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NPI 1750354528 · Tacoma, WA · Land Ambulance
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Central Pierce Fire & Rescue is a land ambulance provider located in Tacoma, Washington. This profile covers 4 Medicare and 11 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 | Central Pierce Fire & Rescue |
| Address | 17520 22nd Ave E |
| City | Tacoma |
| State | WA |
| ZIP | 98445 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $48.7M |
| Medicare | $1.4M |
The provider’s taxonomy (Land Ambulance) and claim mix are dominated by emergency transport CPT/HCPCS codes, with A0427 (advanced life support, emergency transport) and A0429 (basic life support, emergency transport) appearing among the top codes for both payers. This pattern indicates primary operations are ground ambulance transports with a strong ALS presence rather than, for example, interfacility non-emergency transports or unrelated outpatient services.
Medicare revenue is highly concentrated in a very small set of transport codes: the top three Medicare codes (including A0427, A0429, A0425) account for 96.3% of this provider’s total Medicare revenue. A0427 alone represents $1M revenue from 2.6K claims at $407 avg paid/claim (72.2% of the provider's total Medicare revenue), underscoring that a single ALS emergency transport code drives the bulk of Medicare receipts.
Medicaid revenue is extremely concentrated and driven overwhelmingly by one code: the top three Medicaid codes (including A0999, A0427, A0429) account for 98.6% of the provider’s total Medicaid revenue. In particular, A0999 (Unlisted ambulance service) accounts for $45.6M revenue from 17.6K claims at $2588 avg paid/claim (93.6% of the provider's total Medicaid revenue), marking this code as the principal Medicaid revenue source.
The payer mix is heavily skewed toward Medicaid in absolute scale: total Medicare revenue is $1.4M versus total Medicaid revenue of $48.7M, indicating the provider is effectively Medicaid-dominant in revenue generation. Analysts should treat Medicaid performance and coding patterns as the primary driver of this entity’s financial footprint.
Nationally the provider’s Medicare volumes for its lead code are high in percentile terms but described as typical in volume: A0427 ranks #270 of 6841 providers nationally (96th percentile; typical, unremarkable volume) while A0429 ranks #863 of 7808 (89th percentile; typical, unremarkable volume). These placements suggest the provider participates at meaningful national scale for ALS/BLS emergency transports without being anomalous within Medicare datasets.
By contrast, the provider is a clear statewide outlier on Medicaid for unlisted ambulance services: A0999 ranks #2 of 88 providers in-state (99th percentile; extreme outlier), and A0427 ranks #4 of 98 in-state (97th percentile; notably above typical state volume). Those standings indicate a dominant in-state role for Medicaid ambulance billing, particularly driven by the unlisted-code category.
Several Medicaid-reported supply and support codes show high claim counts but $0 avg paid/claim and $0 revenue (for example A0398, A0422, A0394, A0382, 93005, 94760), with some of those codes ranking #1 in-state. This pattern is consistent with extensive reporting of disposable supplies, oxygen, and monitoring items that are not separately reimbursed in the state dataset and should be treated as a coding/reporting artifact rather than independent revenue drivers.
The provider has been NPI-enumerated since 2006-02-10 (~20 years ago), indicating a long-tenured EMS operation. Coupled with the concentrated Medicaid billing footprint and high ranks on key codes, the tenure supports interpretation of an established regional ambulance provider rather than a newly entered or short-lived billing entity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,570 | $410 | $1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 650 | $340 | $223K |
| A0425 | Ground mileage, per statute mile | 18,050 | $10 | $126.3K |
| A0433 | Advanced life support, level 2 (als 2) | 90 | $590 | $53.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 17,630 | $2,590 | $45.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 14,250 | $100 | $1.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11,140 | $90 | $1M |
| A0425 | Ground mileage, per statute mile | 26,170 | $30 | $654.3K |
| A0433 | Advanced life support, level 2 (als 2) | 300 | $120 | $37.7K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 7,630 | $0 | $0 |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 40 | $0 | $0 |
| A0382 | Bls routine disposable supplies | 630 | $0 | $0 |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 7,250 | $0 | $0 |
| A0398 | Als routine disposable supplies | 3,250 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 2 | 90 | 1,150 | $1,820 | $4.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14 | 150 | 1,340 | $120 | $719.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4 | 100 | 1,400 | $120 | $404.9K |
| A0425 | Ground mileage, per statute mile | 11 | 170 | 2,040 | $40 | $373.3K |
| A0433 | Advanced life support, level 2 (als 2) | 4 | 10 | 110 | $180 | $94.7K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 54 | 130 | 3,530 | $10 | $83K |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 62 | 80 | 160 | $1 | $680 |
| A0398 | Als routine disposable supplies | 1 | 10 | 180 | $1 | $50 |
| A0382 | Bls routine disposable supplies | 2 | 10 | 320 | $1 | $20 |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 10 | 1,190 | $1 | $20 |
Showing 1–10 of 11
Other providers in the same ZIP code as Central Pierce Fire & Rescue, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Total Renal Care Inc | WA | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $3.1M |
| Recovery Innovations, Inc | WA | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $2.7M |
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