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NPI 1679520571 · Largo, FL · Land Ambulance
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County Of Pinellas Board Of County Commissioners is a land ambulance provider located in Largo, Florida. This profile covers 7 Medicare and 7 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 | County Of Pinellas Board Of County Commissioners |
| Address | 12490 Ulmerton Rd |
| City | Largo |
| State | FL |
| ZIP | 33774 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $26.5M |
| Medicare | $19.2M |
COUNTY OF PINELLAS BOARD OF COUNTY COMMISSIONERS is registered under the Land Ambulance taxonomy and its billing profile is dominated by transport services: top codes on both payers are A0427, A0428 and A0429, reflecting advanced life support and basic life support emergency and non-emergency ambulance transports. The dataset shows very large claim volumes for these transport codes on Medicare and Medicaid, consistent with a county-run EMS operation focused on high-volume patient transport rather than episodic inpatient procedures.
Revenue concentration is extreme for Medicare: the top three Medicare codes account for 85.9% of this provider's Medicare revenue on a $19.2M Medicare base. Key Medicare drivers are A0427 (27.3K claims, $384 avg paid/claim, $10.5M revenue, 54.3%), A0428 (18.8K claims, $199 avg paid/claim, $3.7M revenue, 19.3%), and A0429 (7.3K claims, $324 avg paid/claim, $2.4M revenue, 12.3%), indicating the Medicare revenue stream is heavily concentrated in emergent and non-emergent ambulance transports.
Medicaid revenue is even more concentrated: the top three Medicaid codes represent 94.9% of total Medicaid revenue on a $26.5M Medicaid base. The Medicaid mix is dominated by A0427 (155.7K claims, $100 avg paid/claim, $15.6M revenue, 59.0%), A0429 (66.8K claims, $94 avg paid/claim, $6.3M revenue, 23.8%), and A0428 (97.1K claims, $33 avg paid/claim, $3.2M revenue, 12.1%), showing the provider depends overwhelmingly on a few transport codes for Medicaid revenue.
Payer mix is skewed toward Medicaid in scale: reported Medicaid revenue is $26.5M versus $19.2M in Medicare, so Medicaid represents the larger single payer relationship in absolute dollars. Operationally this suggests the county EMS generates higher volumes and receipts from Medicaid-covered transports, which may reflect local payer demographics or contracted transport responsibilities with state programs.
Competitive standing on Medicare places this provider among the highest-volume national operators for core ambulance codes: A0427 ranks #4 of 6,841 providers (100th percentile; extreme outlier), A0428 ranks #12 of 2,772 (100th percentile; extreme outlier), and A0429 ranks #27 of 7,808 (100th percentile; extreme outlier). These rank/percentile signals indicate national-level scale for ALS and BLS emergency transport activity relative to peers.
On Medicaid within Florida the provider is a dominant statewide player for core transport codes: A0427 ranks #1 of 163 in-state (100th percentile; extreme outlier), A0429 ranks #2 of 143 (99th percentile; extreme outlier), and A0428 ranks #1 of 70 (100th percentile; extreme outlier). Those positions imply the county is a primary contractor or provider of Medicaid ambulance services in-state with volumes far above typical peers.
Ground mileage (A0425) shows very high utilization but a modest share of revenue: Medicare records 298.8K A0425 claims at $7 avg paid/claim for $2.1M revenue (10.8% of Medicare revenue) and ranks #15 of 8,934 (100th percentile; extreme outlier), while Medicaid shows 293.3K A0425 claims at $2 avg paid/claim for $586.6K revenue (2.2% of Medicaid revenue) and ranks #4 of 190 (98th percentile; notably above typical state volume). This pattern signals extensive transport distances and high trip counts where mileage contributes materially to utilization metrics despite low per-claim reimbursement.
Higher-acuity and specialty transport codes are present but represent small shares of revenue: Medicare A0433 (319 claims, $554 avg paid/claim, $176.7K revenue, 0.9%) and A0434 (329 claims, $656 avg paid/claim, $215.8K revenue, 1.1%) are reported and rank highly nationally (A0433 rank #16 of 1,632, 99th percentile; A0434 rank #49 of 591, 92nd percentile), and Medicaid shows A0433 (2.4K claims, $146 avg paid/claim, $357.3K revenue, 1.4%) and A0434 (1.5K claims, $212 avg paid/claim, $308.5K revenue, 1.2%) ranking above typical in-state. These entries indicate the provider offers ALS level 2 and specialty care transport capabilities in addition to high-volume ALS/BLS emergency services, but those services are secondary revenue contributors.
The provider has long tenure as an enrolled NPI — enumerated on 2006-05-27 (~20 years ago) — and the sustained high volumes across both Medicare and Medicaid suggest an established, system-level EMS operation. For analysts, the combination of long-standing enrollment, concentrated revenue in a few transport codes, and top-tier national/state ranks points to a mature county ambulance service with outsized footprint in Medicaid and significant presence nationally on Medicare ambulance billing.
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) | 27,310 | $380 | $10.5M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 18,760 | $200 | $3.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7,320 | $320 | $2.4M |
| A0425 | Ground mileage, per statute mile | 298,820 | $10 | $2.1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 980 | $240 | $237.7K |
| A0434 | Specialty care transport (sct) | 330 | $660 | $215.8K |
| A0433 | Advanced life support, level 2 (als 2) | 320 | $550 | $176.7K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 155,730 | $100 | $15.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 66,770 | $90 | $6.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 97,070 | $30 | $3.2M |
| A0425 | Ground mileage, per statute mile | 293,300 | $1 | $586.6K |
| A0433 | Advanced life support, level 2 (als 2) | 2,450 | $150 | $357.3K |
| A0434 | Specialty care transport (sct) | 1,460 | $210 | $308.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,120 | $80 | $84.2K |
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
7 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) | 1 | 160 | 4,450 | $110 | $1.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 140 | 2,650 | $90 | $697.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 70 | 2,890 | $30 | $322.2K |
| A0425 | Ground mileage, per statute mile | 4 | 190 | 6,580 | $10 | $250.6K |
| A0434 | Specialty care transport (sct) | 5 | 20 | 390 | $170 | $163.7K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 30 | 260 | $140 | $111.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 15 | 50 | 300 | $70 | $73.5K |
Other providers in the same ZIP code as County Of Pinellas Board Of County Commissioners, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Joanna Sadowska | FL | General Practice Physician | $137.5K | $0 |
| Jeffrey Lombard | FL | Urology Physician | $130.7K | $0 |
| Nathan Waldrep | FL | Family Medicine Physician | $111K | $0 |
| Caitlan Trask | FL | Speech-Language Pathologist | $68.9K | $0 |
| Roderick Urbaniak | FL | Plastic and Reconstructive Surgery Physician | $43.1K | $0 |
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