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NPI 1679609366 · Baltimore, MD · Land Ambulance
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Mayor And City Council Of Baltimore is a land ambulance provider located in Baltimore, Maryland. This profile covers 4 Medicare and 4 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 | Mayor And City Council Of Baltimore |
| Address | 401 E Fayette St |
| City | Baltimore |
| State | MD |
| ZIP | 21202 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 26, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $38M |
| Medicare | $6.3M |
Business profile and service mix: The provider is enumerated as Land Ambulance and its Medicare and Medicaid revenue mix is dominated by emergency transport codes, indicating an operational focus on high-volume ambulance services rather than ancillary clinical services. The top revenue-driving codes are A0429 (ambulance service, basic life support, emergency transport) and A0427 (ambulance service, advanced life support, emergency transport, level 1), with ground mileage A0425 also contributing, which together reflect a standard emergency-transport ambulance fleet model.
Medicare revenue concentration: This provider’s Medicare billing is highly concentrated, with the top three Medicare codes accounting for 98.7% of its total Medicare revenue. Specifically, A0429 accounts for $3.2M (49.6%), A0427 accounts for $2.8M (44.7%), and A0425 accounts for $279.9K (4.4%) of the $6.3M Medicare total, showing near-exclusive dependence on a small set of ambulance transport services for Medicare income.
Medicaid revenue concentration: Medicaid revenue is even more concentrated: the top three Medicaid codes account for 100.0% of this provider’s Medicaid revenue. A0427 is dominant with $31.6M (83.2%), followed by A0425 with $6.3M (16.6%) and A0429 with $50.1K (0.1%) of the $38M Medicaid total, indicating virtually all Medicaid receipts flow from ALS transports and mileage.
Payer mix and scale: The provider’s Medicaid revenue ($38M) substantially exceeds its Medicare revenue ($6.3M), making it effectively Medicaid-dominated in scale while maintaining a meaningful Medicare presence. This asymmetric payer mix implies operational dependence on Medicaid volumes and reimbursement patterns for overall financial performance.
Competitive standing — Medicare (national): On Medicare, the provider is an extreme high-volume participant for core ambulance transports: A0429 ranks #20 of 7808 providers (100th percentile, extreme outlier) and A0427 ranks #89 of 6841 providers (99th percentile, extreme outlier), indicating nationally exceptional billing volumes for these emergency-transport services. By contrast, ground mileage A0425 ranks #523 of 8934 (94th percentile, typical), which is high but not at the same outlier level as the transport codes.
Competitive standing — Medicaid (state): In-state, the provider is a dominant player for ALS emergency transport: A0427 is ranked #1 of 88 providers (100th percentile, extreme outlier) with 313.2K claims and $31.6M revenue, and A0429 also ranks #1 of 45 providers (100th percentile, extreme outlier) despite contributing only $50.1K in revenue. Ground mileage A0425 is notable as well, ranking #4 of 79 providers in-state (96th percentile), which together places this provider at or near the top of the state ambulance billing landscape.
Payment-level differentials and volume dynamics: Average paid-per-claim differs markedly between payers for the same codes, with Medicare A0427 at $425/claim versus Medicaid A0427 at $101/claim, and Medicare A0429 at $358/claim versus Medicaid A0429 at $1/claim. These large per-claim payment differences combined with much higher Medicaid claim counts (e.g., 313.2K Medicaid A0427 claims vs. 6.7K Medicare A0427 claims) suggest the provider’s revenue profile is driven by very high Medicaid utilization at lower per-claim rates.
Tenure and operational implication: The provider’s NPI was enumerated on 2007-02-26 (~19 years ago), indicating long-standing registration and operational tenure. Coupled with the high-claim volumes and the code mix concentrated on emergency ALS/BLS transports and mileage, this tenure supports the interpretation of an established municipal or large-scale ambulance operator with sustained, high-volume Medicaid service delivery.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8,800 | $360 | $3.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6,690 | $430 | $2.8M |
| A0425 | Ground mileage, per statute mile | 39,980 | $10 | $279.9K |
| A0433 | Advanced life support, level 2 (als 2) | 140 | $610 | $82.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 313,250 | $100 | $31.6M |
| A0425 | Ground mileage, per statute mile | 85,360 | $70 | $6.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 50,110 | $1 | $50.1K |
| A0433 | Advanced life support, level 2 (als 2) | 150 | $10 | $730 |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
4 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 | 90 | 1,050 | $90 | $996.5K |
| A0425 | Ground mileage, per statute mile | 4 | 80 | 1,580 | $30 | $407.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 50 | 620 | $10 | $27.9K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 140 | $1 | $-420 |
Other providers in the same ZIP code as Mayor And City Council Of Baltimore, ranked by combined Medicare and Medicaid revenue.
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