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NPI 1538116652 · Casa Grande, AZ · Land Ambulance
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Southwest Ambulance Of Casa Grande, Inc. is a land ambulance provider located in Casa Grande, Arizona. This profile covers 7 Medicare and 10 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 | Southwest Ambulance Of Casa Grande, Inc. |
| Address | 313 W 2nd St Ste B |
| City | Casa Grande |
| State | AZ |
| ZIP | 85122 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $59M |
| Medicare | $2M |
This provider is heavily Medicaid-dominant in scale: total Medicare revenue is $2M while total Medicaid revenue is $59M, indicating that Medicaid drives the bulk of its business and financial footprint. Both payers are active, but the provider’s operations are clearly concentrated on Medicaid-dollar volume rather than Medicare.
Revenue is highly concentrated in a few ambulance service codes on both payers: the top three Medicare codes account for 93.1% of Medicare revenue and the top three Medicaid codes account for 87.9% of Medicaid revenue. That concentration implies the organization’s financial performance is tightly tied to a small set of transport services, increasing sensitivity to reimbursement or utilization changes in those specific codes.
The code mix identifies this entity as a high-volume emergency and mileage-focused ambulance operator: A0427, A0425, and A0429 dominate the payer mix, pointing to a service line built around advanced life support emergency transports and extensive ground mileage. The prominence of both ALS emergency transports (A0427) and per-mile billing (A0425) suggests long-distance or high-frequency transport activity as core operational activities.
Against national Medicare peers, the provider is a notable volume outlier on core emergency transport codes: A0427 ranks #225 of 6841 providers nationally (97th percentile) and A0425 ranks #290 of 8934 providers nationally (97th percentile), both described as notably above typical national volume. A0429 is more typical nationally (rank #924 of 7808, 88th percentile), showing that the provider’s Medicare strength is concentrated in ALS emergency and mileage rather than in BLS emergency at the same magnitude.
In-state competitive standing on Medicaid shows the provider is a major player for ALS emergency transports: A0427 accounts for $29.9M (50.6% of Medicaid revenue) and ranks #5 of 102 in-state (96th percentile; notably above typical state volume). A0425 and A0429 also contribute substantial Medicaid revenue ($13.9M and $8.1M respectively) but are described as typical or unremarkable in state comparisons for their volumes, indicating strong dominance on one primary service line with more ordinary positioning on others.
Operational scale and unit-payment profile differ materially across payers for the same services: Medicare A0427 activity is 2.9K claims at $392 avg paid/claim while Medicaid A0427 is 41.8K claims at $715 avg paid/claim, and ground-mileage activity is similarly large on both payers (A0425: 62.6K Medicare claims at $7 avg; 63K Medicaid claims at $220 avg). These paired figures show the provider runs substantial trip volume and also realizes materially higher per-claim payments for key codes on Medicaid versus Medicare.
The provider has long tenure in the CMS ecosystem (NPI enumerated 2006-05-27, ~20 years ago), supporting an established operational footprint. Medicaid billing also includes ancillary supply codes (for example A0398 contributed $1M, 1.7% of Medicaid revenue and ranks #4 of 36 in-state, 91th percentile), indicating routine supplies are a measurable, though much smaller, revenue stream alongside the dominant 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,950 | $390 | $1.2M |
| A0425 | Ground mileage, per statute mile | 62,620 | $10 | $438.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 610 | $330 | $200K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 230 | $210 | $47.8K |
| A0434 | Specialty care transport (sct) | 50 | $670 | $32.1K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $560 | $29.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 100 | $250 | $23.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 41,770 | $720 | $29.9M |
| A0425 | Ground mileage, per statute mile | 62,960 | $220 | $13.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11,240 | $720 | $8.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6,880 | $630 | $4.3M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,260 | $670 | $1.5M |
| A0398 | Als routine disposable supplies | 44,650 | $20 | $1M |
| A0382 | Bls routine disposable supplies | 17,830 | $10 | $124.8K |
| A0433 | Advanced life support, level 2 (als 2) | 90 | $850 | $74.9K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 8,740 | $10 | $61.2K |
| A0434 | Specialty care transport (sct) | 10 | $1,210 | $16.9K |
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona median
10 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) | 5 | 100 | 3,400 | $580 | $5.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14 | 80 | 2,320 | $570 | $4.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8 | 30 | 1,370 | $460 | $4.4M |
| A0425 | Ground mileage, per statute mile | 7 | 110 | 4,860 | $50 | $3.1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7 | 30 | 690 | $500 | $1.6M |
| A0382 | Bls routine disposable supplies | 12 | 30 | 9,790 | $10 | $428.6K |
| A0398 | Als routine disposable supplies | 4 | 40 | 4,730 | $20 | $362.8K |
| A0434 | Specialty care transport (sct) | 5 | 10 | 250 | $550 | $315.7K |
| A0433 | Advanced life support, level 2 (als 2) | 6 | 10 | 90 | $530 | $315.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 6 | 30 | 1,780 | $10 | $47.8K |
Other providers in the same ZIP code as Southwest Ambulance Of Casa Grande, Inc., ranked by combined Medicare and Medicaid revenue.
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