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    OpenPayerNPI Medicare & MedicaidFairbanks North Star Borough
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    Fairbanks North Star Borough — Billing Profile & Reimbursement Data

    NPI 1720039076 · Fairbanks, AK · Land Ambulance

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    Fairbanks North Star Borough is a land ambulance provider located in Fairbanks, Alaska. This profile covers 4 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
    OrganizationFairbanks North Star Borough
    Address3175 Peger Rd
    CityFairbanks
    StateAK
    ZIP99709
    TaxonomyLand Ambulance
    NPI EnumeratedMay 12, 2006

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

    Payer SourceTotal Paid
    Medicaid$1.3M
    Medicare$518.2K

    Key Findings

    FAIRBANKS NORTH STAR BOROUGH reports $518.2K in lifetime Medicare revenue and $1.3M in lifetime Medicaid revenue, with Medicaid revenue ($1.3M) exceeding Medicare revenue ($518.2K). This indicates the entity draws a larger share of its billed ambulance business from Medicaid patients, rather than Medicare, across the reporting period.

    The provider’s Medicare billing is dominated by emergency ambulance services and mileage: A0427 (advanced life support, emergency transport) accounts for 66.8% of Medicare revenue, with 654 claims at $530 avg paid/claim, and A0425 (ground mileage) contributes 15.9% with 8.2K claims at $10 avg paid/claim. Combined with A0429 (BLS emergency) the top three Medicare codes account for 98.1% of Medicare revenue, signaling an operational focus on transported emergency care rather than ancillary services.

    Medicaid billing shows a mixed emergency and non-emergency transport portfolio: A0429 (BLS emergency) is the largest Medicaid line at $531K (41.5%) with 3.4K claims at $154 avg paid/claim, and A0428 (BLS non-emergency) is a close second at $489.4K (38.2%) with 2.4K claims at $208 avg paid/claim. The top three Medicaid codes (A0429, A0428, A0427) together account for 91.6% of Medicaid revenue, indicating concentrated revenue streams in both emergency and scheduled patient transport.

    Revenue concentration is high for both payers: the precomputed top-three share is 98.1% for Medicare and 91.6% for Medicaid, meaning a small set of transport codes drive nearly all reported revenue. For Medicare that concentration is primarily driven by A0427 (66.8%), while Medicaid concentration is split mainly between A0429 (41.5%) and A0428 (38.2%), which increases sensitivity to payment or utilization changes for those specific code lines.

    Against national Medicare peers this provider’s code-level ranks are above median but not dominant: A0427 ranks #1163 of 6841 (83rd percentile) and is described as typical, while A0425 ranks #2367 of 8934 (74th percentile) and A0429 ranks #2758 of 7808 (65th percentile). These percentiles suggest the provider operates at modest-to-above-median scale for ALS emergency and mileage on a national basis, without being a leading national outlier.

    Within Alaska Medicaid peers the provider shows relatively stronger in-state placement for core BLS work: A0429 ranks #6 of 22 (76th percentile) and A0427 ranks #6 of 16 (67th percentile), both characterized as typical volumes, while A0428 is #10 of 23 (59th percentile). These rankings indicate the provider is a meaningful in-state participant for both emergency and non-emergency ground transport, particularly for BLS emergency trips.

    Operational indicators point to heavy mileage and high claim counts for ground transport: Medicare A0425 reports 8.2K claims at $10 avg paid/claim and Medicaid A0425 reports 7.2K claims at $15 avg paid/claim, consistent with a service footprint that bills substantial per-mile ground transport. The combination of large mileage claim counts and significant counts for BLS emergency/non-emergency codes suggests routine long-distance or frequent ground transports are a core part of the business model.

    The provider has a long tenure in the data set, with its NPI enumerated on 2006-05-12 (~20 years ago), supporting interpretation of these patterns as established operational behavior rather than a short-lived anomaly. That longevity combined with concentrated code-level revenue and steady in-state rankings implies a stable, ambulance-focused operational profile over time.

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)650$530$346.6K
    A0425Ground mileage, per statute mile8,250$10$82.5K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)180$450$79.9K
    A0433Advanced life support, level 2 (als 2)10$770$10.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A042743090$470$171.1K
    A042983080$400$123.5K
    A0425630780$10$41.5K
    A043341020$710$17.7K

    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
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)3,450$150$531K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)2,350$210$489.4K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)2,880$50$152.4K
    A0425Ground mileage, per statute mile7,160$20$107.4K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Alaska median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0428Ambulance service, basic life support, non-emergency transport, (bls)10202,190$200$854.1K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)6201,410$80$387.6K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)620850$70$352.9K
    A0425Ground mileage, per statute mile7303,170$10$67.5K

    Nearby Providers

    Other providers in the same ZIP code as Fairbanks North Star Borough, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Centered Services Of AkAKCommunity/Behavioral Health Agency$0$43.5M
    Family Centered Services Of AlaskaAKCommunity/Behavioral Health Agency$0$25.2M
    Crossroads Counseling & Training ServicesAKDevelopmentally Disabled Services Day Training Agency$0$19.1M
    Four Corners Dental Group FairbanksAKGeneral Practice Dentistry$0$15M
    Guardian Flight LLCAKAir Ambulance$677.6K$6.8M
    Extended Family Alaska LLCAKCommunity/Behavioral Health Agency$0$6.1M
    Morning Star RanchAKDevelopmentally Disabled Services Day Training Agency$0$4.1M
    Frontier Partners, LLCAKAssisted Living Facility$0$2.5M
    Todd Haskin Dmd LLCAKDentist$0$1.7M
    Talkabout IncAKSpeech-Language Pathologist$0$970.3K

    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. Alaska Distribution
    Fairbanks North Star Borough — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska
    Medicaid Revenue by Year vs. Alaska Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alaska Distribution
    Fairbanks North Star Borough — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska