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NPI 1689608820 · Tukwila, WA · Ambulance
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American Medical Response Ambulance Service Inc is a ambulance provider located in Tukwila, Washington. This profile covers 5 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 | American Medical Response Ambulance Service Inc |
| Address | 13075 Gateway Dr Ste 100 |
| City | Tukwila |
| State | WA |
| ZIP | 98168 |
| Taxonomy | Ambulance |
| NPI Enumerated | July 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $32.6M |
| Medicare | $5.2M |
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE INC is a long-tenured ambulance operator, with its NPI enumerated since 2006-07-11 (~20 years ago), indicating sustained presence in the market and likely established operational capacity for both emergency and non-emergency transports. The taxonomy listed as Ambulance and the top CPT/HCPCS codes reported (A0429, A0428, A0425, A0426, A0434) align with a full-spectrum ground EMS provider offering BLS emergency and non-emergency service, mileage-based transports, ALS non-emergency, and specialty care transports.
Revenue concentration is high on both payers: precomputed figures show the top three Medicare codes account for 91.9% of total Medicare revenue and the top three Medicaid codes account for 97.1% of total Medicaid revenue. This indicates the provider’s Medicare and Medicaid revenue streams are narrowly concentrated in a small set of transport-related services, with A0429, A0428 and A0425 dominating payor receipts.
Medicaid dominates this provider’s public-payer portfolio by scale: total Medicaid revenue is $32.6M versus total Medicare revenue of $5.2M, showing the organization generates substantially more revenue from Medicaid than from Medicare. That imbalance suggests primary operational focus or referral volume is weighted toward Medicaid-covered transports and related mileage services.
For Medicare, A0429 (BLS emergency) drives the majority of revenue with $3.5M (67.6% of the provider’s Medicare revenue) and the provider ranks #19 of 7808 nationally (100th percentile), characterized as an extreme outlier; this signals unusually high national volume for emergency BLS transports relative to peers. A0425 (ground mileage) and A0428 (BLS non-emergency) round out Medicare revenue, together representing most remaining Medicare receipts under the precomputed 91.9% share, showing a Medicare mix focused on high-volume basic transport and extensive mileage billing.
Within Medicaid (in-state), the provider is a dominant statewide player for core transport services: A0429 accounts for $22.6M (69.1% of Medicaid revenue) and ranks #1 of 145 providers in-state (100th percentile, extreme outlier), while A0425 accounts for $5.5M (16.9% of Medicaid revenue) and also ranks #1 in-state (100th percentile, extreme outlier). Those ranks and shares indicate AMR is the primary Medicaid BLS emergency and mileage billing entity in its state.
Beyond the top two Medicaid codes, A0428 (BLS non-emergency) provides $3.6M (11.0% of Medicaid revenue) and ranks #2 in-state (97th percentile, notably above typical state volume), suggesting a substantial non-emergency transport business as well. Specialty care transport A0434 and ALS non-emergency A0426 appear as smaller but present service lines on both payers, contributing meaningful supplemental revenue ($260.3K Medicare for A0434; $460.7K Medicaid for A0434; $161.8K Medicare for A0426; $502.5K Medicaid for A0426), consistent with a provider that offers higher-acuity or interfacility transfer capabilities in addition to high-volume BLS work.
Competitive positioning differs by payer and code: nationally for Medicare A0429 the provider is an extreme outlier and among the highest-volume national performers, whereas for Medicare A0428 and A0425 it ranks in high percentiles (91st and 98th respectively) indicating notably above-typical to unremarkable-high volumes. In-state for Medicaid, AMR’s #1 ranks on A0429 and A0425 and #2 ranks on several other key codes indicate market leadership across the state for core ambulance services.
Operational implications for payers and network managers include high dependency on a narrow set of transport codes—especially A0429 and A0425—so any policy or contract changes affecting BLS emergency reimbursement or mileage rates would disproportionately impact this provider’s revenue. Given the provider’s scale in Medicaid, payers should treat AMR as a primary transport vendor for network adequacy and capacity planning, and ensure contractual and utilization management approaches reflect the provider’s dominant role and specialized service mix.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9,150 | $390 | $3.5M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,910 | $240 | $698.9K |
| A0425 | Ground mileage, per statute mile | 82,250 | $10 | $575.8K |
| A0434 | Specialty care transport (sct) | 330 | $780 | $260.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 560 | $290 | $161.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 163,830 | $140 | $22.6M |
| A0425 | Ground mileage, per statute mile | 212,110 | $30 | $5.5M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 41,480 | $90 | $3.6M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4,490 | $110 | $502.5K |
| A0434 | Specialty care transport (sct) | 3,070 | $150 | $460.6K |
| A0382 | Bls routine disposable supplies | 4,050 | $0 | $0 |
| A0999 | Unlisted ambulance service | 5,120 | $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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 11 | 90 | 1,150 | $1,820 | $4.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 150 | 1,340 | $120 | $719.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 40 | 490 | $90 | $569.7K |
| A0434 | Specialty care transport (sct) | 2 | 10 | 2,640 | $160 | $416.2K |
| A0425 | Ground mileage, per statute mile | 1 | 170 | 2,040 | $40 | $373.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 20 | 130 | $110 | $99.8K |
| A0382 | Bls routine disposable supplies | 1 | 10 | 320 | $1 | $20 |
Other providers in the same ZIP code as American Medical Response Ambulance Service Inc, ranked by combined Medicare and Medicaid revenue.
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