Loading...
NPI 1528446820 · Aurora, CO · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Falck Rocky Mountain, Inc. is a land ambulance provider located in Aurora, Colorado. This profile covers 5 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 | Falck Rocky Mountain, Inc. |
| Address | 10703 E Bethany Dr |
| City | Aurora |
| State | CO |
| ZIP | 80014 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 7, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $21.2M |
| Medicare | $1.8M |
FALCK ROCKY MOUNTAIN, INC. operates as a land ambulance provider with its claims dominated by emergency transport codes: A0427 (advanced life support, emergency transport) and A0429 (basic life support, emergency transport), supported by high ground mileage reporting under A0425. Medicare data show 2.4K claims for A0427 and 1.7K claims for A0429, while Medicaid volumes are substantially larger with 42.8K claims for A0427, 61K claims for A0429 and 106.5K claims for A0425, indicating the business is primarily organized around emergency ambulance response and transport.
Revenue concentration is extreme for both payers: the provider's top 3 Medicare codes by revenue account for 95.7% of its total Medicare revenue, and the top 3 Medicaid codes by revenue account for 98.9% of its total Medicaid revenue. This concentration means a small set of transport- and mileage-related codes (A0427, A0429, A0425) drive nearly all reported payer income for both programs.
Payer mix is heavily weighted toward Medicaid in scale: lifetime Medicaid revenue is listed as $21.2M compared with total Medicare revenue of $1.8M, so Medicaid is the dominant revenue source on file for this entity. The provider is effectively a Medicaid-centered operator by dollar volume while continuing to report material Medicare emergency transports.
Nationally for Medicare, the provider reports high-percentile volumes on its top emergency codes but those volumes are characterized as typical for the code: A0427 ranks #281 of 6841 providers nationally (96th percentile; typical, unremarkable volume) and A0429 ranks #245 of 7808 providers nationally (97th percentile; typical, unremarkable volume). Those rankings indicate the provider is a high-volume national participant for ALS and BLS emergency transports in absolute terms, but not labeled an outlier in the national benchmarking provided.
In the state Medicaid market FALCK appears as a leading operator for core transport services: A0429 ranks #4 of 116 providers in-state (97th percentile; notably above typical state volume) and A0427 ranks #4 of 125 providers in-state (98th percentile; typical, unremarkable volume). Additionally, A0425 (ground mileage) ranks #4 of 279 providers in-state (99th percentile; typical, unremarkable volume), showing the provider captures top-tier share of both transport and mileage reimbursement within Colorado.
The provider also reports substantial utilization of ancillary ambulance supplies under Medicaid: A0422 (oxygen and oxygen supplies) shows 12.4K claims and $160.6K revenue and ranks #2 of 40 providers in-state (97th percentile; typical, unremarkable volume), suggesting frequent provision of oxygen in life-sustaining situations. This supports the inference that many transports include ALS-level interventions or medically necessary oxygen support.
Operational mix skews toward emergency rather than non-emergency services: A0428 (basic life support, non-emergency transport) is present but materially smaller at 264 Medicare claims ($57.8K revenue) and 1.4K Medicaid claims ($60K revenue), indicating non-emergency transports are a minor component of overall activity compared with emergency ALS/BLS responses. That pattern aligns with the revenue and claim counts concentrated in A0427 and A0429.
The provider has been active under its current NPI for an extended period, enumerated on 2015-05-07 (~11 years ago), which provides a multiyear footprint for these high Medicaid volumes and the concentrated ambulance service mix reported across both payers. The tenure, combined with repeated high in-state rankings, supports characterization as an established Medicaid-focused ambulance operator in Colorado.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,390 | $410 | $977.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,690 | $340 | $580.7K |
| A0425 | Ground mileage, per statute mile | 18,720 | $10 | $131.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 260 | $220 | $57.8K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $600 | $18K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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) | 61,040 | $170 | $10.4M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 42,830 | $220 | $9.2M |
| A0425 | Ground mileage, per statute mile | 106,450 | $10 | $1.4M |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 12,360 | $10 | $160.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,430 | $40 | $60K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $280 | $8.9K |
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
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 19 | 50 | 360 | $130 | $5.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4 | 130 | 750 | $140 | $957.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 120 | 700 | $120 | $843.2K |
| A0425 | Ground mileage, per statute mile | 4 | 280 | 990 | $20 | $636.8K |
| A0433 | Advanced life support, level 2 (als 2) | 12 | 20 | 120 | $170 | $183.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2 | 40 | 170 | $30 | $81.1K |
Other providers in the same ZIP code as Falck Rocky Mountain, Inc., ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.