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    OpenPayerNPI Medicare & MedicaidCity Of Fruitland
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    City Of Fruitland — Billing Profile & Reimbursement Data

    NPI 1649295551 · Fruitland, ID · Ambulance

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    City Of Fruitland is a ambulance provider located in Fruitland, Idaho. This profile covers 7 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)

    FieldValue
    Entity TypeOrganization
    OrganizationCity Of Fruitland
    Address200 S Whitley Dr
    CityFruitland
    StateID
    ZIP83619
    TaxonomyAmbulance
    NPI EnumeratedJuly 12, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.2M
    Medicare$414.3K

    Key Findings

    CITY OF FRUITLAND is an ambulance service by taxonomy and its billed mix is concentrated in emergency and mileage-driven transports: Medicare top codes include A0425 (ground mileage, $155.2K, 38.1% of Medicare revenue) and A0427 (ALS 1 emergency, $140.2K, 34.4% of Medicare revenue), while Medicaid top codes show A0427 ($650.6K, 55.8% of Medicaid revenue) and A0425 ($302.7K, 26.0% of Medicaid revenue). The prominence of A0427 and A0425 across both payers indicates an operational focus on advanced life support emergency responses coupled with substantial transported miles rather than a heavy mix of non-transport services or ancillary billings.

    Revenue concentration is high for both payers: the provider’s top three Medicare codes account for 83.2% of total Medicare revenue, and the top three Medicaid codes account for 98.7% of total Medicaid revenue. This level of concentration implies that changes in utilization, payer policy, or reimbursement for those few codes could materially affect the provider’s cash flow.

    Payer mix is Medicaid-dominant in scale: total Medicaid revenue is $1.2M versus total Medicare revenue of $414.3K, so Medicaid represents the larger share of reported lifetime public-payer revenue. Analysts should treat this entity as effectively Medicaid-majority in its current billing footprint when assessing network value or reimbursement risk.

    National competitive standing for Medicare shows some upper-percentile volumes but is described in the file as not exceptional: A0425 ranks #1103 of 8934 (88th percentile) and is labeled "typical, unremarkable volume for this code," while A0427 ranks #2001 of 6841 (71th percentile) and A0426 ranks #291 of 1568 (81th percentile). In plain terms, the provider posts mid-to-upper percentile activity on its leading Medicare ambulance codes but is not characterized as a dominant national outlier.

    State-level competitive standing on Medicaid is relatively strong for core lines: A0427 (ALS 1 emergency) ranks #8 of 31 in-state (77th percentile) and A0425 (ground mileage) ranks #8 of 48 in-state (85th percentile), indicating the provider is a prominent in-state participant on emergency ALS transports and mileage-based billing. Other Medicaid codes such as A0429 (BLS emergency) are present at lower in-state percentiles (65th) but still contribute meaningfully to the Medicaid revenue mix.

    The provider has a long-tenured NPI (enumerated 2006-07-12 (~20 years ago)), suggesting an established local EMS operation with historical billing patterns that have persisted over time. That longevity, combined with the Medicaid-heavy revenue, suggests entrenched participation in state Medicaid emergency-transport networks rather than a recent entrant.

    Beyond the few revenue-driving codes, remaining services contribute only modestly: Medicare entries like A0434 (Specialty care transport, $7.8K, 1.9% of Medicare revenue) and A0433 (ALS 2, $12.7K, 3.1%) are small and their national ranks are described as "typical, unremarkable volume for this code." This pattern indicates limited breadth of higher-acuity specialty transports in the billing mix and a narrow service line concentration around ALS 1, BLS emergency, and mileage.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0425Ground mileage, per statute mile19,410$10$155.2K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)370$380$140.2K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)180$250$43.1K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)90$320$28.6K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)90$210$19.4K
    A0433Advanced life support, level 2 (als 2)20$580$12.7K
    A0434Specialty care transport (sct)10$710$7.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427940130$390$138.8K
    A0429216060$330$60.6K
    A04255603,210$10$44.4K
    A0434121020$680$26K
    A042882040$200$22.3K
    A0433101030$550$21.3K
    A042612030$260$12.5K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)3,130$210$650.6K
    A0425Ground mileage, per statute mile5,410$60$302.7K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)1,070$190$198.3K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)120$110$13.2K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)10$110$1.5K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Idaho median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)830480$220$663.4K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)1230570$180$428.6K
    A0425Ground mileage, per statute mile850960$40$166.8K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)1210260$80$54.8K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)310120$160$40.5K

    Nearby Providers

    Other providers in the same ZIP code as City Of Fruitland, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Snake River Pediatrics, PCIDPediatrics Physician$0$5.3M
    Snake River Pediatrics, PCIDRural Health Clinic/Center$0$3.2M
    Edgewood Fruitland Senior Living LLCIDAssisted Living Facility$0$2.5M
    Current Physical Therapy LLCIDPhysical Therapist$0$1.8M
    Saint Alphonsus Medical Center- Ontario IncIDRural Health Clinic/Center$0$854.6K
    Ryan HillamIDDentist$0$397.4K
    Brock AndersenIDDermatology Physician$265.9K$0
    John FooteIDOrthopaedic Surgery Physician$140.1K$0
    Nicholas HartleyIDPhysical Therapist$103.4K$0
    Dallin WilkesIDPhysical Therapist$97.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Idaho Distribution
    City Of Fruitland — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho
    Medicaid Revenue by Year vs. Idaho Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    City Of Fruitland — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho