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    OpenPayerNPI Medicare & MedicaidMarion County Board Of Commissioner
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    Marion County Board Of Commissioner — Billing Profile & Reimbursement Data

    NPI 1700050705 · Ocala, FL · Ambulance

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    Marion County Board Of Commissioner is a ambulance provider located in Ocala, Florida. This profile covers 7 Medicare and 4 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)

    FieldValue
    Entity TypeOrganization
    OrganizationMarion County Board Of Commissioner
    Address2631 Se 3rd St
    CityOcala
    StateFL
    ZIP34471
    TaxonomyAmbulance
    NPI EnumeratedApril 22, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$7.7M
    Medicare$5.6M

    Key Findings

    MARION COUNTY BOARD OF COMMISSIONER is operating as an ambulance-centric service dominated by emergency ALS transports: the provider’s top Medicare revenue driver is A0427 (advanced life support, emergency transport) with $4.3M in revenue and A0429 (basic life support, emergency transport) and mileage (A0425) also present among the top lines. The Medicaid side shows the same operational profile, with A0427 and A0429 together accounting for the bulk of billing activity, indicating core competency in emergency ground transport rather than non-transport ancillary services.

    Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 97.4% of this provider's total Medicare revenue, led by A0427 at $4.3M (76.4%), followed by A0425 at $773.9K (13.7%) and A0429 at $408.9K (7.3%). This concentration signals that a very small set of ambulance transport services drives nearly all Medicare receipts for this supplier, increasing sensitivity to payment or utilization changes on those specific codes.

    Medicaid revenue is even more concentrated: the precomputed top 3 Medicaid codes by revenue account for 99.4% of this provider's total Medicaid revenue, with A0427 at $4.4M (57.7%), A0429 at $3M (39.3%), and A0425 at $183.1K (2.4%). The Medicaid mix underscores that almost all state program revenue is tied to emergency ALS and BLS transports, leaving little diversification into other billed service lines.

    On payer mix, this provider reports $5.6M in total Medicare revenue and $7.7M in total Medicaid revenue, so Medicaid represents the larger single-payer revenue source. Both payers are material, so contracting or utilization shifts with either Medicare or the state Medicaid program could significantly affect overall revenue.

    Competitive standing on Medicare shows extreme national concentration for specific codes: A0427 ranks #23 of 6841 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code) and A0425 ranks #120 of 8934 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). By contrast A0429 ranks #364 of 7808 (95th percentile; typical, unremarkable volume), so the organization is a national outlier on ALS emergency and mileage activity but more typical on BLS emergency claims.

    In-state competitive positioning for Medicaid is strong but more typical: A0427 (41.5K claims, $4.4M revenue) ranks #14 of 163 in-state (92th percentile; typical, unremarkable volume) and A0429 (25.7K claims, $3M revenue) ranks #12 of 143 (92th percentile; typical, unremarkable volume). These rankings indicate the provider is a meaningful Medicaid ambulance supplier within Florida, capturing substantial share of state emergency transport billing, even if not an extreme outlier at the state level.

    Operational metrics point to heavy mileage and transport volume: Medicare shows 110.6K claims for A0425 (ground mileage) and Medicaid shows 61K claims for A0425, consistent with either long-distance transports or very high trip frequency across the service area. Payment rate differentials are notable as well—A0427 average paid is $383 avg paid/claim on Medicare versus $107 avg paid/claim on Medicaid—implying materially different revenue per trip by payer that will affect profitability per transport.

    The provider has a long tenure in the data: NPI enumerated 2008-04-22 (~18 years ago). That sustained presence, combined with the concentrated code mix and strong in-state Medicaid volumes, suggests an established, mission-focused ambulance operation whose financial performance is tightly linked to ALS/BLS emergency transport utilization and mileage billing.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)11,230$380$4.3M
    A0425Ground mileage, per statute mile110,560$10$773.9K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)1,270$320$408.9K
    A0433Advanced life support, level 2 (als 2)170$550$93.2K
    A0434Specialty care transport (sct)60$660$40.3K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)50$240$12.3K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)10$190$2.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A04275160690$390$863.6K
    A04286060580$200$413.3K
    A042934160320$330$299.2K
    A0425717012,910$10$201.2K
    A0434103040$670$78.2K
    A04263550120$250$75.3K
    A0433159040$560$48.2K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)41,510$110$4.4M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)25,670$120$3M
    A0425Ground mileage, per statute mile61,050$1$183.1K
    A0433Advanced life support, level 2 (als 2)260$170$43.7K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Florida median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)141604,450$110$1.5M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)121402,650$90$697.1K
    A0425Ground mileage, per statute mile171906,580$10$250.6K
    A0433Advanced life support, level 2 (als 2)1530260$140$111.6K

    Nearby Providers

    Other providers in the same ZIP code as Marion County Board Of Commissioner, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Florida Hospital Ocala IncFLGeneral Acute Care Hospital$0$40.4M
    Marion Community Hospital, Inc.FLGeneral Acute Care Hospital$0$25.5M
    Renal Treatment Centers-southeast, LP.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$20.4M
    Childrens Health Of OcalaFLPediatrics Physician$0$8.2M
    Sylvester AjufoFLExclusive Provider Organization$0$7.6M
    Vipul PatelFLMedical Oncology Physician$3.2M$0
    Nikia WilliamsFLNurse Practitioner$2.9M$0
    Central Florida Endoscopy & Surgical Institute Of Ocala LLCFLAmbulatory Surgical Clinic/Center$204.7K$1.9M
    Srisha RaoFLCardiovascular Disease Physician$1.9M$0
    Asad QamarFLCardiovascular Disease Physician$1.9M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Marion County Board Of Commissioner — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Marion County Board Of Commissioner — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida