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NPI 1699836379 · Peoria, IL · Land Ambulance
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Peoria Hospital's Mobile Medical Services is a land ambulance provider located in Peoria, Illinois. This profile covers 7 Medicare and 12 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 | Peoria Hospital's Mobile Medical Services |
| Address | 1718 N Sterling Ave |
| City | Peoria |
| State | IL |
| ZIP | 61604 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $41.8M |
| Medicare | $3.8M |
PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES is a land-ambulance operator whose billed activity is dominated by emergency and transport-oriented codes. Medicare claims include high volumes for ambulance-specific codes such as A0427 (4.2K claims, $1.6M revenue) and A0429 (2K claims, $617.8K revenue), and Medicaid billing is led by A0427 (58.8K claims, $16.7M revenue) and A0429 (53.2K claims, $13.2M revenue), indicating core operations are advanced life support and basic life support emergency transport with some specialty care transports (A0434) reported across payers.
Medicare revenue is concentrated: the precomputed top-3 Medicare codes account for 77.0% of the provider's total Medicare revenue, driven primarily by A0427 (41.0%), A0425 (20.0%), and A0429 (16.0%). This concentration shows most Medicare dollars come from a narrow set of ambulance and mileage services rather than a broad mix of ancillary procedures.
Medicaid revenue is even more concentrated: the precomputed top-3 Medicaid codes represent 84.9% of the provider's total Medicaid revenue, with A0427 at 40.0%, A0429 at 31.5%, and A0425 at 13.4%. The Medicaid payer mix is heavily weighted toward emergency ALS and BLS transports and ground mileage, underscoring that routine Medicaid reimbursement for this entity is dominated by transport fees.
This provider's payer mix is heavily skewed toward Medicaid in scale: total Medicaid revenue is $41.8M compared with total Medicare revenue of $3.8M. That gap indicates the organization operates effectively as a Medicaid-majority revenue generator rather than a Medicare-centered one, so policy or rate changes in Medicaid would have outsized financial impact.
Nationally for Medicare, PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES ranks at or near the top for several transport codes: A0425 ranks #118 of 8934 providers (99th percentile, extreme outlier) and A0427 ranks #157 of 6841 providers (98th percentile, notably above typical national volume). Those national percentiles indicate this provider is a high-volume Medicare participant for ambulance mileage and ALS emergency transports compared with peers.
In-state Medicaid competitive standing is dominant for core transport services: A0427 ranks #2 of 362 providers in-state (100th percentile, notably above typical state volume) and A0429 ranks #4 of 339 providers in-state (99th percentile, extreme outlier). These ranks signal the provider is one of the leading Medicaid ambulance suppliers in Illinois for emergency transport and related mileage billing.
Operational signals from mileage and transport counts suggest a large, mileage-intensive fleet: Medicare A0425 shows 110.8K claims and Medicaid A0425 shows 140.1K claims, and both payers contribute meaningful mileage revenue. High ground-mileage billing alongside substantial counts for ALS and BLS emergency codes implies the provider covers extensive transport distances or a high throughput of trips rather than focusing mainly on short, localized non-emergency pickups.
The provider’s NPI was enumerated on 2006-12-13 (~20 years ago), indicating an established presence in the market; however, the business exhibits concentration risk because the top three codes account for 77.0% of Medicare revenue and 84.9% of Medicaid revenue. Dependence on a narrow set of transport codes means reimbursement policy shifts or utilization changes for those specific services could materially affect overall revenue.
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) | 4,240 | $370 | $1.6M |
| A0425 | Ground mileage, per statute mile | 110,750 | $10 | $775.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,980 | $310 | $617.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,920 | $200 | $577.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 590 | $240 | $141.2K |
| A0434 | Specialty care transport (sct) | 210 | $640 | $132.3K |
| A0433 | Advanced life support, level 2 (als 2) | 70 | $540 | $40.2K |
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 58,760 | $290 | $16.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 53,250 | $250 | $13.2M |
| A0425 | Ground mileage, per statute mile | 140,100 | $40 | $5.6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 22,320 | $140 | $3.1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 7,790 | $220 | $1.7M |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 23,220 | $30 | $789.5K |
| A0434 | Specialty care transport (sct) | 1,970 | $230 | $446.1K |
| T2003 | Non-emergency transportation; encounter/trip | 850 | $140 | $118K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 10,400 | $10 | $114.4K |
| A0380 | Bls mileage (per mile) | 40 | $1,160 | $48.8K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 2 | 20 | 2,610 | $40 | $4.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2 | 360 | 1,340 | $910 | $4M |
| A0434 | Specialty care transport (sct) | 7 | 30 | 330 | $680 | $3.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 340 | 1,050 | $770 | $2.8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 9 | 80 | 1,580 | $140 | $1.8M |
| A0110 | Non-emergency transportation and bus, intra or inter state carrier | 3 | 10 | 3,290 | $20 | $1.4M |
| A0425 | Ground mileage, per statute mile | 6 | 450 | 2,450 | $40 | $602.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 60 | 350 | $200 | $269.4K |
| T2003 | Non-emergency transportation; encounter/trip | 257 | 320 | 3,390 | $20 | $192.4K |
| A0433 | Advanced life support, level 2 (als 2) | 4 | 10 | 70 | $190 | $117.5K |
Showing 1–10 of 12
Other providers in the same ZIP code as Peoria Hospital's Mobile Medical Services, ranked by combined Medicare and Medicaid revenue.
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