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NPI 1598767501 · Fresno, CA · Land Ambulance
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Kwph Enterprises Inc is a land ambulance provider located in Fresno, California. This profile covers 7 Medicare and 15 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 | Kwph Enterprises Inc |
| Address | 2911 E Tulare St |
| City | Fresno |
| State | CA |
| ZIP | 93721 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 10, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $66.3M |
| Medicare | $11.1M |
KWPH ENTERPRISES INC’s billing mix is concentrated in land ambulance emergency transport services: the dominant revenue-driving CPT/HCPCS codes are A0427 (ALS 1 emergency), A0429 (BLS emergency), and A0425 (ground mileage), which together capture central operational activity. This pattern indicates core operations are high-volume emergency ambulance transports with extensive mileage billing rather than a diversified mix of outpatient procedures or inpatient services.
Revenue concentration is extreme on Medicare: total Medicare revenue is $11.1M and the precomputed top 3 Medicare codes account for 96.7% of that revenue. Within Medicare, A0427 alone represents $7.4M (67.0% of this provider's Medicare revenue) and ranks #7 of 6841 providers nationally (100th percentile; extreme outlier), while A0429 and A0425 account for $1.7M (14.9%) and $1.6M (14.8%) respectively and also rank at very high national percentiles, underscoring that a very small set of transport/mileage codes drives nearly all Medicare receipts.
Medicaid billing is even larger in absolute terms: total Medicaid revenue is $66.3M and the precomputed top 3 Medicaid codes account for 96.2% of that revenue. The Medicaid top codes mirror Medicare (A0427 $30.8M, 46.4%; A0429 $24.1M, 36.4%; A0425 $8.9M, 13.4%), with A0429 ranking #3 in-state (99th percentile; extreme outlier) and A0427 ranking #8 in-state (97th percentile; notably above typical state volume), indicating dominant statewide market share for emergency transport billing.
The provider’s payer mix is Medicaid-dominant in scale: reported lifetime Medicaid revenue of $66.3M greatly exceeds Medicare revenue of $11.1M, indicating that Medicaid is the primary revenue source. Both payers show the same operational emphasis on emergency ambulance transport codes, but Medicaid accounts for the majority of the provider’s billed volume and dollars.
KWPH’s competitive standing differs by scope: nationally, its Medicare volumes for A0427, A0429, and A0425 place it as an outlier and high-volume operator (100th and 99th percentiles on those codes), effectively marking it as a major national-level claimant for those ambulance codes. In-state, the provider is a leading Medicaid performer on A0429 and A0427 (including an in-state #3 rank for A0429 at the 99th percentile and a #8 rank for A0427 at the 97th percentile), signaling strong regional market penetration for emergency ground transport.
The provider also reports substantial ancillary procedural billing within Medicaid that complements transport services: 93041 shows 49.5K claims and $742.3K revenue and ranks #2 of 98 providers in-state (99th percentile; extreme outlier), and A0422 oxygen supplies shows 34.3K claims and $308.6K revenue and ranks #3 in-state (99th percentile; extreme outlier). These patterns suggest routine inclusion of ECG technicals and life-sustaining supplies as part of transport encounters rather than isolated non-transport clinical services.
Non-emergency and support transport codes appear but contribute only marginally to revenue relative to emergency codes: Medicare A0428 generates $146.4K (1.3% of Medicare revenue) and other Medicaid non-emergency codes such as T2005 (stretcher van, $163.4K, 0.2% of Medicaid revenue) and A0130 (wheelchair van, $97.8K, 0.1% of Medicaid revenue) are present at modest levels. This mix indicates the operator primarily focuses on emergency ALS/BLS responses while maintaining a smaller non-emergency/stretcher capability.
Operational tenure is long-standing: the NPI was enumerated on 2005-08-10 (~21 years ago), and the lifetime revenue figures ($11.1M Medicare and $66.3M Medicaid) are consistent with a well-established regional ambulance provider. The combination of long tenure and concentrated high-volume emergency billing supports interpretation of KWPH as an established, specialized land ambulance operator with extensive Medicaid-facing activity.
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) | 17,780 | $420 | $7.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,770 | $350 | $1.7M |
| A0425 | Ground mileage, per statute mile | 234,250 | $10 | $1.6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 750 | $200 | $146.4K |
| A0433 | Advanced life support, level 2 (als 2) | 180 | $600 | $110.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 260 | $270 | $69.1K |
| A0434 | Specialty care transport (sct) | 50 | $730 | $35K |
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.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 119,030 | $260 | $30.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 104,530 | $230 | $24.1M |
| A0425 | Ground mileage, per statute mile | 198,120 | $50 | $8.9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6,240 | $120 | $773.1K |
| 93041 | The 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… | 49,490 | $20 | $742.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 34,290 | $10 | $308.6K |
| T2005 | Non-emergency transportation; stretcher van | 5,450 | $30 | $163.4K |
| A0380 | Bls mileage (per mile) | 9,200 | $20 | $147.2K |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 460 | $250 | $115.2K |
| A0130 | Non-emergency transportation: wheelchair van | 3,620 | $30 | $97.8K |
Showing 1–10 of 15
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
15 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) | 8 | 250 | 2,420 | $220 | $3.7M |
| T2005 | Non-emergency transportation; stretcher van | 38 | 130 | 1,560 | $140 | $1.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 390 | 1,270 | $220 | $1.5M |
| A0130 | Non-emergency transportation: wheelchair van | 210 | 350 | 8,830 | $30 | $1.2M |
| A0380 | Bls mileage (per mile) | 146 | 310 | 7,380 | $40 | $1.1M |
| A0425 | Ground mileage, per statute mile | 8 | 580 | 3,120 | $30 | $963.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 67 | 190 | 2,470 | $80 | $674.3K |
| T2007 | Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments | 119 | 130 | 1,040 | $40 | $197.3K |
| 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… | 295 | 760 | 1,930 | $20 | $196K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 65 | 90 | 830 | $30 | $112K |
Showing 1–10 of 15
Other providers in the same ZIP code as Kwph Enterprises Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Vallarine Dental, LLC | CA | Ambulatory Surgical Clinic/Center | $0 | $38.2M |
| Fresno Community Hospital And Medical Center | CA | General Acute Care Hospital | $0 | $37.6M |
| Clinica Sierra Vista | CA | Federally Qualified Health Center (FQHC) | $0 | $23.9M |
| Ajit Khaira | CA | Internal Medicine Physician | $168.5K | $0 |
| Onyedikachi Michaels | CA | Internal Medicine Physician | $96.1K | $0 |
| Patrick Tran | CA | Internal Medicine Physician | $89.1K | $0 |
| Sukhdeep Athwal | CA | Anesthesiology Physician | $77.5K | $0 |
| Ashwin Bhatt | CA | Anesthesiology Physician | $71K | $0 |
| Debra Stotts | CA | Certified Registered Nurse Anesthetist | $35K | $0 |
| William Dominic | CA | Trauma Surgery Physician | $26.3K | $0 |
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