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NPI 1649257007 · Lakewood, CO · Land Ambulance
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West Metro Fire Protection District is a land ambulance provider located in Lakewood, Colorado. This profile covers 4 Medicare and 5 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 | West Metro Fire Protection District |
| Address | 433 S Allison Pkwy |
| City | Lakewood |
| State | CO |
| ZIP | 80226 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.6M |
| Medicare | $1.5M |
This entity is a long-established land-ambulance provider (Taxonomy: Land Ambulance) with an NPI enumerated 2005-12-28 (~21 years ago), indicating multi-decade participation in Medicare and Medicaid billing. Its lifetime Medicaid revenue ($8.6M) substantially exceeds its Medicare revenue ($1.5M), making Medicaid the dominant payer by scale for this provider.
Revenue is extremely concentrated in a narrow set of emergency-transport services: the precomputed top 3 Medicare codes account for 99.1% of total Medicare revenue and the top 3 Medicaid codes account for 99.8% of total Medicaid revenue. This concentration indicates the business is highly focused on a few transport-related service lines rather than a broad array of ancillary ambulance services.
Advanced life-support emergency transports drive the book of business: code A0427 is the single largest revenue generator on both payers (76.4% of Medicare revenue and 75.2% of Medicaid revenue), supported by substantial volumes of basic life-support A0429 and mileage A0425. The mix (A0427, A0429, A0425) is consistent with an operation oriented to emergency ground transport rather than non-transport or clinic-based services.
Payer price and volume dynamics diverge: for A0427 the provider reported 2.8K Medicare claims at $417 avg paid/claim versus 39.6K Medicaid claims at $163 avg paid/claim, showing that Medicare pays a higher average per-claim but Medicaid delivers far greater claim volume. That pattern suggests the provider’s revenue scale is driven more by Medicaid call volume while Medicare contributes higher per-encounter reimbursement.
Competitive standing differs by payer and code. Nationally for Medicare the provider’s A0427 activity ranks #240 of 6841 (97th percentile) and A0429 ranks #861 of 7808 (89th percentile), which the platform labels as typical, unremarkable volume for those codes—indicating a solid but not anomalous national presence; in-state for Medicaid the provider is a top competitor (A0427 ranks #5 of 125, 97th percentile; A0425 ranks #7 of 279, 98th percentile), positioning it as a major ambulance operator within Colorado.
Operational scope shows heavy mileage and trip counts on the Medicaid side: A0425 appears with 51K claims and $510.4K revenue (5.9% of Medicaid revenue) while Medicare shows 16.2K A0425 claims ($113.5K, 7.5% of Medicare revenue). The combination of high mileage claim counts and the land-ambulance taxonomy points to extensive ground transport activity, either through many short trips or a substantial number of transported miles overall.
The provider reports minimal use of non-transport and higher-tier ALS variants: A0998 (ambulance response and treatment, no transport) generates only $826 on Medicaid (0.0% of Medicaid revenue), and A0433 (ALS level 2) accounts for $13.3K (0.9%) of Medicare revenue and $18.5K (0.2%) of Medicaid revenue. These patterns reinforce that revenue is concentrated in emergent transport services with limited non-transport or ALS2 billing relative to ALS1 and BLS emergency transports.
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) | 2,770 | $420 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 660 | $350 | $230.3K |
| A0425 | Ground mileage, per statute mile | 16,220 | $10 | $113.5K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $600 | $13.3K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 39,620 | $160 | $6.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11,480 | $140 | $1.6M |
| A0425 | Ground mileage, per statute mile | 51,040 | $10 | $510.4K |
| A0433 | Advanced life support, level 2 (als 2) | 110 | $160 | $18.5K |
| A0998 | Ambulance response and treatment, no transport | 410 | $1 | $830 |
How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Colorado median
5 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) | 5 | 130 | 750 | $140 | $957.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11 | 120 | 700 | $120 | $843.2K |
| A0425 | Ground mileage, per statute mile | 7 | 280 | 990 | $20 | $636.8K |
| A0433 | Advanced life support, level 2 (als 2) | 9 | 20 | 120 | $170 | $183.3K |
| A0998 | Ambulance response and treatment, no transport | 2 | 10 | 410 | $1 | $670 |
Other providers in the same ZIP code as West Metro Fire Protection District, ranked by combined Medicare and Medicaid revenue.
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