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NPI 1639198658 · Bozeman, MT · Ambulance
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American Medical Response Ambulance Service Inc is a ambulance provider located in Bozeman, Montana. This profile covers 5 Medicare and 12 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 | American Medical Response Ambulance Service Inc |
| Address | 2101 Industrial Dr |
| City | Bozeman |
| State | MT |
| ZIP | 59715 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1M |
| Medicare | $677.2K |
This provider is an ambulance operator with a service mix concentrated in emergency transport and mileage-based reimbursement: Medicare top codes are A0427 (ALS 1 emergency), A0429 (BLS emergency), and A0425 (ground mileage), and Medicaid top codes are A0429, A0427, and A0380 (BLS mileage). The code set indicates primary operations are emergency ALS and BLS responses plus extensive ground mileage billing, consistent with a field ambulance/EMS transport business model rather than an in‑facility clinical practice.
Revenue concentration is high for both payers: the precomputed top 3 Medicare codes by revenue account for 91.8% of this provider's total Medicare revenue, and the precomputed top 3 Medicaid codes by revenue account for 87.9% of this provider's total Medicaid revenue. This means a small set of transport and mileage codes drive nearly all reported payer revenue, creating dependence on emergency transport and mileage reimbursement flows.
Payer mix shows the entity has larger Medicaid receipts than Medicare: total Medicare revenue is $677.2K while total Medicaid revenue is $1M. The provider is therefore not single-payer; Medicaid represents the larger share of reported lifetime revenue, indicating heavier utilization or contracting activity in the Medicaid population.
Competitive standing on Medicare is modestly above median but not dominant: A0427 ranks #1032 of 6841 providers nationally (85th percentile; typical, unremarkable volume for this code), A0429 ranks #1681 of 7808 (78th percentile), and A0425 ranks #1585 of 8934 (82th percentile). These percentiles indicate consistent, typical volume nationally for core ambulance emergency and mileage codes — an established participant but not a national leader.
State-level competitive posture on Medicaid is similarly typical with pockets of relative strength: A0429 (BLS emergency) ranks #12 of 41 in-state (73th percentile) and A0427 (ALS emergency) ranks #8 of 29 in-state (75th percentile), showing above-median in‑state volumes for emergency transports. Notable high standing is seen for A0390 (ALS mileage) which ranks #3 of 21 in-state (90th percentile), suggesting this provider reports comparatively high ALS mileage in Montana versus peers.
There are operational signals in claim counts and low-paid items: on Medicare A0425 shows 13.1K claims with $9 avg paid/claim for $118.3K revenue, reflecting heavy mileage reporting on Medicare, while on Medicaid A0429 shows 3.2K claims and $552.6K revenue with $172 avg paid/claim. Conversely, several Medicaid lines report many claims with negligible or zero payments (for example A0999 has 2.6K claims and $0 revenue, and 93005 shows 78 claims and $0 revenue), which may reflect non-covered reportings, billing for documentation, or administrative submissions rather than reimbursed services.
The provider’s average paid amounts by code underscore operational differences between payers: Medicare average paid/claim for A0427 is $497 while Medicaid average paid/claim for A0427 is $129, and Medicare A0429 average paid/claim is $418 versus Medicaid A0429 average paid/claim of $172. These differences are consistent with expected payer rate differentials and indicate the provider obtains materially higher unit payments from Medicare on core emergency transport codes.
This entity is long‑tenured in the NPI file, enumerated 2006-07-19 (~20 years ago), which aligns with the scale and persistence of cumulative billing activity reported across both Medicare and Medicaid. Tenure combined with the concentration in a small set of transport and mileage codes suggests an established local ambulance service that has maintained steady billing patterns over many years.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 740 | $500 | $366.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 330 | $420 | $136.7K |
| A0425 | Ground mileage, per statute mile | 13,150 | $10 | $118.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 200 | $260 | $51.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 10 | $310 | $3.7K |
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,210 | $170 | $552.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,410 | $130 | $311.4K |
| A0380 | Bls mileage (per mile) | 1,550 | $40 | $55.6K |
| A0425 | Ground mileage, per statute mile | 1,490 | $30 | $46K |
| A0390 | Als mileage (per mile) | 3,090 | $10 | $30.9K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 260 | $90 | $24.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 360 | $70 | $23.5K |
| 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… | 1,700 | $1 | $1.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 10 | $10 | $180 |
| J7030 | Infusion, normal saline solution , 1000 cc | 70 | $1 | $70 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 12 | 40 | 450 | $160 | $374.1K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8 | 30 | 240 | $180 | $270.7K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 6 | 10 | 260 | $90 | $96.3K |
| A0380 | Bls mileage (per mile) | 7 | 30 | 180 | $60 | $63.9K |
| A0425 | Ground mileage, per statute mile | 11 | 50 | 390 | $30 | $48.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8 | 20 | 290 | $70 | $44.7K |
| A0390 | Als mileage (per mile) | 3 | 20 | 110 | $20 | $42.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 8 | 10 | 310 | $10 | $7.8K |
| 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… | 42 | 50 | 2,270 | $1 | $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… | 4 | 10 | 310 | $1 | $4.4K |
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Other providers in the same ZIP code as American Medical Response Ambulance Service Inc, ranked by combined Medicare and Medicaid revenue.
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