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NPI 1760472070 · Joliet, IL · Land Ambulance
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City Of Joliet is a land ambulance provider located in Joliet, Illinois. This profile covers 4 Medicare and 3 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 | City Of Joliet |
| Address | 101 E Clinton St |
| City | Joliet |
| State | IL |
| ZIP | 60432 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 27, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $50.8M |
| Medicare | $1M |
CITY OF JOLIET is classified under the Land Ambulance taxonomy and its billing mix is dominated by emergency transport services. The two highest-revenue codes for both payers are A0427 (advanced life support, emergency transport) and A0429 (basic life support, emergency transport), with ground mileage (A0425) also present, which together indicate this entity operates as a traditional ambulance/EMS provider focused on both ALS and BLS emergency transports and associated mileage billing.
Medicare revenue is highly concentrated in three codes: A0427 ($716.1K, 70.8%), A0429 ($238.3K, 23.5%), and A0425 ($45.6K, 4.5%); these top three account for 98.8% of the provider's total Medicare revenue. That concentration signals Medicare income is almost entirely tied to emergency transport services rather than ancillary or diverse procedure lines.
Medicaid revenue shows an even stronger concentration: A0429 ($25.3M, 49.9%), A0427 ($24.9M, 49.0%), and A0425 ($563.7K, 1.1%) together represent 100.0% of Medicaid revenue. This means the provider’s entire Medicaid book of business, as reported, is derived from the same narrow set of ambulance transport and mileage codes.
Payer mix is heavily skewed toward Medicaid in scale: total Medicare revenue is $1M while total Medicaid revenue is $50.8M, so Medicaid constitutes the vast majority of reported lifetime revenue. Operational and financial planning for this provider will therefore be driven primarily by Medicaid contracting, volume, and payment rates rather than Medicare.
Competitive standing diverges by payer: on Medicare the provider posts relatively typical national volumes for its top codes (A0427 ranks #405 of 6841, 94th percentile; A0429 ranks #838 of 7808, 89th percentile; A0425 ranks #2802 of 8934, 69th percentile), indicating a modest national footprint. By contrast, the provider is a leading in-state performer on Medicaid for the same services (A0429 ranks #10 of 339, A0427 ranks #11 of 362, A0425 ranks #16 of 448; all at the 97th percentile), which characterizes it as a major player in Illinois Medicaid ambulance billing for these codes.
Reported average paid-per-claim differs markedly between payers: Medicare averages are A0427 $419/claim and A0429 $353/claim while Medicaid averages are A0427 $1318/claim and A0429 $1422/claim; ground mileage averages are $7/claim (Medicare) vs $15/claim (Medicaid). These per-claim disparities reflect materially different payment levels between the two payers for identical ambulance services as presented in the data.
Operational scale is reflected in claim volume differences across payers: Medicaid shows much higher claim counts (18.9K claims for A0427, 17.8K for A0429, 37.6K for A0425), indicating heavy reliance on Medicaid volume to generate revenue, whereas Medicare claim counts are substantially lower (1.7K for A0427, 675 for A0429, 6.5K for A0425). The combination of high Medicaid claim counts and high Medicaid dollar totals suggests a sustained, high-tempo ambulance operation primarily serving Medicaid beneficiaries.
The provider has an established presence with an NPI enumeration date of 2005-10-27 (~21 years ago), indicating long tenure in the market. That longevity, combined with top in-state Medicaid rankings, supports the interpretation of CITY OF JOLIET as a well-established local EMS/ambulance operator with operations concentrated in emergency 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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,710 | $420 | $716.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 680 | $350 | $238.3K |
| A0425 | Ground mileage, per statute mile | 6,510 | $10 | $45.6K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $600 | $11.9K |
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 17,830 | $1,420 | $25.3M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 18,910 | $1,320 | $24.9M |
| A0425 | Ground mileage, per statute mile | 37,580 | $20 | $563.7K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
3 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) | 11 | 360 | 1,340 | $910 | $4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10 | 340 | 1,050 | $770 | $2.8M |
| A0425 | Ground mileage, per statute mile | 16 | 450 | 2,450 | $40 | $602.5K |
Other providers in the same ZIP code as City Of Joliet, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Aunt Martha's Health And Wellness, Inc. | IL | Federally Qualified Health Center (FQHC) | $0 | $10.6M |
| Payal Sud | IL | Clinical Social Worker | $66.6K | $3.2M |
| Shanthi Gopi | IL | Pediatrics Physician | $0 | $3.2M |
| Gregory Price | IL | Diagnostic Radiology Physician | $233K | $237.5K |
| Michelle Fouche | IL | Physician Assistant | $328K | $0 |
| Jeffry Tyler | IL | Diagnostic Radiology Physician | $110.2K | $213.3K |
| Heather Taras | IL | Emergency Medicine Physician | $82.8K | $232.1K |
| Ramana Yedavalli | IL | Vascular & Interventional Radiology Physician | $69.8K | $0 |
| Boris Nulman | IL | Interventional Pain Medicine Physician | $47.4K | $3.2K |
| Adamina Podraza | IL | Anesthesiology Physician | $43.4K | $1.3K |
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