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NPI 1689202624 · Detroit Lakes, MN · Land Ambulance
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St Marys Ems is a land ambulance provider located in Detroit Lakes, Minnesota. This profile covers 7 Medicare and 9 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 | St Marys Ems |
| Address | 225 Park St |
| City | Detroit Lakes |
| State | MN |
| ZIP | 56501 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | March 27, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.6M |
| Medicare | $2.1M |
ST MARYS EMS is a land-ambulance operator whose billed services are heavily weighted toward emergency advanced life support and high-mileage ground transports. The provider’s top revenue-driving CPT/HCPCS codes across payers include A0427 (ALS 1 emergency), A0425 (ground mileage), and specialty/ALS variants such as A0434 and A0426, which indicates a business model focused on emergency response, interfacility specialty care transports, and mileage-intensive ground operations rather than outpatient or clinic-based services.
Medicare receipts total $2.1M with a concentrated portfolio: the top 3 Medicare codes account for 80.5% of Medicare revenue. The largest Medicare contributors are A0427 (35.5% of Medicare revenue), A0425 (34.7%), and A0434 (10.3%), which together drive the bulk of Medicare payments and imply reliance on a few high-yield transport services.
Medicaid receipts total $8.6M and are even more concentrated: the top 3 Medicaid codes account for 85.0% of Medicaid revenue. The leading Medicaid codes are A0427 (39.8% of Medicaid revenue), A0425 (37.6%), and A0429 (7.7%), showing that Medicaid-funded business is dominated by ALS emergency and high-mileage ground transport as well as BLS emergency runs.
Payer mix is strongly Medicaid-skewed: reported Medicaid revenue ($8.6M) substantially exceeds Medicare revenue ($2.1M), making Medicaid the primary source of fee-for-service transport revenue for this provider. This scale difference suggests contracting, capacity, and utilization decisions will be driven largely by Medicaid reimbursement dynamics and volumes.
On national Medicare competitive standing, the provider shows mixed signals: A0425 (ground mileage) ranks #183 of 8934 providers nationally (98th percentile; notably above typical national volume), and A0426 (ALS non-emergency) ranks #73 of 1568 (95th percentile; notably above typical national volume), indicating above-typical national activity for mileage and ALS non-emergency. Other Medicare codes such as A0427 (rank #482 of 6841; 93th percentile; typical, unremarkable volume) and A0434 (rank #68 of 591; 88th percentile; typical, unremarkable volume) are within typical national activity ranges, so the provider is not uniformly an outlier across all Medicare transport codes.
Within Minnesota Medicaid, ST MARYS EMS is a significant in-state participant for several core transport codes: A0427 ranks #8 of 60 in-state (88th percentile; typical, unremarkable volume) and A0425 ranks #9 of 107 in-state (92th percentile; typical, unremarkable volume), placing the provider among the top regional operators for ALS emergency and mileage. The provider is also notable in-state for certain service lines such as A0426 (rank #4 of 15; 79th percentile) and A0998 (rank #2 of 14; 92th percentile), the latter indicating a relatively high volume of response-and-treatment-without-transport claims in-state.
Operationally the provider posts very high claim counts on mileage and ALS codes: Medicare shows 89.9K claims for A0425 and Medicaid shows 17.5K claims for A0425, while A0427 has 1.5K Medicare claims and 8.7K Medicaid claims as reported. These claim volumes, paired with the rank labels (e.g., A0425 notably above typical national volume), underscore that ground-mileage billing is a primary driver of revenue and utilization intensity for both payers.
ST MARYS EMS has been NPI-enumerated since 2020-03-27 (~6 years ago), indicating an operational tenure long enough to establish recurring Medicaid and Medicare billing patterns. Given the concentrated revenue mix (top 3 Medicare codes = 80.5%; top 3 Medicaid codes = 85.0%) and the Medicaid-dominant revenue scale, payer contracting and state-level coverage policies will likely have outsized impact on the provider’s financial profile.
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) | 1,510 | $490 | $736.8K |
| A0425 | Ground mileage, per statute mile | 89,910 | $10 | $719.3K |
| A0434 | Specialty care transport (sct) | 260 | $830 | $214.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 560 | $310 | $172.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 300 | $390 | $118.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 270 | $250 | $67K |
| A0433 | Advanced life support, level 2 (als 2) | 70 | $710 | $45.9K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8,720 | $390 | $3.4M |
| A0425 | Ground mileage, per statute mile | 17,450 | $190 | $3.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,740 | $380 | $657.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,830 | $270 | $492K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,330 | $230 | $299.9K |
| A0434 | Specialty care transport (sct) | 390 | $710 | $276K |
| A0998 | Ambulance response and treatment, no transport | 510 | $250 | $127.5K |
| T1016 | Case management, each 15 minutes | 910 | $70 | $63K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $630 | $26.3K |
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
9 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) | 8 | 60 | 780 | $470 | $5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19 | 80 | 410 | $430 | $2.3M |
| T1016 | Case management, each 15 minutes | 151 | 240 | 1,870 | $50 | $1.9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9 | 30 | 420 | $220 | $1.1M |
| A0425 | Ground mileage, per statute mile | 9 | 110 | 870 | $80 | $971K |
| A0433 | Advanced life support, level 2 (als 2) | 8 | 10 | 560 | $790 | $714.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4 | 20 | 130 | $290 | $438.3K |
| A0434 | Specialty care transport (sct) | 5 | 10 | 230 | $690 | $297.6K |
| A0998 | Ambulance response and treatment, no transport | 2 | 10 | 140 | $230 | $59K |
Other providers in the same ZIP code as St Marys Ems, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| St. Marys Regional Health Center | MN | Rural Acute Care Hospital | $0 | $18.7M |
| St Mary's Regional Health Center | MN | Family Medicine Physician | $0 | $6.8M |
| Benjamin Smith | MN | Diagnostic Radiology Physician | $192.4K | $0 |
| Max Disse | MN | Dermatology Physician | $173.8K | $0 |
| Peggy Maasjo | MN | Nurse Practitioner | $134.5K | $0 |
| Stephen Nordmark | MN | Internal Medicine Physician | $124.5K | $0 |
| Jon Larson | MN | Family Medicine Physician | $122.3K | $0 |
| Sanford Medical Center Fargo | MN | Ambulatory Surgical Clinic/Center | $110.9K | $970 |
| Nicole Cox | MN | Internal Medicine Physician | $107.2K | $0 |
| Jenna Mazour | MN | Family Nurse Practitioner | $38.7K | $0 |
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