Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Minnesota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

North Memorial Health Care (NPI 1538195912)

Field	Value
Entity Type	Organization
Organization	North Memorial Health Care
Address	4501 68th Ave N
City	Brooklyn Center
State	MN
ZIP	55429
Taxonomy	Ambulance
NPI Enumerated	June 25, 2006

Payer Source	Total Paid
Medicaid	$112.8M
Medicare	$0

Key Findings

This NPI is effectively a single-payer Medicaid operator: there is no Medicare billing on file while total Medicaid revenue is $112.8M, so all billed Medicare/Medicaid activity on record is concentrated in Medicaid. For payers and network planners, this makes the provider's Medicaid footprint far more material than any Medicare relationship.

Revenue is highly concentrated in a small set of ambulance services: the precomputed top three Medicaid codes account for 76.9% of total Medicaid revenue, driven by A0427 ($48M, 119.4K claims, $402 avg paid/claim, 42.6% of Medicaid revenue), A0429 ($23.2M, 65.8K claims, $353 avg paid/claim, 20.6%), and A0425 ($15.5M, 218.8K claims, $71 avg paid/claim, 13.8%). This concentration implies that a few transport and mileage codes dominate the provider's reimbursement profile and should be the focal point for payment policy or utilization review.

The code mix identifies the operation as a high-volume EMS/ambulance provider with both ground and air capability: primary revenue drivers are ALS emergency transport (A0427) and BLS emergency transport (A0429), supported by very large ground-mileage billing (A0425) and sizable rotary-wing transport payments (A0431 and A0436). Presence of A0431 ($10M, $3030 avg paid/claim) and A0436 ($5.4M, $1662 avg paid/claim) shows the provider also bills for air transport, while specialty care transport A0434 ($988.4K) and advanced ALS2 A0433 ($1.3M) indicate higher-acuity and referral-capable services.

State-level competitive standing is dominant for core ambulance codes: A0427 ranks #2 of 60 (98th percentile; labeled an "extreme outlier"), A0429 ranks #3 of 78 (97th percentile; "extreme outlier"), and A0425 ranks #2 of 107 (99th percentile; "extreme outlier"). Those rank/percentile positions indicate this provider operates far above typical state volumes for emergency ground transports and mileage and is a major Medicaid supplier in Minnesota for those services.

For certain higher-acuity and specialty categories the provider also ranks above peers: A0433 (ALS2) is #1 of 8 (100th percentile; "notably above typical") and A0434 (specialty care transport) is #1 of 10 (100th percentile; "notably above typical"); by contrast, rotary-wing items A0431 and A0436 rank #2 of 3 (50th percentile; characterized as typical). This pattern suggests the provider is a leading in-state supplier of higher-acuity non-routine transports and specialty care transport even while rotary-wing volumes track a small statewide subgroup.

Operational footprint is reflected in very large claim counts and mileage billing: 119.4K claims for A0427, 65.8K claims for A0429, and 218.8K claims for A0425 imply a sustained high trip volume and substantial per-trip mileage billing. For contract managers and utilization analysts, these claim counts combined with the per-claim payment levels ($402 and $353 for ALS/BLS emergency transports, $71 per statute mile for mileage) translate into concentrated cost exposure that will be sensitive to trip volume and distance policy changes.

The provider is long-tenured in the NPI file, enumerated on 2006-06-25 (~20 years ago), indicating an established operation with a sustained presence in the state Medicaid market. That longevity, together with the top-code dominance, suggests entrenched operational capacity (fleet, crews, and referral relationships) that payers should account for in network strategy and capacity planning.

From a payer perspective this profile highlights two straightforward priorities: (1) focus contracting and utilization controls on ALS/BLS emergency transport codes (A0427, A0429) and mileage (A0425), which together comprise 76.9% of Medicaid revenue, and (2) recognize the provider's material role in higher-acuity transports (A0433, A0434) and its capacity for rotary-wing services (A0431/A0436) when assessing network adequacy and air/critical-care transport arrangements. Addressing these concentrated service lines will capture the majority of potential Medicaid spend adjustments with this provider.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	119,400	$400	$48M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	65,790	$350	$23.2M
A0425	Ground mileage, per statute mile	218,750	$70	$15.5M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	3,290	$3,030	$10M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	22,750	$250	$5.7M
A0436	Rotary wing air mileage, per statute mile	3,280	$1,660	$5.4M
A0433	Advanced life support, level 2 (als 2)	2,590	$520	$1.3M
A0426	Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)	5,090	$250	$1.3M
A0434	Specialty care transport (sct)	1,620	$610	$988.4K
A0130	Non-emergency transportation: wheelchair van	23,880	$30	$597K

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

Claims Volume vs. Minnesota Distribution

North Memorial Health Care — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	2	10	3,290	$2,770	$10M
A0436	Rotary wing air mileage, per statute mile	2	10	3,280	$1,420	$5M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	2	60	780	$470	$5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	70	80	6,550	$80	$4.4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	3	80	410	$430	$2.3M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	98	160	580	$170	$1.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	140	210	980	$140	$1.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	212	220	1,730	$120	$1.3M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	3	30	420	$220	$1.1M
A0425	Ground mileage, per statute mile	2	110	870	$80	$971K

Showing 1–10 of 37

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Memorial Health Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fairview Health Services	MN	General Acute Care Hospital	$0	$90.4M
Fairview Express Care	MN	Specialist	$0	$33.1M
North Memorial Health Care	MN	General Acute Care Hospital	$0	$32.5M
Fairview Health Services	MN	General Acute Care Hospital	$0	$30M
Fairview Health Services	MN	Emergency Medicine Physician	$0	$26.6M
Fairview Health Services	MN	General Acute Care Hospital	$0	$17.2M
University Of Minnesota Health Clinics And Surgery Center, Inc.	MN	Clinic/Center	$0	$16.3M
Fairview Health Services	MN	Durable Medical Equipment & Medical Supplies	$0	$14.4M
Fairview Express Care	MN	General Practice Physician	$0	$11.4M
Healtheast Medical Research Institute	MN	Clinic/Center	$0	$11.4M

Nearby Providers

Other providers in the same ZIP code as North Memorial Health Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Best Home Care, Inc.	MN	Home Health Aide	$0	$22.2M
Rescare Minnesota, Inc.	MN	Community/Behavioral Health Agency	$0	$7.7M
Uplink Staffing Inc	MN	Home Health Agency	$0	$7.6M
Community Dental Care Inc	MN	General Practice Dentistry	$0	$6M
Homeland Healthcare Service Inc	MN	Home Health Agency	$0	$5.7M
Esteem Nursing Care, Inc	MN	Home Health Agency	$0	$5M
Rescare Minnesota, Inc.	MN	Mental Illness Community Based Residential Treatment Facility	$0	$4.4M
Shafgat Ullah	MN	Internal Medicine Physician	$56.1K	$0
Kesha Green	MN	Clinical Social Worker	$940	$0

North Memorial Health Care — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References