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NPI 1679770549 · Everett, WA · Land Ambulance
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Northwest Ambulance LLC is a land ambulance provider located in Everett, Washington. This profile covers 6 Medicare and 8 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 | Northwest Ambulance LLC |
| Address | 8115 Broadway Ste 101 |
| City | Everett |
| State | WA |
| ZIP | 98203 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 2, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $19.1M |
| Medicare | $2.9M |
NORTHWEST AMBULANCE LLC’s billing profile is dominated by ground ambulance services and reflects a mixed operations model that includes routine BLS transport, emergency BLS, ALS and specialty-care transfers. Medicare top codes A0428, A0425 and A0429 together account for 71.1% of Medicare revenue, indicating core revenue drivers are basic life support transports, ground mileage, and emergency basic life support runs. The presence of A0434 (Specialty care transport) and A0427/A0426 (ALS) among reported codes further suggests the provider operates both routine and higher-acuity transport capabilities rather than a single-service niche.
Revenue concentration is high for Medicaid and Medicare but especially pronounced in Medicaid: the top three Medicaid codes (A0425, A0428, A0429) account for 85.9% of Medicaid revenue, showing Medicaid income is heavily dependent on ground mileage and BLS transports. Similarly, the top three Medicare codes account for 71.1% of Medicare revenue, demonstrating that a few transport services drive the majority of payer receipts across both programs and creating potential exposure to changes in those code rates or utilization.
On payer mix, this provider reports materially larger lifetime Medicaid revenue ($19.1M) than Medicare revenue ($2.9M), indicating Medicaid is the dominant payer by scale. This differential suggests the organization’s operational footprint and contract focus are concentrated on Medicaid-covered populations or state-level transport arrangements in Washington rather than primarily on traditional Medicare beneficiaries.
Competitive standing for Medicare shows a mix of typical and above-typical volumes: A0428 ranks #202/2772 (93rd percentile) and A0429 ranks #237/7808 (97th percentile), both described as typical or unremarkable volumes nationally, whereas A0425 (ground mileage) ranks #147/8934 (98th percentile) and A0434 (Specialty care transport) ranks #21/591 (97th percentile) — the latter two indicate notably above-typical national activity for mileage and specialty transfers, respectively. For Medicaid in-state comparisons, the provider is a clear market leader: A0428 ranks #1 of 39 (100th percentile) and A0425 ranks #4 of 168 (98th percentile), with A0434 and A0426 also ranking #1 in their smaller state peer groups, marking the provider as an extreme outlier and dominant executor of BLS and mileage services in Washington.
The provider’s high state-level ranks on core Medicaid codes (A0428 #1/39, A0425 #4/168, and A0426/A0434 both #1 in their peer sets) imply significant local market share for routine ground transports and specialty transfers. Descriptors such as “extreme outlier” and “notably above typical” for several Medicaid codes support the interpretation that NORTHWEST AMBULANCE LLC is a primary statewide service supplier for Medicaid ambulance transports, particularly for mileage-billed trips and non-emergency BLS.
Code-level payer differences highlight operational emphasis: Medicaid shows very large claim counts and dollar volumes for A0425 (112.3K claims, $7M revenue) and A0428 (61.7K claims, $5.9M revenue), whereas Medicare volumes for those same codes are much smaller in dollar terms (A0428 $770.2K, A0425 $711.2K). This divergence suggests the provider’s contractual or referral environment yields far greater utilization from Medicaid-covered patients compared with Medicare.
Tenure is long-standing: the NPI was enumerated in 2007-07-02 (approximately 19 years ago), indicating institutional experience and an established presence in the market. That longevity, combined with dominant in-state Medicaid ranks, supports the view of an entrenched operator in regional ambulance services.
Specialty care transport (A0434) is a notable niche revenue contributor across payers: it represents 12.8% of Medicare revenue and appears as a high-ranking service nationally (97th percentile, #21/591), while for Medicaid it contributes 4.3% of revenue and ranks #1 of 4 in-state. The joint presence of specialty-care and ALS codes indicates capacity to handle higher-acuity interfacility transfers in addition to high-volume BLS/mileage work, diversifying service lines despite heavy concentration in a few codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,420 | $230 | $770.2K |
| A0425 | Ground mileage, per statute mile | 101,600 | $10 | $711.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,710 | $350 | $589.9K |
| A0434 | Specialty care transport (sct) | 520 | $720 | $371.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 720 | $430 | $304.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 620 | $270 | $165K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 112,350 | $60 | $7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 61,750 | $100 | $5.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 33,500 | $110 | $3.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6,180 | $180 | $1.1M |
| A0434 | Specialty care transport (sct) | 4,740 | $170 | $825.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 6,020 | $130 | $752.8K |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 30 | $20 | $380 |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 110 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6 | 150 | 1,340 | $120 | $719.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 40 | 490 | $90 | $569.7K |
| A0434 | Specialty care transport (sct) | 1 | 10 | 2,640 | $160 | $416.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 16 | 100 | 1,400 | $120 | $404.9K |
| A0425 | Ground mileage, per statute mile | 4 | 170 | 2,040 | $40 | $373.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 20 | 130 | $110 | $99.8K |
| A0424 | Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) | 1 | 10 | 30 | $10 | $370 |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 1 | 10 | 60 | $0 | $0 |
Other providers in the same ZIP code as Northwest Ambulance LLC, ranked by combined Medicare and Medicaid revenue.
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