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NPI 1629172739 · Rapid City, SD · Ambulance
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City Of Rapid City is a ambulance provider located in Rapid City, South Dakota. This profile covers 5 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 | City Of Rapid City |
| Address | 10 Main Street |
| City | Rapid City |
| State | SD |
| ZIP | 57701 |
| Taxonomy | Ambulance |
| NPI Enumerated | September 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.7M |
| Medicare | $1.4M |
CITY OF RAPID CITY operates as an ambulance/EMS provider: its Medicare revenue is concentrated in ambulance transport and mileage codes, led by A0429 (BLS emergency), A0427 (ALS 1 emergency) and A0425 (ground mileage). These three Medicare codes account for 92.1% of the provider's total Medicare revenue, and the single largest Medicare line is A0429 at $681.7K (49.6% of Medicare revenue), indicating primary reliance on emergency transport services for Medicare patients.
On the Medicaid side the same three codes dominate even more strongly: A0429, A0427 and A0425 together account for 96.0% of this provider's total Medicaid revenue. A0429 is the single largest Medicaid line at $1.9M (53.0% of Medicaid revenue) and A0425 contributes $471.6K, showing the provider’s Medicaid business is highly concentrated in routine emergency BLS/ALS transports and mileage.
CITY OF RAPID CITY’s public-payer mix is heavily weighted to Medicaid: total Medicaid revenue is $3.7M compared with total Medicare revenue of $1.4M, making Medicaid the larger single public payer by scale for this provider. This skew suggests the provider’s overall volume and cashflow are more dependent on state Medicaid reimbursements than on Medicare.
Competitive standing differs by payer and code. Nationally for Medicare, A0429 ranks #190 of 7808 providers (98th percentile; notably above typical national volume for this code), marking the provider as a strong national outlier for BLS emergency Medicare volume; A0427 ranks #768 of 6841 (89th percentile) and A0425 ranks #799 of 8934 (91th percentile), both described as typical or unremarkable relative to peers. In contrast, within South Dakota Medicaid the provider is a market leader: A0429 ranks #1 of 34 (100th percentile; extreme outlier) and A0425 ranks #2 of 57 (98th percentile; extreme outlier), signaling dominant in-state share for those ambulance services.
Observed payment dynamics differ between payers on a per-claim basis: Medicare average paid/claim for A0429 is $340 versus Medicaid $161, and for A0427 Medicare avg paid/claim is $405 versus Medicaid $185. Notably, mileage shows a reverse pattern with Medicare avg paid/claim for A0425 at $7 and Medicaid avg paid/claim at $24, indicating material per-claim payment differences by payer and code that will affect revenue sensitivity to volume shifts.
The provider’s revenue concentration creates operational exposure: with the top three Medicare codes representing 92.1% of Medicare revenue and the top three Medicaid codes representing 96.0% of Medicaid revenue, changes to reimbursement policy, utilization patterns, or contract status for these few ambulance codes could materially affect total public-payer revenue. This concentration also implies limited diversification across other service lines within these payers.
CITY OF RAPID CITY has an established enrollment history, with an NPI enumerated on 2006-09-11 (≈20 years ago). That tenure, combined with top in-state Medicaid ranks and high national placement on Medicare A0429, is consistent with a long-standing municipal or regional EMS operator with entrenched referral/transport relationships in its service area.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,010 | $340 | $681.7K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 990 | $410 | $402.2K |
| A0425 | Ground mileage, per statute mile | 26,140 | $10 | $183K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 400 | $210 | $84.6K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $570 | $23.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 12,100 | $160 | $1.9M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5,990 | $190 | $1.1M |
| A0425 | Ground mileage, per statute mile | 19,650 | $20 | $471.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,410 | $90 | $123.7K |
| A0380 | Bls mileage (per mile) | 300 | $40 | $11.2K |
| A0390 | Als mileage (per mile) | 170 | $50 | $8.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | $180 | $2.1K |
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
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) | 3 | 40 | 270 | $180 | $281.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 30 | 300 | $150 | $195.3K |
| A0425 | Ground mileage, per statute mile | 2 | 60 | 680 | $50 | $106.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5 | 10 | 40 | $160 | $81.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 10 | 290 | $120 | $81.2K |
| A0380 | Bls mileage (per mile) | 2 | 10 | 110 | $80 | $12.4K |
| A0390 | Als mileage (per mile) | 2 | 10 | 100 | $70 | $10K |
Other providers in the same ZIP code as City Of Rapid City, ranked by combined Medicare and Medicaid revenue.
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