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NPI 1740207646 · Tulsa, OK · Land Ambulance
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Emergency Medical Services Authority is a land ambulance provider located in Tulsa, Oklahoma. This profile covers 7 Medicare and 7 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 Authority |
| Address | 1417 N Lansing Ave |
| City | Tulsa |
| State | OK |
| ZIP | 74106 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 16, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $56.4M |
| Medicare | $6.7M |
The provider is heavily Medicaid-skewed: Total Medicare revenue is $6.7M while Total Medicaid revenue is $56.4M, indicating that Medicaid is the dominant payer by an order of magnitude and the bulk of the provider’s operating revenue is driven by state Medicaid activity. This suggests payer mix and reimbursement strategy are likely centered on Medicaid program rules and contracts.
Revenue concentration is extreme on a few ambulance lines for Medicare: the precomputed top-3 Medicare codes account for 85.6% of Medicare revenue, with A0427 ($4M, 59.8%), A0429 ($951.7K, 14.3%), and A0425 ($769.1K, 11.5%) together dominating Medicare receipts. This concentration indicates the provider’s Medicare business is primarily emergency transport and mileage-based billing rather than a broad mix of services.
Medicaid revenue is even more concentrated: the precomputed top-3 Medicaid codes account for 92.2% of Medicaid revenue, driven by A0427 ($36.1M, 63.8%), A0429 ($10.2M, 18.0%), and A0425 ($5.9M, 10.4%). These figures point to a near-exclusive reliance on emergency and mileage ambulance services within the state Medicaid population.
The code mix and volumes indicate an EMS operation focused on emergency transport at scale: high-revenue codes are A0427 (ALS emergency) and A0429 (BLS emergency), supported by very large A0425 mileage counts (e.g., 109.9K Medicare claims and 203.4K Medicaid claims). The presence of A0428 (BLS non-emergency) and procedure-level codes such as A0433 (ALS2) and A0434 (SCT) at smaller volumes shows the organization also provides non-emergency and higher-acuity transports, but these are secondary revenue drivers.
This provider is a major national outlier on Medicare for key ambulance codes: A0427 ranks #25 of 6841 providers nationally (100th percentile; extreme outlier), A0429 ranks #111 of 7808 (99th percentile; notably above typical national volume), and A0425 ranks #123 of 8934 (99th percentile; extreme outlier). Those national standings indicate unusually high Medicare activity in core ambulance lines compared with national peers.
The provider is a dominant statewide Medicaid performer for ambulance services: A0427 ranks #2 of 87 providers in-state (99th percentile; extreme outlier), while A0429, A0425, and A0428 each rank #1 in-state (A0429 #1 of 81, 100th percentile; A0425 #1 of 111, 100th percentile; A0428 #1 of 47, 100th percentile). These ranks show the provider captures an outsized share of in-state Medicaid ambulance volume and revenue.
Operational intensity is evident in claim volumes and per-claim payments: large claim counts such as 138.2K Medicaid claims for A0427 and 203.4K Medicaid claims for A0425 point to sustained, high-frequency transport operations and substantial mileage billing. Per-claim averages differ by payer (for example, A0427 averages $369 paid/claim on Medicare vs $261 paid/claim on Medicaid), indicating payer-level rate variation that will affect unit economics across payers.
The NPI has longstanding tenure: NPI enumerated 2006-07-16 (~20 years ago), consistent with an established EMS franchise that has scaled within its state Medicaid footprint and achieved notable penetration in Medicare ambulance billing as well. The combination of long tenure and concentrated code dominance suggests entrenched operational capacity for high-volume ambulance 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 10,800 | $370 | $4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,070 | $310 | $951.7K |
| A0425 | Ground mileage, per statute mile | 109,870 | $10 | $769.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,840 | $200 | $748.8K |
| A0433 | Advanced life support, level 2 (als 2) | 170 | $540 | $89.9K |
| A0434 | Specialty care transport (sct) | 130 | $630 | $83K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 180 | $230 | $42.1K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 138,150 | $260 | $36.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 43,290 | $240 | $10.2M |
| A0425 | Ground mileage, per statute mile | 203,420 | $30 | $5.9M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 25,880 | $130 | $3.5M |
| A0433 | Advanced life support, level 2 (als 2) | 1,920 | $350 | $664.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1,400 | $170 | $233.6K |
| A0434 | Specialty care transport (sct) | 80 | $420 | $34.1K |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
7 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) | 2 | 90 | 1,320 | $240 | $1.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 80 | 760 | $210 | $554.1K |
| A0425 | Ground mileage, per statute mile | 1 | 110 | 2,080 | $60 | $501.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 50 | 370 | $120 | $286.5K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 100 | $340 | $187.8K |
| A0434 | Specialty care transport (sct) | 5 | 10 | 170 | $450 | $169.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 11 | 40 | 90 | $160 | $132.4K |
Other providers in the same ZIP code as Emergency Medical Services Authority, ranked by combined Medicare and Medicaid revenue.
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