M |
Payer mix is heavily weighted toward Medicaid: lifetime Medicaid revenue is $61.3M versus total Medicare revenue of $8.2M, indicating Medicaid drives the bulk of this provider’s billing volume and dollars. This is effectively a Medicaid-dominant operation in scale, not a balanced Medicare/Medicaid mix.
Medicare revenue is highly concentrated in a small set of ambulance codes: the top three Medicare codes account for 91.2% of Medicare revenue, driven by A0427 ($5.5M, 66.9%), A0429 ($1.2M, 14.5%), and A0425 ($806.2K, 9.8%). Those three codes together signal that emergency ALS and BLS transports plus mileage make up the overwhelming majority of this provider’s Medicare business.
Medicaid revenue is even more concentrated in the same core transport services: the top three Medicaid codes account for 91.5% of Medicaid revenue, led by A0427 ($37.2M, 60.9%), A0429 ($10.5M, 17.3%), and A0425 ($8.2M, 13.4%). High claim counts reported for these codes (e.g., A0427 267.6K claims, A0425 371.1K claims, A0429 73.2K claims) indicate very large operational throughput on the Medicaid side.
This provider is a high-volume national outlier on key Medicare emergency-transport codes: A0427 ranks #15 of 6841 (100th percentile; extreme outlier), A0429 ranks #93 of 7808 (99th percentile; extreme outlier), and A0425 ranks #109 of 8934 (99th percentile; extreme outlier). Those ranks position the entity well above typical national providers for emergency ambulance services and mileage in Medicare markets.
State-level competitive standing in Medicaid also shows dominance for emergency transport: A0427 ranks #3 of 248 in-state (99th percentile; extreme outlier) and A0429 ranks #7 of 386 (98th percentile; extreme outlier), while A0426 ranks #2 of 76 (99th percentile; extreme outlier) for advanced-life-support non-emergency. These ranks indicate the organization is a major in-state operator for both emergency ALS and some non-emergency ALS services.
Service-line mix reflects an operational focus on high-acuity transport with additional specialized services: emergency ALS (A0427) and BLS-emergency (A0429) dominate, supported by very large mileage billing (A0425). Specialty care transport (A0434) appears as a smaller but present line on both payers (Medicare: 401 claims, $291.9K; Medicaid: 4.6K claims, $624.1K), and ancillary items such as oxygen (A0422) and ECG recording (93005) show meaningful Medicaid activity, with 93005 ranking #1 in-state and $928.2K in Medicaid revenue.
Average paid-per-claim varies meaningfully by payer and code, illustrating payer-specific reimbursement patterns: for example, A0427 averages $422 per claim in Medicare versus $139 per claim in Medicaid, while A0425 averages $7 per claim in Medicare and $22 per claim in Medicaid. These differences imply the provider’s revenue mix and per-encounter economics are highly payer-dependent and should be considered when modeling margins or negotiating rates.
The provider has long tenure in public programs, with an NPI enumeration date of 2006-08-29 (~20 years ago), and the cumulative lifetime revenues and massive Medicaid claim counts indicate an established, high-volume ambulance operation. Given the combination of longevity and the extreme-outlier ranks on core transport codes, this entity functions as a significant regional service provider with national-scale outlier status on selected Medicare 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 13,040 | $420 | $5.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,360 | $350 | $1.2M |
| A0425 | Ground mileage, per statute mile | 115,170 | $10 | $806.2K |
| A0434 | Specialty care transport (sct) | 400 | $730 | $291.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 990 | $220 | $221K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 590 | $270 | $157.3K |
| A0433 | Advanced life support, level 2 (als 2) | 80 | $610 | $49.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
View: State1 / 2
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.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 267,570 | $140 | $37.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 73,240 | $140 | $10.5M |
| A0425 | Ground mileage, per statute mile | 371,140 | $20 | $8.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 16,810 | $100 | $1.6M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10,030 | $100 | $1M |
| 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… | 132,590 | $10 | $928.2K |
| A0434 | Specialty care transport (sct) | 4,590 | $140 | $624.1K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 43,860 | $10 | $394.8K |
| A0433 | Advanced life support, level 2 (als 2) | 2,340 | $130 | $302.2K |
| A0999 | Unlisted ambulance service | 50,010 | $1 | $150K |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
13 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) | 3 | 250 | 2,420 | $220 | $3.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 390 | 1,270 | $220 | $1.5M |
| A0130 | Non-emergency transportation: wheelchair van | 344 | 350 | 8,830 | $30 | $1.2M |
| A0425 | Ground mileage, per statute mile | 5 | 580 | 3,120 | $30 | $963.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 29 | 190 | 2,470 | $80 | $674.3K |
| A0434 | Specialty care transport (sct) | 9 | 60 | 700 | $350 | $672.4K |
| 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… | 1 | 760 | 1,930 | $20 | $196K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 80 | 280 | $130 | $148.2K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 36 | 90 | 830 | $30 | $112K |
| A0999 | Unlisted ambulance service | 3 | 100 | 600 | $20 | $111.4K |
Showing 1–10 of 13
Other providers in the same ZIP code as American Medical Response Of Inland Empire, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Inland Psychiatric Medical Group, Inc. | CA | Psychiatry Physician | $0 | $51.9M |
| Institute For Behavioral Health, Inc. | CA | Behavior Analyst | $0 | $43.8M |
| Redlands Community Hospital | CA | General Acute Care Hospital | $0 | $38.4M |
| Mohsen Mabudian | CA | Allergy & Immunology Physician | $2.5M | $64.2K |
| Ronald Shiell | CA | MOHS-Micrographic Surgery Physician | $2M | $0 |
| Inland Surgery Center LP | CA | Ambulatory Surgical Clinic/Center | $507.9K | $1.1M |
| Mohitkumar Ardeshana | CA | Hospitalist Physician | $877.8K | $0 |
| Jun Chiong | CA | Internal Medicine Physician | $675.4K | $0 |
| April Fenster | CA | Physician Assistant | $414K | $0 |
| Ingrid Trenkle | CA | Specialist | $393.7K | $0 |
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