Loading...
NPI 1639131436 · Orange, CA · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Falck Mobile Health Corp is a land ambulance provider located in Orange, California. This profile covers 4 Medicare and 23 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 | Falck Mobile Health Corp |
| Address | 1517 W Braden Ct |
| City | Orange |
| State | CA |
| ZIP | 92868 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | April 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $127.7M |
| Medicare | $25.5M |
FALCK MOBILE HEALTH CORP’s billing profile is overwhelmingly ambulance-focused, with advanced life support emergency transport (A0427), basic life support emergency transport (A0429), and ground mileage (A0425) comprising the core of its billed services. The presence of high-volume transport codes and related supplies/attendant codes indicates the organization operates as a high-throughput land ambulance provider emphasizing emergency response and patient transport rather than ancillary clinical services.
Revenue concentration on Medicare is extremely high: the precomputed top three Medicare codes account for 99.1% of this provider's total Medicare revenue, driven primarily by A0427 ($18.1M, 40.4K claims) and A0429 ($5.4M, 14.5K claims). This concentration indicates Medicare receipts are almost entirely from emergency ambulance transports and mileage rather than a broad mix of services.
On the Medicaid side the top three codes similarly dominate, with the precomputed top three Medicaid codes accounting for 96.2% of total Medicaid revenue; A0427 ($73.5M, 329.5K claims) and A0429 ($42.7M, 204.3K claims) are the largest contributors. Medicaid revenue ($127.7M) is substantially larger than Medicare revenue ($25.5M), showing that the provider’s operations are primarily serving Medicaid-covered transports in scale.
Market positioning versus peers shows extreme dominance for core ambulance emergency codes: FALCK ranks #2 nationally for Medicare A0427 and #7 for Medicare A0429, both listed as 100th percentile extreme outliers, indicating national-level volume far above typical providers. In-state for Medicaid the provider ranks #1 for both A0427 and A0429 at the 100th percentile, which signals it is a market leader in California Medicaid emergency ambulance services.
Several additional Medicaid codes evidence broad operational breadth within ambulance services: A0424 (extra ambulance attendant) has 199.8K claims and ranks #1 in-state as an extreme outlier, while A0425 (ground mileage) shows very high claim counts (530.3K) and ranks #2 in-state. These patterns suggest frequent use of additional attendants and long or numerous transport distances in the Medicaid population the provider serves.
The provider’s Medicare claim-level average payments are materially higher per claim for advanced codes (e.g., A0427 avg paid/claim $447 and A0433 $646), while Medicaid averages are lower (e.g., A0427 $223, A0429 $209), reflecting payer-rate differences rather than a change in service mix. Despite lower per-claim Medicaid rates, the much larger Medicaid claim volumes produce the bulk of lifetime revenue ($127.7M Medicaid vs $25.5M Medicare).
Operational tenure is long: the NPI was enumerated on 2006-04-05 (~20 years ago), indicating sustained participation in Medicare/Medicaid markets and capacity to scale high-volume ambulance operations over time. This longevity, combined with extreme high-volume rankings, supports the interpretation of an established, high-capacity EMS business.
The provider exhibits multiple statistically labeled outliers across both payers (e.g., extreme outlier status for A0427 and A0429 on Medicare nationally and on Medicaid in-state, and extreme outlier for A0424 in-state). These designations indicate the provider’s activity for core emergency ambulance services is unusually large relative to peers and represents a concentrated operational footprint focused on transport and attendant services.
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) | 40,430 | $450 | $18.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14,460 | $380 | $5.4M |
| A0425 | Ground mileage, per statute mile | 260,640 | $10 | $1.8M |
| A0433 | Advanced life support, level 2 (als 2) | 370 | $650 | $241K |
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.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 329,520 | $220 | $73.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 204,310 | $210 | $42.7M |
| A0425 | Ground mileage, per statute mile | 530,300 | $10 | $6.9M |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 199,810 | $10 | $2.8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7,180 | $80 | $560.2K |
| A0433 | Advanced life support, level 2 (als 2) | 2,100 | $200 | $421.1K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 40,580 | $10 | $324.7K |
| 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… | 29,650 | $10 | $207.5K |
| 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… | 14,560 | $10 | $174.7K |
| A0434 | Specialty care transport (sct) | 1,320 | $120 | $155.8K |
Showing 1–10 of 23
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
23 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) | 1 | 250 | 2,420 | $220 | $3.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 390 | 1,270 | $220 | $1.5M |
| A0425 | Ground mileage, per statute mile | 2 | 580 | 3,120 | $30 | $963.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 57 | 190 | 2,470 | $80 | $674.3K |
| A0434 | Specialty care transport (sct) | 20 | 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… | 85 | 760 | 1,930 | $20 | $196K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 31 | 80 | 280 | $130 | $148.2K |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 1 | 80 | 520 | $20 | $112.5K |
| A0999 | Unlisted ambulance service | 6 | 100 | 600 | $20 | $111.4K |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 7 | 10 | 120 | $400 | $111K |
Showing 1–10 of 23
Other providers in the same ZIP code as Falck Mobile Health Corp, ranked by combined Medicare and Medicaid revenue.
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.