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NPI 1699760892 · Kent, WA · Ambulance
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Tri-med Ambulance LLC is a ambulance provider located in Kent, Washington. This profile covers 6 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 | Tri-med Ambulance LLC |
| Address | 18821 E Valley Highway |
| City | Kent |
| State | WA |
| ZIP | 98032 |
| Taxonomy | Ambulance |
| NPI Enumerated | September 13, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $26.2M |
| Medicare | $5.4M |
TRI-MED AMBULANCE LLC’s billing profile is overwhelmingly driven by basic life support emergency transports: A0429 is the single largest revenue driver for both payers (Medicare: 10.8K claims, $4.2M revenue; Medicaid: 147.4K claims, $18.4M revenue), indicating the core service offering is high-volume BLS emergency ambulance transport. The presence of large ground-mileage volumes (A0425) across both Medicare and Medicaid further supports an operational model that combines frequent emergency pickups with substantial mileage billed per transport.
Revenue concentration is extremely high for both payers: the top 3 Medicare codes by revenue account for 98.2% of the provider’s Medicare revenue, while the top 3 Medicaid codes account for 99.6% of the provider’s Medicaid revenue. This indicates that TRI-MED’s financial performance is highly dependent on a narrow set of ambulance service codes (primarily A0429, A0425, and A0428).
The provider’s payer mix is Medicaid-dominant in scale: Total Medicare revenue is $5.4M compared with Total Medicaid revenue of $26.2M, making Medicaid the principal revenue source by a large margin. That imbalance suggests the organization’s operational footprint and patient population are concentrated in Medicaid-covered transports rather than Medicare.
Competitively, TRI-MED is a major statewide player in Medicaid ambulance services: for Medicaid A0429 it ranks #2 of 145 providers in-state (99th percentile; extreme outlier) and for A0425 it ranks #2 of 168 in-state (99th percentile; extreme outlier). Those in-state ranks, together with top-3 revenue concentration, imply dominant local market share for core BLS emergency and mileage billing.
On the Medicare side the provider also stands out nationally for specific codes: Medicare A0429 ranks #15 of 7808 providers nationally (100th percentile; extreme outlier) and Medicare A0425 ranks #187 of 8934 (98th percentile; notably above typical national volume). These national outlier positions for core ambulance codes indicate TRI-MED operates at substantially higher volume than most peers for emergency BLS and mileage billing.
Service-line mix shows limited use of higher-acuity ALS and specialty codes: advanced life support codes such as A0426 and A0427 appear only in small volumes on both payers, contributing marginal revenue compared with BLS codes. This pattern suggests TRI-MED’s operations are focused on BLS emergency and non-emergency transports rather than ALS-1 or frequent specialty care transport.
The average paid-per-claim differences between payers reflect typical rate variation: Medicare A0429 shows $386 avg paid/claim versus Medicaid A0429 at $125 avg paid/claim, while A0425 shows $7 avg paid/claim (Medicare) versus $27 avg paid/claim (Medicaid). These payment differentials, combined with much higher Medicaid claim volume (e.g., 147.4K Medicaid A0429 claims), help explain why Medicaid revenue is the dominant revenue stream.
Tenure and enrollment history indicate an established operator: the NPI was enumerated on 2005-09-13 (~21 years ago), consistent with the sustained, high-volume billing footprint documented across both Medicare and Medicaid. Long tenure combined with the provider’s percentile ranks suggests this is a mature, high-capacity ambulance operator within its service area.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10,840 | $390 | $4.2M |
| A0425 | Ground mileage, per statute mile | 89,120 | $10 | $623.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,070 | $240 | $501.4K |
| A0434 | Specialty care transport (sct) | 80 | $790 | $63.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 80 | $280 | $22.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 20 | $460 | $9.2K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 147,430 | $130 | $18.4M |
| A0425 | Ground mileage, per statute mile | 179,200 | $30 | $4.8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 30,330 | $90 | $2.7M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 360 | $140 | $51.2K |
| A0434 | Specialty care transport (sct) | 230 | $160 | $36.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 140 | $190 | $25.8K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 150 | 1,340 | $120 | $719.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 40 | 490 | $90 | $569.7K |
| A0434 | Specialty care transport (sct) | 4 | 10 | 2,640 | $160 | $416.2K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 72 | 100 | 1,400 | $120 | $404.9K |
| A0425 | Ground mileage, per statute mile | 2 | 170 | 2,040 | $40 | $373.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 8 | 20 | 130 | $110 | $99.8K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 1 | 10 | 70 | $0 | $0 |
Other providers in the same ZIP code as Tri-med Ambulance LLC, ranked by combined Medicare and Medicaid revenue.
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