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NPI 1710212485 · Saint Paul, MN · Land Ambulance
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Fairview Health Services is a land ambulance provider located in Saint Paul, Minnesota. 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 | Fairview Health Services |
| Address | 799 Reaney Ave |
| City | Saint Paul |
| State | MN |
| ZIP | 55106 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 13, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $48.5M |
| Medicare | $2.3M |
Fairview Health Services operates as a land ambulance provider (Land Ambulance taxonomy) with a claims mix concentrated in advanced life support (ALS), basic life support (BLS), and extensive ground mileage; top codes across payers are A0427 (ALS emergency), A0428 (BLS non‑emergency), and A0425 (ground mileage), plus specialty care transport and wheelchair van lines visible in Medicaid billing. The presence of both high-volume emergency ALS/BLS codes and non-emergency wheelchair van codes indicates a multi-line transport operation that handles emergent, non-emergent, and mileage-billed transports rather than a narrowly focused niche service.
Revenue concentration is high for both payers: the top three Medicare codes account for 83.9% of the provider's total Medicare revenue and the top three Medicaid codes account for 79.4% of the provider's total Medicaid revenue. In both cases, A0427, A0428, and A0425 dominate the revenue mix, signaling reliance on a small set of transport and mileage codes for most receipts.
Payer mix is heavily weighted toward Medicaid: total Medicaid revenue is $48.5M versus total Medicare revenue of $2.3M, so Medicaid represents the overwhelming share of billed revenue on file. This makes Fairview effectively a Medicaid-focused ambulance payer mix at the magnitude reported, with Medicare present but much smaller in scale.
Nationally for Medicare, Fairview posts notable strength on ground mileage: A0425 has 68.1K claims, $476.6K revenue and ranks #261 of 8934 providers nationally (97th percentile; notably above typical national volume for this code), indicating above-typical mileage billing compared with peers. Other high-Medicare codes such as A0427 (rank #302 of 6841, 96th percentile; typical) and A0428 (rank #285 of 2772, 90th percentile; typical) sit in mid-to-high percentiles but are described as typical volume, so the standout Medicare signal is mileage rather than unusually large ALS/BLS emergency volumes.
Within Minnesota Medicaid, Fairview is a major in‑state player on several high-revenue codes: A0427 reports 25.7K claims and $20.6M revenue (ranks #6 of 60, 92th percentile; typical), A0428 reports 38.9K claims and $8.6M revenue (ranks #2 of 25, 96th percentile; notably above typical state volume), and A0425 reports 88.2K claims and $9.4M revenue (ranks #6 of 107, 95th percentile; notably above typical state volume). The provider also posts a state-level extreme outlier position on A0998 (Ambulance response and treatment, no transport): 1.6K claims, $391K revenue and ranks #1 of 14 providers in-state (100th percentile; extreme outlier), highlighting an unusually large reported volume of response-and-treat encounters relative to state peers.
Operational scale is visible in absolute claim counts on Medicaid: 25.7K A0427 claims ($20.6M), 88.2K A0425 claims ($9.4M), and 38.9K A0428 claims ($8.6M) demonstrate sustained high throughput for both mileage and transport services in the Medicaid population. On Medicare the provider also records high mileage claims (68.1K claims for A0425) and several thousand ALS/BLS claims (e.g., 2.3K A0427 claims, 2.5K A0428 claims), reinforcing a business model with heavy operational tempo rather than occasional episodic billing.
The provider also offers substantial non‑emergency and mobility-focused services in Medicaid: A0130 (wheelchair van) has 25.2K claims and $528.5K revenue and S0209 (wheelchair van mileage) has 24.7K claims and $395.5K revenue (both ranked mid-to-high among in-state peers), showing meaningful volume in wheelchair transport and NEMT channels. Combined with the A0998 response-and-treatment no-transport outlier and specialty care transport (A0434) billing, these lines suggest diversified service delivery across emergency, non-emergency, and response-only encounters.
Fairview's NPI has been enumerated since 2009-10-13 (~17 years ago), indicating an established presence in the market; the duration plus the concentrated, high-volume Medicaid billing profile implies a stable, operationally mature ambulance service with entrenched Medicaid service relationships. Analysts should therefore treat observed high-volume patterns (especially state-level outliers and notably above-typical mileage/BL S volumes) as characteristic of a long-running, Medicaid-focused transport operation rather than a transient supplier.
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) | 2,260 | $410 | $919.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,540 | $210 | $542.9K |
| A0425 | Ground mileage, per statute mile | 68,080 | $10 | $476.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 550 | $340 | $187.9K |
| A0434 | Specialty care transport (sct) | 100 | $700 | $71.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 270 | $260 | $70.2K |
| A0433 | Advanced life support, level 2 (als 2) | 70 | $590 | $42K |
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) | 25,660 | $800 | $20.6M |
| A0425 | Ground mileage, per statute mile | 88,230 | $110 | $9.4M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 38,870 | $220 | $8.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10,840 | $540 | $5.9M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 6,000 | $300 | $1.8M |
| A0434 | Specialty care transport (sct) | 590 | $1,050 | $622.6K |
| A0130 | Non-emergency transportation: wheelchair van | 25,170 | $20 | $528.5K |
| S0209 | Wheelchair van, mileage, per mile | 24,720 | $20 | $395.5K |
| A0998 | Ambulance response and treatment, no transport | 1,610 | $240 | $391K |
| A0433 | Advanced life support, level 2 (als 2) | 270 | $1,200 | $329.9K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
12 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) | 6 | 60 | 780 | $470 | $5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 80 | 410 | $430 | $2.3M |
| T1016 | Case management, each 15 minutes | 156 | 240 | 1,870 | $50 | $1.9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 30 | 420 | $220 | $1.1M |
| A0425 | Ground mileage, per statute mile | 6 | 110 | 870 | $80 | $971K |
| A0433 | Advanced life support, level 2 (als 2) | 5 | 10 | 560 | $790 | $714.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2 | 20 | 130 | $290 | $438.3K |
| S0209 | Wheelchair van, mileage, per mile | 14 | 90 | 2,310 | $30 | $321.5K |
| A0434 | Specialty care transport (sct) | 3 | 10 | 230 | $690 | $297.6K |
| A0130 | Non-emergency transportation: wheelchair van | 14 | 90 | 2,230 | $20 | $252.6K |
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Other providers in the same ZIP code as Fairview Health Services, ranked by combined Medicare and Medicaid revenue.
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