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NPI 1710981774 · Fort Worth, TX · Land Ambulance
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Metropolitan Area Ems Authority is a land ambulance provider located in Fort Worth, Texas. 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 | Metropolitan Area Ems Authority |
| Address | 2900 Alta Mere Dr |
| City | Fort Worth |
| State | TX |
| ZIP | 76116 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 8, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $27.5M |
| Medicare | $7.7M |
METROPOLITAN AREA EMS AUTHORITY operates as a high-volume land ambulance provider serving Fort Worth, TX, with an NPI enumerated since 2005-06-08 (~21 years ago), indicating long-standing participation in Medicare and Medicaid networks. The dominant CPT/HCPCS mix is emergency and transport-focused (A0427, A0429, A0425), consistent with an organisation configured for frequent ALS and BLS emergency transports and extensive ground mileage billing rather than elective non-emergency or specialty-only services.
Revenue concentration is very high across both payers: the top three Medicare codes account for 85.9% of the provider’s total Medicare revenue, while the top three Medicaid codes account for 88.8% of its total Medicaid revenue. This concentration indicates that a small set of transport and mileage codes (primarily A0427, A0429, A0425) drive the vast majority of billed dollars and should be the primary focus for utilization or contract reviews.
Payer mix shows Medicaid materially outweighs Medicare in lifetime revenue for this entity: total Medicaid revenue is $27.5M versus total Medicare revenue of $7.7M. This suggests the provider’s operational footprint and case mix are heavily oriented toward Medicaid beneficiaries or Medicaid-contracted services in its service area, rather than being Medicare-dominant.
On Medicare metrics the provider is a national outlier for core emergency transport codes: A0427 ranks #54 of 6841 providers (99th percentile, extreme outlier), A0429 ranks #38 of 7808 providers (100th percentile, extreme outlier), and A0425 ranks #70 of 8934 providers (99th percentile, extreme outlier). Those rankings reflect exceptionally high national volume for emergency ALS, BLS, and mileage compared with peers and indicate the provider is a major national volume contributor for these ambulance codes.
Within Texas Medicaid the provider is a dominant statewide participant for the same core transport and mileage codes: A0427 ranks #4 of 317 providers (99th percentile, extreme outlier), A0429 ranks #3 of 310 providers (99th percentile, extreme outlier), and A0425 ranks #4 of 496 providers (99th percentile, extreme outlier). These placements position the entity as one of the largest in-state suppliers of emergency ambulance transports and associated mileage.
Code-level nuance: beyond the core three, Medicare shows additional above-typical volumes for higher-acuity services such as A0433 (ALS level 2) where the provider ranks #8 of 1632 (100th percentile, extreme outlier), signaling capacity to deliver higher-acuity ALS responses. Medicaid data similarly highlights outsized volumes for supply codes A0382 and A0398 (ranks #2 and #3 in-state, both described as extreme outliers), indicating consistent, large-scale billing of routine disposable supplies tied to frequent transports.
Although most high-dollar activity is emergency transport and mileage, the provider also bills for non-emergency BLS (A0428) and specialty care transport (A0434) at more typical volumes (Medicare A0428 and A0434 rank in the 85th–91st percentile range, Medicaid A0428 and A0434 rank in the 67th–91st percentile range). This mix suggests the organization provides a full spectrum of ambulance services but remains primarily driven by emergency response volume.
From a risk/contracting perspective, the extreme concentration in a few transport and mileage codes combined with top-percentile state and national ranks means payers and network managers should treat this entity as a major ambulance services supplier in the Fort Worth market. Contract negotiations, utilization management, and performance monitoring should prioritize A0427, A0429, and A0425 given their outsized contribution to revenue and utilization.
Operational implications for partners: because the provider’s revenue is dominated by high-frequency emergency transports and large claim counts (e.g., thousands to tens of thousands of claims reported for top codes), care coordination initiatives, alternative destination strategies, and mileage/rate schedule terms will materially affect expenditures with this supplier. Any changes to reimbursement policy for ambulance transport or mileage in the region could have significant fiscal impact given the provider’s established scale.
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) | 8,740 | $400 | $3.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 6,330 | $340 | $2.1M |
| A0425 | Ground mileage, per statute mile | 149,070 | $10 | $1M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,940 | $210 | $611.1K |
| A0433 | Advanced life support, level 2 (als 2) | 420 | $580 | $242.2K |
| A0434 | Specialty care transport (sct) | 200 | $680 | $134.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 420 | $250 | $106.1K |
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) | 61,340 | $180 | $10.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 64,680 | $160 | $10.3M |
| A0425 | Ground mileage, per statute mile | 148,370 | $20 | $3.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 17,430 | $60 | $1M |
| A0382 | Bls routine disposable supplies | 48,590 | $10 | $680.2K |
| A0433 | Advanced life support, level 2 (als 2) | 2,060 | $270 | $554.1K |
| A0398 | Als routine disposable supplies | 33,580 | $20 | $503.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 8,780 | $10 | $105.3K |
| A0434 | Specialty care transport (sct) | 340 | $310 | $102.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,670 | $60 | $100.4K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas 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) | 4 | 320 | 920 | $180 | $720.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 310 | 500 | $160 | $474.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 19 | 190 | 2,590 | $60 | $427.4K |
| A0434 | Specialty care transport (sct) | 9 | 30 | 200 | $450 | $322.2K |
| A0425 | Ground mileage, per statute mile | 4 | 500 | 1,970 | $40 | $284.3K |
| A0433 | Advanced life support, level 2 (als 2) | 2 | 30 | 110 | $560 | $224.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 5 | 40 | 130 | $70 | $45.6K |
| A0382 | Bls routine disposable supplies | 2 | 220 | 460 | $10 | $31.6K |
| A0398 | Als routine disposable supplies | 3 | 180 | 420 | $10 | $29.3K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2 | 90 | 270 | $20 | $15.6K |
Showing 1–10 of 12
Other providers in the same ZIP code as Metropolitan Area Ems Authority, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ageless Living Home Health LLC | TX | Home Health Agency | $0 | $118.8M |
| Southern Concepts Inc | TX | Intellectual Disabilities Intermediate Care Facility | $0 | $24.9M |
| Quang Le | TX | Internal Medicine Physician | $285.2K | $0 |
| Julie Fields | TX | Anatomic Pathology & Clinical Pathology Physician | $40.8K | $0 |
| William Hughes | TX | Occupational Therapist | $26.4K | $0 |
| Matthew Barber | TX | Optometrist | $24.7K | $0 |
| Gloria Martinez | TX | Certified Registered Nurse Anesthetist | $22K | $0 |
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