Loading...
NPI 1689780413 · Centennial, CO · Land Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
South Metro Fire Rescue Fire Protection District is a land ambulance provider located in Centennial, Colorado. This profile covers 4 Medicare and 6 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 | South Metro Fire Rescue Fire Protection District |
| Address | 9195 E Mineral Ave |
| City | Centennial |
| State | CO |
| ZIP | 80112 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | August 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.1M |
| Medicare | $2.2M |
SOUTH METRO FIRE RESCUE bills almost exclusively as a land ambulance operator: the taxonomy is Land Ambulance and its top revenue drivers are transport codes A0427, A0429 and A0425. On Medicare A0427 appears as 4K claims at $417 avg paid/claim generating $1.7M (76.5% of Medicare revenue) and on Medicaid A0427 appears as 17.9K claims at $244 avg paid/claim generating $4.4M (71.7% of Medicaid revenue), which together signal a focus on emergency advanced life support transports.
Revenue concentration is very high for both payers: the precomputed top-3 Medicare codes account for 97.3% of this provider's total Medicare revenue, and the precomputed top-3 Medicaid codes account for 99.3% of its total Medicaid revenue. This indicates the business is heavily dependent on a narrow set of ambulance transport services rather than a diversified service mix.
The payer mix is Medicaid‑heavy in scale: total Medicare revenue is $2.2M versus total Medicaid revenue of $6.1M, so Medicaid billing is the larger component of this provider’s lifetime revenue. Analysts should treat this entity as effectively Medicaid-dominant for revenue exposure and reimbursement risk assessments.
Against national Medicare peers, the provider is a major volume reporter for A0427: it ranks #167 of 6841 providers (98th percentile) and is described as notably above typical national volume for this code, while its Medicare activity for A0429 (rank #675 of 7808, 91th percentile) and A0425 (rank #903 of 8934, 90th percentile) are high-percentile but characterized as typical, unremarkable volumes. That mix suggests national strength specifically in ALS1 emergency transports but otherwise expected activity levels for BLS emergency and mileage.
Within Colorado Medicaid peers, A0427 also posts strong standing in-state (rank #9 of 125, 94th percentile) though labeled typical, unremarkable volume in-state; A0429 ranks #22 of 116 (82th percentile) and A0425 ranks #21 of 279 (93th percentile). This pattern indicates the provider is among the larger in-state ambulance billers for core transport and mileage services, supporting competitive significance in its local market.
Operationally, ground mileage is a consistent high-volume line: Medicare shows 23.5K A0425 claims at $7 avg paid/claim producing $164.3K, and Medicaid shows 24.8K A0425 claims at $19 avg paid/claim producing $470.6K. The large mileage claim counts across both payers point to frequent or long-distance transports and also highlight a notable difference in avg paid/claim between Medicare and Medicaid for the same service.
The provider has long tenure in federal enrollment, with an NPI enumerated on 2006-08-22 (~20 years ago), which aligns with sustained, high-volume ambulance operations reflected in the claims counts and multi-year revenue totals. Longevity supports institutional experience and an established operational footprint in its service area.
A Medicaid reporting irregularity to note is A0999 (Unlisted ambulance service) showing 931 claims with $0 avg paid/claim and $0 revenue, ranking #11 of 24 in-state. This indicates recorded use of an unlisted ambulance code without associated paid revenue on file and may warrant follow-up in payer adjudication or coding practices reviews rather than an assumption about service volume alone.
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,960 | $420 | $1.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 810 | $350 | $284.7K |
| A0425 | Ground mileage, per statute mile | 23,470 | $10 | $164.3K |
| A0433 | Advanced life support, level 2 (als 2) | 100 | $600 | $58K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 17,940 | $240 | $4.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,480 | $190 | $1.2M |
| A0425 | Ground mileage, per statute mile | 24,770 | $20 | $470.6K |
| A0433 | Advanced life support, level 2 (als 2) | 130 | $270 | $34.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 660 | $10 | $8.6K |
| A0999 | Unlisted ambulance service | 930 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Colorado median
6 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) | 9 | 130 | 750 | $140 | $957.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 22 | 120 | 700 | $120 | $843.2K |
| A0425 | Ground mileage, per statute mile | 21 | 280 | 990 | $20 | $636.8K |
| A0433 | Advanced life support, level 2 (als 2) | 8 | 20 | 120 | $170 | $183.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 14 | 40 | 170 | $30 | $81.1K |
| A0999 | Unlisted ambulance service | 11 | 20 | 890 | $10 | $32.2K |
Other providers in the same ZIP code as South Metro Fire Rescue Fire Protection District, ranked by combined Medicare and Medicaid revenue.
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.