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    OpenPayerNPI Medicare & MedicaidAmerican Medical Response West
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    American Medical Response West — Billing Profile & Reimbursement Data

    NPI 1578597803 · Modesto, CA · Ambulance

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    American Medical Response West is a ambulance provider located in Modesto, California. This profile covers 6 Medicare and 14 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)

    FieldValue
    Entity TypeOrganization
    OrganizationAmerican Medical Response West
    Address4846 Stratos Way
    CityModesto
    StateCA
    ZIP95356
    TaxonomyAmbulance
    NPI EnumeratedJuly 11, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$15.3M
    Medicare$4.5M

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)7,600$420$3.2M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)2,350$360$839K
    A0425Ground mileage, per statute mile49,410$10$345.9K
    A0433Advanced life support, level 2 (als 2)60$610$38.6K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)20$220$4K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)10$270$3.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A042720210620$450$997.4K
    A0428104110370$240$426.7K
    A042921220250$380$335.6K
    A0425442608,650$10$185.2K
    A0433318040$660$46.9K
    A04267180100$290$42.7K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)77,190$130$10M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)16,350$140$2.3M
    A0425Ground mileage, per statute mile94,420$20$1.9M
    93041The 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…27,670$20$415.1K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)3,250$90$288.9K
    93005The 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…16,050$10$128.4K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation13,010$10$117.1K
    A0999Unlisted ambulance service1,200$40$43.2K
    T2005Non-emergency transportation; stretcher van390$30$10.6K
    A0433Advanced life support, level 2 (als 2)80$120$9.2K

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    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

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)142502,420$220$3.7M
    T2005Non-emergency transportation; stretcher van921301,560$140$1.9M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)393901,270$220$1.5M
    A0380Bls mileage (per mile)2563107,380$40$1.1M
    A0425Ground mileage, per statute mile225803,120$30$963.2K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)871902,470$80$674.3K
    93005The 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…1567601,930$20$196K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)5480280$130$148.2K
    A0999Unlisted ambulance service35100600$20$111.4K
    A0433Advanced life support, level 2 (als 2)2440170$210$101.5K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with American Medical Response West, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    American Medical Response Ambulance Service IncCAAmbulance$9.6M$65.4M
    American Medical Response Ambulance Service IncWAAmbulance$5.2M$32.6M
    Medicwest Ambulance, Inc.NVAmbulance$2M$34.9M
    American Medical Response Ambulance Service IncWAAmbulance$6.1M$29.1M
    American Medical Response WestCAAmbulance$6.3M$24.9M
    American Medical Response Ambulance Service IncNMAmbulance$3M$23.9M
    American Medical Response Ambulance Service IncCAAmbulance$7.9M$18.5M
    American Medical Response WestCAAmbulance$5M$20.7M
    American Medical Response WestCAAmbulance$5.6M$19.8M
    American Medical Response WestCAAmbulance$5.9M$18M

    Nearby Providers

    Other providers in the same ZIP code as American Medical Response West, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Golden Bear Physical Therapy Sports Injury Center, IncCAPhysical Therapy Clinic/Center$0$36.5M
    Yosemite Pathology Medical Group, IncCAAnatomic Pathology & Clinical Pathology Physician$0$33.7M
    Rangram ChandranCAOphthalmology Physician$1.4M$0
    Kyle HeronCAPain Medicine (Anesthesiology) Physician$159.4K$273.3K
    Anthony VictorioCAAnatomic Pathology & Clinical Pathology Physician$406.8K$0
    Donovan HareCAAnatomic Pathology & Clinical Pathology Physician$298.5K$0
    Prakashchandra ChaudhariCAAnatomic Pathology & Clinical Pathology Physician$150.2K$0
    Aruna DashCAAnatomic Pathology & Clinical Pathology Physician$88.2K$0
    Katherine PettyjohnCAPrimary Care Clinic/Center$27.9K$0
    Deepthi RimmalapudiCAEndocrinology, Diabetes & Metabolism Physician$2.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    American Medical Response West — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    American Medical Response West — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California