Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidGold Cross Services, Inc.
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Gold Cross Services, Inc. — Billing Profile & Reimbursement Data

    NPI 1679560502 · Salt Lake City, UT · Land Ambulance

    Customize your policy alerts

    Sign up for Gold Cross Services, Inc. — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Gold Cross Services, Inc. is a land ambulance provider located in Salt Lake City, Utah. This profile covers 7 Medicare and 12 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
    OrganizationGold Cross Services, Inc.
    Address1717 S Redwood Rd
    CitySalt Lake City
    StateUT
    ZIP84104
    TaxonomyLand Ambulance
    NPI EnumeratedOctober 5, 2005

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

    Payer SourceTotal Paid
    Medicaid$92.5M
    Medicare$4.7M

    Key Findings

    GOLD CROSS SERVICES, INC. is a long-tenured land ambulance operator, with its NPI enumerated on 2005-10-05 (~21 years ago), and its Medicare and Medicaid billing mix is dominated by emergency basic life support transports and mileage charges consistent with high-volume ground-EMS operations. The presence of large counts for A0429, A0427 and A0425 across payers indicates primary business activity is emergency BLS/ALS transport and extensive ground mileage rather than niche or specialty non-transport services.

    Medicaid revenue dwarfs Medicare revenue for this provider: total Medicaid revenue is $92.5M versus total Medicare revenue of $4.7M, indicating the provider is effectively Medicaid-dominant in scale and relies far more heavily on state-covered transports than on Medicare-reimbursed work.

    Revenue concentration by payer is highly focused: the precomputed top-3 Medicare codes account for 79.5% of the provider's Medicare revenue, showing Medicare receipts are concentrated in a few core transport and mileage codes; similarly, the precomputed top-3 Medicaid codes account for 98.4% of Medicaid revenue, indicating an extreme concentration of Medicaid receipts in a narrow set of ambulance services.

    On Medicare claims this provider is a major national participant for key ambulance codes: A0427 ($1.9M, 40.3% of Medicare revenue) and A0429 ($928K, 19.8% of Medicare revenue) both rank in the top national percentiles (98th–99th), and A0425 (ground mileage) is an extreme outlier nationally (99th percentile) with $908.8K in Medicare revenue. These ranks signal substantially higher-than-typical national volumes for ambulance emergency and mileage services under Medicare.

    The provider is an outlier in the Utah Medicaid market: A0429 (BLS emergency) generates $86.3M and 93.3% of the provider’s Medicaid revenue and ranks #1 of 56 providers in-state (100th percentile), an extreme outlier far above typical state volume for that code. A0427 and several supply codes (e.g., A0425, A0422, A0382, A0398) also rank at or near the top in-state, reinforcing a dominant Medicaid footprint in ambulance transports and associated supplies.

    Patterns across codes suggest operational scale and routing intensity: very high claim counts for A0429 and A0425 on Medicaid (116.7K claims and 153.4K claims respectively) paired with dominant revenue share indicate high-frequency short-haul or contiguous service area transports with substantial billed mileage. The mix—predominantly BLS emergency transports plus mileage—points to a core emergency transport network rather than a primary focus on specialty care transports.

    Despite Medicaid dominance, the provider also shows notable Medicare strength in the same core services: its Medicare A0427 and A0429 volumes place it in top national percentiles (98th–99th) and A0425 mileage is an extreme national outlier, indicating the provider competes at scale in Medicare for the same ambulance service lines where it dominates Medicaid. This cross-payer strength suggests operational capacity and market reach that translate across payers.

    Several codes appear as statewide extremes for Medicaid beyond transports alone—A0422 (oxygen supplies), A0382 (BLS disposable supplies), and A0398 (ALS disposable supplies) are all ranked #1 in-state and labeled extreme outliers, implying the provider bills supplies at volumes far above other in-state peers; these supply-code concentrations align with very high transport volumes and may reflect standardized supply billing practices tied to large numbers of trips.

    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
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)4,780$400$1.9M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)2,900$320$928K
    A0425Ground mileage, per statute mile129,820$10$908.8K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)3,010$200$611K
    A0434Specialty care transport (sct)290$680$199K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)430$250$105.6K
    A0433Advanced life support, level 2 (als 2)80$540$44.3K

    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
    A0427170110$400$96K
    A042914080$320$63.7K
    A042812060$200$60.6K
    A043411030$680$52.3K
    A04251702,220$10$40.4K
    A043332020$640$35.9K
    A042612050$260$26K

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)116,710$740$86.3M
    A0425Ground mileage, per statute mile153,380$20$2.6M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)19,220$110$2.2M
    A0428Ambulance service, basic life support, non-emergency transport, (bls)14,010$70$1M
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)2,080$90$180.8K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation16,690$10$100.1K
    A0382Bls routine disposable supplies96,100$1$96.1K
    A0433Advanced life support, level 2 (als 2)290$190$55.9K
    A0434Specialty care transport (sct)160$120$19.5K
    A0394Als specialized service disposable supplies; iv drug therapy240$0$0

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Utah median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)1601,370$720$3.6M
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)210200$10$1.9M
    A0428Ambulance service, basic life support, non-emergency transport, (bls)21080$20$1.1M
    A0425Ground mileage, per statute mile2601,510$20$628.5K
    A0999Unlisted ambulance service2201,610$1$309.7K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)130370$100$135.7K
    A0433Advanced life support, level 2 (als 2)110290$190$55.9K
    A0434Specialty care transport (sct)110160$120$19.5K
    A0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation130170$10$11.8K
    A0382Bls routine disposable supplies1301,320$1$4.1K

    Showing 1–10 of 12

    Nearby Providers

    Other providers in the same ZIP code as Gold Cross Services, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Volunteers Of America Of Utah IncUTCommunity/Behavioral Health Agency$0$35.9M
    Youth Empowerment Project LLCUTMarriage & Family Therapist$0$2.2M
    Kci Usa, Inc.UTDurable Medical Equipment & Medical Supplies$0$2.2M
    Child & Family Empowerment Services, LLCUTClinical Social Worker$0$1M
    Utah Carenow Urgent Care, LLCUTUrgent Care Clinic/Center$0$579.4K
    Community Health Centers, Inc.UTFederally Qualified Health Center (FQHC)$0$533.3K

    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. Utah Distribution
    Gold Cross Services, Inc. — 6 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah
    Medicaid Revenue by Year vs. Utah Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Gold Cross Services, Inc. — 5 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah