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NPI 1700889987 · Boise, ID · Land Ambulance
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County Of Ada is a land ambulance provider located in Boise, Idaho. 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 | County Of Ada |
| Address | 370 N. Benjamin Lane |
| City | Boise |
| State | ID |
| ZIP | 83704 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 23, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.4M |
| Medicare | $2M |
County of Ada is filed under the Land Ambulance taxonomy and its claim mix is concentrated in emergency ground transport services: the top Medicare and Medicaid revenue codes are A0427 (ALS 1 emergency), A0429 (BLS emergency), and A0425 (ground mileage). Medicaid billing also includes a substantial volume of non-transport response and treatment under A0998, indicating the operation performs both transported and non-transport emergency responses.
Medicare revenue is highly concentrated: the provider reports $2M in total Medicare revenue and the top 3 Medicare codes account for 97.5% of that total. Within Medicare, A0427 generates $1M (51.0% of the provider's Medicare revenue), A0429 generates $742.6K (37.4%), and A0425 generates $182.5K (9.2%), showing almost all Medicare dollars come from ALS/BLS emergency transports and mileage.
Medicaid revenue is similarly concentrated: the provider reports $11.4M in total Medicaid revenue with the top 3 Medicaid codes accounting for 94.5% of that total. A0427 produces $5.1M (44.9% of Medicaid revenue), A0429 produces $4.9M (42.6%), and A0425 produces $801.9K (7.0%), reflecting that Medicaid revenue is overwhelmingly driven by emergency transport and mileage.
Payer mix is heavily skewed toward Medicaid: total Medicaid revenue ($11.4M) substantially exceeds total Medicare revenue ($2M), indicating the provider operates as a Medicaid-dominant ambulance service in scale. This imbalance means state Medicaid reimbursement dynamics and utilization patterns are likely more material to the provider's overall finances than Medicare.
National competitive standing on key Medicare codes is mixed: A0429 ranks #149 of 7808 nationally (98th percentile; notably above typical national volume) and A0427 ranks #247 of 6841 (96th percentile; typical, unremarkable volume), while A0425 ranks #802 of 8934 (91th percentile; typical, unremarkable volume). These ranks indicate the provider has notably above-typical national volume on BLS emergency transports and solid presence on ALS, even though total Medicare revenue is modest at $2M.
State-level competitive standing on Medicaid is dominant: the provider ranks #1 in-state for A0427, A0429, and A0425 (each labeled an extreme outlier, far above typical state volume). Those #1 in-state positions and the large Medicaid dollar amounts ($5.1M for A0427; $4.9M for A0429; $801.9K for A0425) characterize County of Ada as the principal Medicaid ambulance billing entity in Idaho for emergency transports and mileage.
Operational detail in claim volumes supports a high-utilization transport model: Medicaid A0429 shows 23.6K claims and A0427 shows 20.5K claims, while Medicaid A0425 shows 44.5K claims with a $18 avg paid/claim, underscoring significant mileage billing and frequent transports under Medicaid. Medicare also records high claim counts for these transport codes (e.g., A0427 2.7K claims and A0429 2.4K claims with lower avg paid/claim), reinforcing that routine emergency ground response and distance-driven billing are core activities across payers.
The provider is long-tenured with an NPI enumeration date of 2005-05-23 (~21 years ago), indicating an established local operation. Given that each payer’s revenue is heavily concentrated in the same small set of transport and mileage codes (top 3 codes = 97.5% Medicare, 94.5% Medicaid), the business model appears focused on emergency transport and is therefore sensitive to changes in transport volume, mileage reimbursement, or state Medicaid policy.
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) | 2,730 | $370 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,380 | $310 | $742.6K |
| A0425 | Ground mileage, per statute mile | 26,080 | $10 | $182.5K |
| A0433 | Advanced life support, level 2 (als 2) | 90 | $530 | $48.8K |
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) | 20,530 | $250 | $5.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 23,650 | $210 | $4.9M |
| A0425 | Ground mileage, per statute mile | 44,550 | $20 | $801.9K |
| A0998 | Ambulance response and treatment, no transport | 2,190 | $240 | $519.5K |
| A0433 | Advanced life support, level 2 (als 2) | 260 | $430 | $112K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho 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) | 1 | 30 | 480 | $220 | $663.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 30 | 570 | $180 | $428.6K |
| A0425 | Ground mileage, per statute mile | 1 | 50 | 960 | $40 | $166.8K |
| A0998 | Ambulance response and treatment, no transport | 2 | 10 | 110 | $180 | $141.8K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 140 | $400 | $64.9K |
| 93041 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service… | 2 | 10 | 360 | $30 | $9.1K |
Other providers in the same ZIP code as County Of Ada, ranked by combined Medicare and Medicaid revenue.
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