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NPI 1588655179 · Aberdeen, SD · Land Ambulance
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City Of Aberdeen Sd is a land ambulance provider located in Aberdeen, South Dakota. This profile covers 4 Medicare and 3 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 | City Of Aberdeen Sd |
| Address | 123 S Lincoln St |
| City | Aberdeen |
| State | SD |
| ZIP | 57401 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 2, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $476.3K |
| Medicaid | $402.5K |
CITY OF ABERDEEN SD’s billed service mix is clearly ground ambulance emergency care: the provider’s Medicare and Medicaid top revenue drivers are A0427, A0429 and A0425, which correspond to advanced life support emergency transport, basic life support emergency transport, and ground mileage. Medicare claims include 592 A0427 claims and 262 A0429 claims while Medicaid shows 1.4K A0427 and 884 A0429 claims, indicating routine emergency transport activity across both payers rather than elective or non-emergency transport lines.
Revenue concentration is high on a small set of emergency transport codes in Medicare: A0427 (61.7%), A0429 (23.0%) and A0425 (11.0%) together account for the majority of Medicare receipts and the precomputed top-3 codes by revenue account for 95.8% of this provider's total Medicare revenue, which totals $476.3K. This means most Medicare dollars are tied to a narrow set of ALS/BLS and mileage services rather than a broad procedure mix.
On the Medicaid side the provider shows complete concentration in the same three ground-ambulance codes: A0427 (60.1%), A0429 (32.6%) and A0425 (7.3%), and the precomputed top-3 codes by revenue account for 100.0% of this provider's total Medicaid revenue, which totals $402.5K. Medicaid billing therefore mirrors Medicare billing in service-type and concentration, with A0427 representing the largest single Medicaid revenue line.
Payer mix is balanced but Medicare is modestly larger: lifetime Medicare revenue is $476.3K versus $402.5K in Medicaid, so both payers are meaningful for this provider and neither is negligible; the operation is effectively a dual-payer ambulance provider with slightly more Medicare volume overall. Given the similar scale, strategic shifts by either payer could materially affect overall revenues.
National competitive standing on Medicare shows typical, not dominant presence for its top ALS/BLS lines: A0427 ranks #1290 of 6841 (81th percentile; typical, unremarkable volume), A0429 ranks #2039 of 7808 (74th percentile; typical, unremarkable volume), and A0425 ranks #3001 of 8934 (66th percentile; typical, unremarkable volume). These placements indicate CITY OF ABERDEEN SD is a modest participant nationally for ambulance codes—above many peers but not a national leader in volume.
In-state competitive standing on Medicaid is stronger but still within a typical range: A0427 ranks #9 of 36 in-state (77th percentile; typical, unremarkable volume), A0429 ranks #12 of 34 (67th percentile; typical, unremarkable volume), and A0425 ranks #11 of 57 (82th percentile; typical, unremarkable volume). That pattern suggests a solid regional presence for emergency ground transport—particularly for A0427—but not a dominant statewide monopoly.
The provider has long tenure on file, with NPI enumerated 2005-11-02 (~21 years ago), which supports interpretation of the billing pattern as established operational behavior rather than a short-term anomaly. This longevity combined with concentrated emergency-transport billing suggests a stable, mission-driven ambulance operation focused on ALS/BLS response and mileage reimbursement.
Across both payers, none of the top codes are labeled as statistical extremes; each is described as "typical, unremarkable volume" in the comparative benchmarks provided. Operational risk or outlier concern is therefore low from a utilization-distribution perspective, but the business is highly dependent on emergency-transport codes—A0427 in particular—so any policy or reimbursement changes targeting ALS emergency transport could disproportionately affect revenue.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 590 | $500 | $295.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 260 | $420 | $110K |
| A0425 | Ground mileage, per statute mile | 5,870 | $10 | $52.8K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $720 | $20.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,420 | $170 | $241.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 880 | $150 | $130.8K |
| A0425 | Ground mileage, per statute mile | 2,680 | $10 | $29.5K |
How this provider's Medicaid billing volume and revenue compare to other South Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Dakota median
3 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) | 9 | 40 | 270 | $180 | $281.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 12 | 30 | 300 | $150 | $195.3K |
| A0425 | Ground mileage, per statute mile | 11 | 60 | 680 | $50 | $106.2K |
Other providers in the same ZIP code as City Of Aberdeen Sd, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Adjustment Training Center, Inc. | SD | Developmentally Disabled Services Day Training Agency | $0 | $40.3M |
| Northeastern Mental Health Center | SD | Mental Health Counselor | $0 | $10.1M |
| Vision Care Associates, LLP | SD | Optometrist | $0 | $6M |
| Sanford Health Network | SD | General Acute Care Hospital | $0 | $4.4M |
| John Bormes | SD | Ophthalmology Physician | $2.6M | $0 |
| Avera St. Luke's | SD | Family Medicine Physician | $0 | $2.3M |
| Sanford Health Network | SD | General Acute Care Hospital | $0 | $1.9M |
| Avera At Home | SD | Home Health Agency | $0 | $1.6M |
| Avera St Lukes | SD | General Acute Care Hospital | $0 | $1.5M |
| Ty Hanson | SD | Dermatology Physician | $1.2M | $0 |
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