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

    NPI 1669459822 · Eugene, OR · Land Ambulance

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    City Of Eugene is a land ambulance provider located in Eugene, Oregon. This profile covers 6 Medicare and 6 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 Eugene
    Address1705 W 2nd Ave
    CityEugene
    StateOR
    ZIP97402
    TaxonomyLand Ambulance
    NPI EnumeratedDecember 29, 2005

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

    Payer SourceTotal Paid
    Medicaid$9.9M
    Medicare$1.2M

    Key Findings

    The provider is heavily Medicaid-weighted: lifetime Medicaid revenue is $9.9M versus $1.2M in Medicare, so Medicaid drives the bulk of billed dollars and overall scale for this Land Ambulance entity. This gap indicates the organization operates primarily in a Medicaid-reimbursed market or patient mix rather than being Medicare-dominant.

    Service-line profile is narrowly focused on ambulance transport: top codes for both payers are emergency advanced life support and basic life support transports (A0427 and A0429) plus ground mileage (A0425), consistent with a land-ambulance operation. The precomputed concentration metrics — the top 3 Medicare codes account for 96.6% of Medicare revenue and the top 3 Medicaid codes account for 99.4% of Medicaid revenue — show the business is functionally a transport/EMS provider with little diversification outside core transport services.

    Medicare revenue is concentrated in three codes: A0427 (48.0% of Medicare revenue), A0429 (36.7%), and A0425 (11.9%). This mix implies Medicare receipts come largely from emergency transports with a meaningful mileage component; the three-code concentration (96.6%) raises sensitivity to reimbursement or utilization changes for those specific ambulance codes.

    Medicaid revenue is even more concentrated and weighted to emergency transport: A0427 generates 62.4% of Medicaid revenue and A0429 contributes 34.9%, with A0428 (non-emergency BLS) only 2.1% of Medicaid revenue. The top-three share of 99.4% underscores that Medicaid activity is overwhelmingly emergency ALS/BLS transports rather than non-transport or ancillary services.

    Competitive standing versus peers differs by payer. On Medicare, A0427 ranks #507 of 6841 (93th percentile) and A0429 ranks #355 of 7808 (95th percentile) but are labeled in the data as “typical, unremarkable volume,” suggesting the provider posts above-average claim counts nationally without being an extreme outlier or dominant national operator for these codes. On Medicaid the provider is a major in-state participant: A0429 ranks #3 of 68 in-state (97th percentile; noted as "notably above typical state volume") and A0427 ranks #8 of 88 (92th percentile), indicating substantial statewide presence for emergency ambulance services.

    Operational details visible in claim counts and per-claim payments point to different economics across payers. Medicaid shows very high claim volumes for emergency transports (24.8K claims for A0427 and 18.5K claims for A0429) with average paid/claim of $250 and $188 respectively, whereas Medicare counts are far lower (1.4K claims for A0427, $391 avg paid/claim; 1.3K claims for A0429, $330 avg paid/claim), indicating scale of Medicaid operations substantially exceeds Medicare despite higher per-claim Medicare payments.

    There are specific utilization/ coding patterns to note as potential operational signals: Medicaid A0425 (ground mileage) registers 44.9K claims but only $1 avg paid/claim and represents 0.5% of Medicaid revenue, so mileage entries are numerous yet low-revenue per claim. Conversely, Medicaid A0998 (response and treatment, no transport) is essentially unused relative to peers (13 claims, $5.5K revenue; ranks #21 of 21 in-state, 0th percentile), indicating minimal reliance on non-transport encounter billing in this market.

    The provider is long-tenured on the NPI file (enumerated 2005-12-29, ~21 years ago), which, together with concentrated Medicaid volume and high in-state ranks for emergency transport codes, supports characterization as an established local/regional ambulance operator with operational focus on ALS/BLS emergency transport rather than diversified outpatient or non-transport services.

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)1,440$390$563.4K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)1,300$330$430K
    A0425Ground mileage, per statute mile20,000$10$140K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)110$210$23K
    A0433Advanced life support, level 2 (als 2)20$560$10.1K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)30$240$6.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A042712100190$420$246.1K
    A0429480110$350$97.5K
    A0425111103,950$10$69.2K
    A0428143090$220$36.9K
    A0433223020$600$22.8K
    A0426153040$270$16.7K

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)24,830$250$6.2M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)18,490$190$3.5M
    A0428Ambulance service, basic life support, non-emergency transport, (bls)3,050$70$207.7K
    A0425Ground mileage, per statute mile44,890$1$44.9K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)150$90$13.1K
    A0998Ambulance response and treatment, no transport10$420$5.5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Oregon median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)8902,490$240$2M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)3701,600$170$661.9K
    A0998Ambulance response and treatment, no transport2120230$200$212.5K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)630340$70$141.2K
    A0425Ground mileage, per statute mile61102,790$10$134.1K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)1420270$100$56.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Willamette Family, IncORSubstance Abuse Rehabilitation Facility$0$66M
    Nepenthe Laboratory Services LLCORClinical Medical Laboratory$421.4K$16.6M
    Icco, LLCORUrgent Care Clinic/Center$0$11.3M
    City Of SpringfieldORLand Ambulance$575.8K$5M
    Eugene Kids' Dentist, LLCORPediatric Dentistry$0$4.2M
    Advanced Health Chiropractic PCORChiropractor$0$3.8M
    Bhs Eugene Inc.ORLong Term Care Pharmacy$40.1K$2.3M
    Mid Valley Ambulance Service Inc.ORLand Ambulance$298.4K$2M
    Centennial Medical Equipment IncORDurable Medical Equipment & Medical Supplies$0$2M
    Timothy RichardsonORPediatric Dentistry$0$1.5M

    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. Oregon Distribution
    City Of Eugene — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon
    Medicaid Revenue by Year vs. Oregon Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oregon Distribution
    City Of Eugene — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon