Loading...
NPI 1578597886 · Riverside, CA · Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
American Medical Response Ambulance Service Inc is a ambulance provider located in Riverside, California. This profile covers 7 Medicare and 11 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 Ambulance Service Inc |
| Address | 879 Marlborough Ave |
| City | Riverside |
| State | CA |
| ZIP | 92507 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $18.5M |
| Medicare | $7.9M |
This provider’s business is concentrated in emergency ambulance transports with a heavy advanced life support (ALS) emphasis: A0427 is the single largest revenue driver for both payers (Medicare A0427: 13.2K claims, $423 avg paid/claim, $5.6M revenue; Medicaid A0427: 65.9K claims, $185 avg paid/claim, $12.2M revenue) and ground mileage (A0425) is also a major activity by claim count. The prevalence of A0427 and A0425 across payers indicates operations focused on high-volume emergency ALS response and substantial patient transport mileage rather than a broad mix of ancillary services.
Revenue concentration is extreme at both payers: the top three Medicare codes account for 90.4% of total Medicare revenue and the top three Medicaid codes account for 96.0% of total Medicaid revenue. This narrow code mix suggests financial performance is highly dependent on a small set of ambulance transport services and mileage-related billing.
In payer-scale terms the provider is materially Medicaid-dominant: total Medicaid revenue is $18.5M compared with total Medicare revenue of $7.9M, so Medicaid constitutes the larger payer relationship by dollar volume. That scale difference means state-level reimbursement and contract dynamics with Medicaid are likely more impactful to the provider’s topline than Medicare.
Nationally, the provider is an outlier for key Medicare codes: A0427 ranks #14 of 6841 providers nationally (100th percentile; extreme outlier) and A0425 ranks #97 of 8934 providers nationally (99th percentile; extreme outlier). These ranks characterize the provider as a dominant national-volume operator for emergency ALS transports and high mileage billing, well above typical national practice for those codes.
Within California Medicaid, the provider is also a strong in-state player on the same core codes: Medicaid A0427 ranks #18 of 248 in-state (93rd percentile; typical, unremarkable volume) and Medicaid A0425 ranks #25 of 580 in-state (96th percentile; typical, unremarkable volume). While not labeled an extreme outlier in-state for A0427, these percentiles indicate a top-tier Medicaid presence for ALS emergency transport and mileage work within the state.
Payer-level average payments show meaningful differences by payer for the same services: Medicare pays $423 avg per claim for A0427 while Medicaid pays $185 avg per claim for A0427, and Medicare A0425 shows $7 avg paid/claim versus Medicaid A0425 at $26 avg paid/claim. These differences underscore that the same high-volume services generate different per-claim revenue trajectories across payers, which will affect per-transport profitability depending on mix.
The provider shows operational breadth beyond its top earners but at markedly lower revenue shares: Medicare and Medicaid include codes such as A0429 (BLS emergency), A0428 (BLS non-emergency), and A0434 (specialty care transport) with smaller revenue contributions. Many of these secondary codes are described as typical or unremarkable in volume, which supports interpretation that the organization primarily operates as a high-volume emergency/ALS transporter rather than a diversified clinical services firm.
The provider has an established operating tenure, with NPI enumeration dated 2006-07-10 (~20 years ago), pairing long-term market presence with the concentrated, high-volume ambulance activity shown in the claims data. That longevity combined with the standing in national and state rankings suggests an entrenched ambulance operator whose financial profile will be sensitive to changes in ALS/mileage reimbursement or Medicaid payment policy.
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) | 13,190 | $420 | $5.6M |
| A0425 | Ground mileage, per statute mile | 126,310 | $10 | $884.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,880 | $360 | $668.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,030 | $220 | $452.2K |
| A0434 | Specialty care transport (sct) | 260 | $730 | $187.3K |
| A0433 | Advanced life support, level 2 (als 2) | 120 | $610 | $73.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 160 | $270 | $43.3K |
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 65,920 | $190 | $12.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 15,730 | $210 | $3.3M |
| A0425 | Ground mileage, per statute mile | 87,560 | $30 | $2.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5,900 | $80 | $495.3K |
| A0999 | Unlisted ambulance service | 9,230 | $20 | $147.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 430 | $120 | $50.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 5,630 | $10 | $45K |
| A0433 | Advanced life support, level 2 (als 2) | 50 | $90 | $4.9K |
| A0434 | Specialty care transport (sct) | 20 | $180 | $3.1K |
| 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… | 80 | $20 | $1.2K |
Showing 1–10 of 11
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
11 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) | 18 | 250 | 2,420 | $220 | $3.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 40 | 390 | 1,270 | $220 | $1.5M |
| A0380 | Bls mileage (per mile) | 304 | 310 | 7,380 | $40 | $1.1M |
| A0425 | Ground mileage, per statute mile | 25 | 580 | 3,120 | $30 | $963.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 68 | 190 | 2,470 | $80 | $674.3K |
| A0434 | Specialty care transport (sct) | 59 | 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… | 606 | 760 | 1,930 | $20 | $196K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 35 | 80 | 280 | $130 | $148.2K |
| A0999 | Unlisted ambulance service | 15 | 100 | 600 | $20 | $111.4K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | 40 | 170 | $210 | $101.5K |
Showing 1–10 of 11
Other providers in the same ZIP code as American Medical Response Ambulance Service Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| West Coast Spine Restoration Center, Inc | CA | Physical Therapist | $0 | $27.4M |
| Amy Delaney | CA | Dermatology Physician | $320.9K | $0 |
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.