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NPI 1659397164 · Rochester, MN · Land Ambulance
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Mayo Clinic Ambulance is a land ambulance provider located in Rochester, Minnesota. This profile covers 7 Medicare and 10 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 | Mayo Clinic Ambulance |
| Address | 501 6th Ave Nw |
| City | Rochester |
| State | MN |
| ZIP | 55901 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $67.5M |
| Medicare | $8.5M |
MAYO CLINIC AMBULANCE operates as a land ambulance service (taxonomy: Land Ambulance) with its NPI enumerated 2006-07-15 (~20 years ago), indicating a long-tenured emergency transport operator in Rochester, MN. The revenue and code mix are dominated by emergency transport and mileage services, consistent with a high-volume ambulance fleet focused on both ALS and BLS emergency response rather than outpatient or non-transport services.
Revenue concentration is extremely high across both payers: the top 3 Medicare codes account for 96.6% of the provider's $8.5M in Medicare revenue, and the top 3 Medicaid codes account for 95.6% of the provider's $67.5M in Medicaid revenue. This indicates the business is highly specialized around a narrow set of transport and mileage codes rather than a broad mix of ancillary services.
For Medicare the revenue is concentrated in A0427 (10.1K claims, $400 avg paid/claim, $4M revenue; 46.8% of Medicare revenue), A0429 (7.4K claims, $336 avg paid/claim, $2.5M revenue; 28.9%), and A0425 (226K claims, $8 avg paid/claim, $1.8M revenue; 21.0%). Each of these codes ranks at the very top nationally (A0427 #40/6841 99th percentile extreme outlier, A0429 #26/7808 100th percentile extreme outlier, A0425 #36/8934 100th percentile extreme outlier), so on Medicare the provider is an extreme outlier with far above typical national volume for its core transport and mileage lines.
On Medicaid the same three codes drive the bulk of receipts: A0427 (84.9K claims, $318 avg paid/claim, $27M revenue; 40.1% of Medicaid revenue), A0429 (89.1K claims, $300 avg paid/claim, $26.7M revenue; 39.7%), and A0425 (175.6K claims, $61 avg paid/claim, $10.7M revenue; 15.9%). In-state rankings show a market-leading position for emergency transport and mileage (A0429 ranks #2/78 99th percentile, A0427 ranks #4/60 95th percentile notably above typical, A0425 ranks #4/107 97th percentile extreme outlier), indicating dominance in Medicaid emergency transport volumes within Minnesota.
Payer mix is heavily skewed toward Medicaid in scale: $67.5M in Medicaid revenue versus $8.5M in Medicare revenue, so Medicaid is the primary revenue base by magnitude. The same service lines (A0427, A0429, A0425) drive both payers, but the provider appears to capture a much larger share of Medicaid activity in-state relative to its national Medicare footprint.
Payment-level differences between payers are apparent at the claim level: for A0427 the avg paid/claim is $400 in Medicare versus $318 in Medicaid, while for A0425 the avg paid/claim is $8 in Medicare versus $61 in Medicaid. These differences suggest material payer-rate variation for mileage and that high mileage volume (226K Medicare claims; 175.6K Medicaid claims) is an important revenue engine despite low per-claim Medicare mileage payment.
Higher-acuity and specialty lines are present but represent small shares of revenue. Medicare A0433 (261 claims, $578 avg paid/claim, $150.9K revenue; 1.7% of Medicare revenue) ranks #23/1632 (99th percentile; extreme outlier) nationally, and Medicaid A0433 (991 claims, $590 avg paid/claim, $584.7K revenue; 0.9% of Medicaid revenue) ranks #3/8 (71st percentile; typical). A0434 and other specialty codes appear at modest volumes and dollar shares, indicating ALS2/SCT capability exists but is not the primary revenue driver.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 10,090 | $400 | $4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7,410 | $340 | $2.5M |
| A0425 | Ground mileage, per statute mile | 226,030 | $10 | $1.8M |
| A0433 | Advanced life support, level 2 (als 2) | 260 | $580 | $150.9K |
| A0434 | Specialty care transport (sct) | 90 | $710 | $63.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 270 | $210 | $58.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 70 | $260 | $17.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 84,950 | $320 | $27M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 89,150 | $300 | $26.7M |
| A0425 | Ground mileage, per statute mile | 175,570 | $60 | $10.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,780 | $150 | $731.6K |
| A0390 | Als mileage (per mile) | 4,620 | $140 | $628.5K |
| A0434 | Specialty care transport (sct) | 1,090 | $550 | $599.5K |
| A0433 | Advanced life support, level 2 (als 2) | 990 | $590 | $584.7K |
| A0380 | Bls mileage (per mile) | 4,100 | $90 | $365.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 150 | $170 | $24.4K |
| T1016 | Case management, each 15 minutes | 130 | $20 | $2.9K |
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
10 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) | 4 | 60 | 780 | $470 | $5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 80 | 410 | $430 | $2.3M |
| T1016 | Case management, each 15 minutes | 207 | 240 | 1,870 | $50 | $1.9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5 | 30 | 420 | $220 | $1.1M |
| A0425 | Ground mileage, per statute mile | 4 | 110 | 870 | $80 | $971K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 10 | 560 | $790 | $714.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7 | 20 | 130 | $290 | $438.3K |
| A0434 | Specialty care transport (sct) | 2 | 10 | 230 | $690 | $297.6K |
| A0390 | Als mileage (per mile) | 1 | 10 | 1,630 | $130 | $293.6K |
| A0380 | Bls mileage (per mile) | 1 | 10 | 250 | $90 | $125.3K |
Other providers in the same ZIP code as Mayo Clinic Ambulance, ranked by combined Medicare and Medicaid revenue.
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