Loading...
NPI 1730419227 · Kansas City, MO · Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
City Of Kansas City Missouri is a ambulance provider located in Kansas City, Missouri. This profile covers 6 Medicare and 9 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)
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $49.6M |
| Medicare | $3.3M |
CITY OF KANSAS CITY MISSOURI is an Ambulance-taxonomy provider and its billed services are concentrated in emergency ground transport: the top Medicare and Medicaid revenue codes are A0427 (ALS 1 emergency), A0429 (BLS emergency) and A0425 (ground mileage), consistent with a primary focus on emergency ambulance operations rather than outpatient or non-transport services. Medicare records show A0427 with 4.9K claims at $387 avg paid/claim generating $1.9M, and A0429 with 3.1K claims at $325 avg paid/claim generating $1.0M; Medicaid records show A0427 with 90.6K claims at $258 avg paid/claim generating $23.4M and A0429 with 81.4K claims at $213 avg paid/claim generating $17.3M, which together underline emergency transport as the core service line.
Revenue concentration is extreme at the code level for both payers: the precomputed top 3 Medicare codes by revenue account for 97.9% of this provider's total Medicare revenue, and the precomputed top 3 Medicaid codes by revenue account for 97.9% of this provider's total Medicaid revenue. This means a very small set of ambulance transport and mileage codes drive almost all reported payer revenue for both Medicare and Medicaid.
The provider’s payer mix is heavily Medicaid-weighted: reported lifetime Medicaid revenue is $49.6M versus $3.3M in Medicare revenue, indicating Medicaid is the dominant source of billed dollars on file. Analysts should treat this entity as effectively Medicaid-centric in scale and market impact, with Medicare present but comparatively small in absolute dollars.
On Medicare competitive standing the provider ranks substantially above peers for its highest-volume emergency transport codes: A0427 ranks #126 of 6841 providers nationally (98th percentile) and A0429 ranks #108 of 7808 providers nationally (99th percentile), characterizing it as a major national-volume participant for those emergency transport codes. By contrast the Medicare A0425 ground-mileage entry is more typical-of-peer volumes (52.4K claims, $7 avg paid/claim, $366.8K revenue) though still above many peers (rank #364 of 8934, 96th percentile).
State-level competitive positioning in Medicaid is dominant and extreme: the provider is the top in-state reporter for A0427, A0429 and A0425 (A0427: 90.6K claims, $258 avg paid/claim, $23.4M revenue — ranks #1 of 171 providers; A0429: 81.4K claims, $213 avg paid/claim, $17.3M revenue — ranks #1 of 135 providers; A0425: 182.7K claims, $43 avg paid/claim, $7.9M revenue — ranks #1 of 203 providers), each noted as an "extreme outlier, far above typical state volume for this code." This suggests the provider functions as a statewide or large regional operational anchor for Medicaid-funded ambulance transports.
Operational scale for Medicaid is very large by claim count and mileage: A0425 shows 182.7K claims and A0427/A0429 together account for more than 170K claims on Medicaid, indicating sustained high-volume trip and mileage billing. Those volumes, combined with the large Medicaid dollar totals (e.g., $23.4M for A0427 and $17.3M for A0429), point to high utilization of emergency ground transport rather than occasional or isolated activity.
Non-emergency and ancillary ambulance codes are minor contributors to revenue across both payers: Medicare A0428 and A0426 together account for small shares ($9.3K and $8.1K respectively) and Medicaid A0428 ($777.1K) and A0998 ($128.7K) are modest relative to core emergency codes. These low-revenue entries and lower percentile ranks indicate the organization’s reported activity is concentrated in emergency-response transports rather than non-emergency or no-transport services.
The provider has established tenure in billing systems, with NPI enumeration on 2010-01-05 (~16 years ago), which supports interpreting these high-volume Medicaid and above-average Medicare patterns as sustained operational behavior rather than a short-lived reporting anomaly.
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) | 4,880 | $390 | $1.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,100 | $330 | $1M |
| A0425 | Ground mileage, per statute mile | 52,400 | $10 | $366.8K |
| A0433 | Advanced life support, level 2 (als 2) | 100 | $550 | $52.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 50 | $200 | $9.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $250 | $8.1K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 90,630 | $260 | $23.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 81,420 | $210 | $17.3M |
| A0425 | Ground mileage, per statute mile | 182,720 | $40 | $7.9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 11,770 | $70 | $777.1K |
| A0998 | Ambulance response and treatment, no transport | 1,040 | $120 | $128.7K |
| A0433 | Advanced life support, level 2 (als 2) | 130 | $300 | $39.3K |
| A0380 | Bls mileage (per mile) | 1,640 | $20 | $39.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 370 | $90 | $31.8K |
| A0390 | Als mileage (per mile) | 510 | $10 | $4.6K |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
9 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 | 170 | 1,670 | $230 | $1.1M |
| A0425 | Ground mileage, per statute mile | 1 | 200 | 3,230 | $90 | $827.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 140 | 1,010 | $200 | $803.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 6 | 60 | 880 | $160 | $725.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 12 | 40 | 220 | $350 | $320.8K |
| A0433 | Advanced life support, level 2 (als 2) | 3 | 10 | 80 | $270 | $139.4K |
| A0998 | Ambulance response and treatment, no transport | 6 | 30 | 300 | $120 | $129.4K |
| A0380 | Bls mileage (per mile) | 1 | 10 | 830 | $20 | $20.1K |
| A0390 | Als mileage (per mile) | 1 | 10 | 510 | $10 | $4.4K |
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.