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NPI 1609886522 · Fort Smith, AR · Ambulance
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Fort Smith Emergency Medical Services is a ambulance provider located in Fort Smith, Arkansas. This profile covers 6 Medicare and 7 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 | Fort Smith Emergency Medical Services |
| Address | 3417 Duke Ave |
| City | Fort Smith |
| State | AR |
| ZIP | 72908 |
| Taxonomy | Ambulance |
| NPI Enumerated | August 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.5M |
| Medicare | $1.3M |
Billing and service mix indicate a ground ambulance operation heavily weighted toward advanced life support emergency transports: A0427 (Ambulance service, advanced life support, emergency transport, level 1) is the single largest Medicare and Medicaid revenue driver, generating $940.8K (72.0% of Medicare revenue) and $4.1M (62.7% of Medicaid revenue) respectively. The prominence of A0427 across both payers, together with substantial A0425 (ground mileage) claims totals—20.8K Medicare claims and 36.4K Medicaid claims—points to an ALS-focused transport fleet that performs many long or frequent ground transports rather than a primarily non-transport or interfacility service line only. This code mix is consistent with an emergency-response ambulance provider that bills both emergency ALS runs and associated mileage.
Revenue concentration is high for both payers: the top three Medicare codes account for 92.4% of the provider’s Medicare revenue and the top three Medicaid codes account for 89.1% of the provider’s Medicaid revenue. That concentration means the provider’s financial performance is heavily dependent on a small set of ambulance services—primarily A0427, A0425, and A0428—so shifts in reimbursement or utilization for those codes would have an outsized impact on total revenue. Analysts should therefore monitor policy or contract changes that affect ALS emergency transport and ground mileage reimbursement.
Payer mix is Medicaid-dominant in scale: lifetime Medicaid revenue is $6.5M versus lifetime Medicare revenue of $1.3M, indicating the provider’s book of business is materially weighted toward Medicaid patients and contracts. This asymmetry suggests that state Medicaid pricing, eligibility and regional Medicaid volume trends will be more consequential for overall revenue than Medicare trends. The data implies the organization operates largely in a Medicaid-heavy service area or under significant Medicaid contract volumes.
Competitive standing differs by payer and code: nationally, the provider ranks #260 of 6841 for A0427 on Medicare (96th percentile), which the source characterizes as "typical, unremarkable volume for this code," so while the provider is well-placed among national peers for that code it is not flagged as an extreme outlier. In-state for Medicaid, A0427 ranks #4 of 80 providers (96th percentile) where the same "typical, unremarkable volume" label accompanies a top-5 state ranking—indicating the provider is a major local player for ALS emergency transports even if its Medicare activity is modest on an absolute national scale.
Medicaid-specific competitive footprint is strong for core transport and mileage codes: A0427, A0425 and A0428 together generate the vast majority of Medicaid revenue ($4.1M, $1.1M, and $578.9K respectively) and these codes rank highly in-state (A0427 #4 of 80, A0425 #6 of 87, A0428 #10 of 50). Those in-state ranks (many in the 80–96th percentile range) suggest the provider captures a leading share of Medicaid ambulance activity in its region, which supports an operational strategy centered on high-volume Medicaid transports. The provided descriptors for these codes uniformly note "typical, unremarkable volume," so the provider’s leadership appears to be a reflection of market position rather than unusual coding behavior.
Operational detail: ground mileage (A0425) is a meaningful separate revenue stream on both payers—$145.8K on Medicare (20.8K claims) and $1.1M on Medicaid (36.4K claims)—which underscores that transports often incur substantial mileage charges. A significant mileage line item is consistent with serving a geographically dispersed or rural population where trip lengths are longer, and it amplifies the revenue impact of transport volume beyond per-trip ALS/BLS fees. Analysts should factor mileage payment policy and documentation practices into utilization and revenue reviews.
Tenure and stability: the provider’s NPI was enumerated on 2006-08-09 (~20 years ago), indicating long-standing participation in federal and state programs. That longevity supports the interpretation that observed billing patterns reflect an established operating model rather than transient startup behavior, and it increases the relevance of historical payer relationships and regional market position when evaluating risk and contracting opportunities.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,650 | $360 | $940.8K |
| A0425 | Ground mileage, per statute mile | 20,820 | $10 | $145.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 650 | $190 | $121.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 210 | $230 | $48.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 120 | $290 | $33.2K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $500 | $17.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 25,650 | $160 | $4.1M |
| A0425 | Ground mileage, per statute mile | 36,370 | $30 | $1.1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6,030 | $100 | $578.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,740 | $140 | $369.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,770 | $140 | $240.2K |
| A0398 | Als routine disposable supplies | 6,860 | $10 | $75.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1,030 | $20 | $17.5K |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas median
7 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) | 4 | 80 | 2,420 | $150 | $948.2K |
| A0425 | Ground mileage, per statute mile | 6 | 90 | 3,650 | $70 | $764.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 29 | 60 | 1,460 | $130 | $465.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | 50 | 1,260 | $80 | $333.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 6 | 40 | 620 | $150 | $182.9K |
| A0398 | Als routine disposable supplies | 7 | 30 | 1,500 | $10 | $39.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 9 | 20 | 700 | $10 | $21K |
Other providers in the same ZIP code as Fort Smith Emergency Medical Services, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Lincare Inc | AR | Durable Medical Equipment & Medical Supplies | $0 | $4.3M |
| Fort Smith Regional Dialysis Center LLC | AR | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $3.1M |
| Newborn Regional Providers Plc | AR | Neonatal-Perinatal Medicine Physician | $0 | $1.9M |
| Brett Whatcott | AR | Interventional Pain Medicine Physician | $455.6K | $0 |
| Bradley Short | AR | Physical Medicine & Rehabilitation Physician | $449.1K | $0 |
| Hrair Simonian | AR | Gastroenterology Physician | $405.7K | $3.1K |
| William Hocott | AR | Diagnostic Radiology Physician | $182.2K | $149.8K |
| Laura Moore-farrell | AR | Diagnostic Radiology Physician | $224.9K | $80K |
| Richard Nelson | AR | Diagnostic Radiology Physician | $179.3K | $89.3K |
| Fianna Hills Surgery Center Inc | AR | Ambulatory Surgical Clinic/Center | $222.3K | $26.7K |
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