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NPI 1730183252 · Honolulu, HI · Land Ambulance
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Emergency Medical Services System Hawaii Dept Of Health is a land ambulance provider located in Honolulu, Hawaii. This profile covers 6 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Emergency Medical Services System Hawaii Dept Of Health |
| Address | 3675 Kilauea Ave |
| City | Honolulu |
| State | HI |
| ZIP | 96816 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 13, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $32.4M |
| Medicare | $3.1M |
EMERGENCY MEDICAL SERVICES SYSTEM HAWAII DEPT OF HEALTH operates as a Land Ambulance provider: its Medicare and Medicaid top codes are A0427, A0429 and A0425, which correspond to advanced life support emergency transport, basic life support emergency transport, and ground mileage respectively. The code mix — dominated by emergency ALS/BLS transport and mileage — indicates a primarily ground-based emergency ambulance operation rather than a hospital-based clinical service line.
Medicare revenue is concentrated in three codes: A0427 (61.2% of Medicare revenue), A0425 (18.2%), and A0429 (13.8%); the precomputed top-3 concentration equals 93.1% of this provider's total Medicare revenue. This high concentration shows Medicare receipts are driven almost entirely by emergency transport and mileage charges rather than a broad mix of CPT/HCPCS lines.
Medicaid revenue is even more concentrated: A0427 (75.0%), A0429 (21.6%), and A0425 (2.9%) together account for 99.5% of this provider's total Medicaid revenue. Medicaid billings are overwhelmingly from emergency ALS and BLS transports, with A0427 alone responsible for $24.3M of the reported $32.4M in lifetime Medicaid revenue.
This provider is effectively Medicaid-driven in scale: total Medicaid revenue is $32.4M versus total Medicare revenue of $3.1M, showing Medicaid dominates its lifetime payer mix. The disparity suggests the EMS system primarily serves state Medicaid populations or is contracted/used extensively for Medicaid-covered transports.
Against national Medicare peers, the provider is a high-volume outlier on key ground-ambulance codes: A0427 ranks #160 of 6841 (98th percentile; notably above typical national volume) and A0425 ranks #302 of 8934 (97th percentile; notably above typical national volume), while A0429 ranks #444 of 7808 (94th percentile; typical, unremarkable volume). These rankings indicate the organization is notably above national norms for advanced-life-support emergency transports and for mileage claims, reflecting unusually high utilization relative to most Medicare providers.
Within Hawaii Medicaid, the provider is the dominant reported supplier for core ambulance codes: A0427, A0429 and A0425 each rank #1 of 4 in-state (100th percentile; typical, unremarkable volume) and together generate the vast majority of its Medicaid revenue (A0427 $24.3M; A0429 $7M; A0425 $934.1K). That statewide top ranking signals this entity is the primary Medicaid ambulance claimant in its market for emergency ALS/BLS transports.
The organization has a long tenure on file — NPI enumerated 2005-06-13 (~21 years ago) — which, combined with stable dominance in Medicaid transport codes, suggests an established state EMS operation rather than a new entrant. Longevity supports the interpretation that these billing patterns reflect an institutional service role in Hawaii’s emergency transport system.
Air-transport and higher-level-statutory codes are present but represent a small share of revenue: Medicare A0431 (22 claims, $4966 avg paid/claim, $109.3K revenue, 3.6% of Medicare revenue) and A0436 rotary wing mileage (967 claims, $22 avg paid/claim, $21.3K revenue, 0.7%) are modest contributors and are described as typical or unremarkable in national comparisons. Medicaid advanced-life-support level 2 (A0433) appears at low dollar volume as well (716 claims, $229 avg, $164K, 0.5%), indicating most of the provider’s activity and revenue flows through ground emergency ALS/BLS transports rather than air or specialty transport services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4,190 | $450 | $1.9M |
| A0425 | Ground mileage, per statute mile | 61,450 | $10 | $553.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,120 | $370 | $420K |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 20 | $4,970 | $109.3K |
| A0433 | Advanced life support, level 2 (als 2) | 120 | $640 | $79.2K |
| A0436 | Rotary wing air mileage, per statute mile | 970 | $20 | $21.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 111,990 | $220 | $24.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 36,340 | $190 | $7M |
| A0425 | Ground mileage, per statute mile | 116,770 | $10 | $934.1K |
| A0433 | Advanced life support, level 2 (als 2) | 720 | $230 | $164K |
How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Hawaii median
4 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 | 10 | 15,740 | $210 | $7.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 10 | 10,410 | $180 | $2.6M |
| A0425 | Ground mileage, per statute mile | 1 | 10 | 38,640 | $10 | $704.9K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 460 | $180 | $76.5K |
Other providers in the same ZIP code as Emergency Medical Services System Hawaii Dept Of Health, ranked by combined Medicare and Medicaid revenue.
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