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NPI 1770528606 · Fargo, ND · Land Ambulance
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Fm Ambulance Service, Inc is a land ambulance provider located in Fargo, North Dakota. This profile covers 5 Medicare and 6 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 | Fm Ambulance Service, Inc |
| Address | 2215 18th St S |
| City | Fargo |
| State | ND |
| ZIP | 58103 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $23.8M |
| Medicare | $2M |
FM AMBULANCE SERVICE, INC is effectively a Medicaid-focused ambulance operator by scale: lifetime Medicaid revenue is $23.8M versus total Medicare revenue of $2M, so Medicaid represents the dominant portion of reported public-payer receipts. Both payers are active on file, but the Medicaid book of business is an order of magnitude larger than the Medicare book.
Revenue concentration is very high on both payers’ top emergency transport services. For Medicare, the precomputed top-3 codes account for 95.5% of Medicare revenue, driven primarily by A0427, A0429, and A0425; for Medicaid the precomputed top-3 codes account for 93.7% of Medicaid revenue, with A0429, A0427, and A0425 composing the dominant share. These concentrations indicate most public-payer dollars flow from a narrow set of emergency transport and mileage codes.
The provider’s service mix is classic ground ambulance emergency transport: A0429 (BLS emergency) and A0427 (ALS 1 emergency) are the largest revenue drivers on both payers, and ground mileage (A0425) is also a material line item. Medicaid activity shows 34.5K claims for A0429 and 20.8K claims for A0427, and Medicare shows 2.4K claims for A0427 and 2.2K claims for A0429, reflecting an operational emphasis on high-volume emergency transports across payers.
Competitive standing differs sharply by payer and by code. In-state Medicaid rankings show FM AMBULANCE as the clear market leader for its top codes—A0429, A0427 and A0425 all rank #1 in-state and are labeled “extreme outlier, far above typical state volume,” indicating a dominant statewide presence for those services. Nationally on Medicare, A0429 ranks #168 of 7808 providers (98th percentile; noted as “notably above typical national volume”), while A0427 ranks #291 of 6841 (96th percentile; described as “typical, unremarkable volume”), so the provider is unusually strong on BLS emergency nationally but otherwise shows mixed national visibility.
Payment-rate patterns show payer-level differences that affect revenue composition: Medicare average paid per claim for A0427 is $402 and for A0429 is $339, whereas Medicaid average paid per claim for A0427 is $354 and for A0429 is $353. Ground mileage (A0425) shows a marked disparity in average paid per claim between Medicare ($7) and Medicaid ($44), which contributes to differences in revenue per trip across payers and could reflect differing fee schedules or billing practices between the programs.
Claims volume underscores operational scale in Medicaid: A0425 has 62.5K Medicaid claims and A0429 has 34.5K Medicaid claims, while Medicare counts are much lower (33.4K Medicare claims for A0425 and ~2.2–2.4K claims for the top transport codes). These claim counts, combined with the top-code concentration, suggest the organization runs a high-frequency transport operation in-state, particularly for Medicaid beneficiaries.
The dataset flags multiple plain-English statistical labels that sharpen interpretation: Medicaid rankings for the top codes are “extreme outlier, far above typical state volume,” while Medicare’s A0429 is “notably above typical national volume” and other Medicare top codes are characterized as “typical, unremarkable volume.” Put together, that pattern signals dominant in-state market share on core ambulance services but only selective above-average presence on the national Medicare stage.
FM AMBULANCE SERVICE, INC has a long-enough public record to be an established local operator—the NPI was enumerated on 2006-06-17 (~20 years ago)—which, coupled with $23.8M lifetime Medicaid revenue and $2M lifetime Medicare revenue, supports the conclusion of a sustained, Medicaid-heavy ambulance business with concentrated revenue exposure to a few high-volume transport and mileage codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,360 | $400 | $947.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,180 | $340 | $738.3K |
| A0425 | Ground mileage, per statute mile | 33,350 | $10 | $233.4K |
| A0433 | Advanced life support, level 2 (als 2) | 120 | $580 | $67.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 110 | $210 | $23K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 34,520 | $350 | $12.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 20,840 | $350 | $7.4M |
| A0425 | Ground mileage, per statute mile | 62,500 | $40 | $2.8M |
| A0998 | Ambulance response and treatment, no transport | 2,770 | $210 | $578.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,130 | $260 | $546.9K |
| A0433 | Advanced life support, level 2 (als 2) | 650 | $570 | $368.6K |
How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Dakota median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1 | 20 | 1,330 | $340 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1 | 20 | 1,740 | $370 | $1.3M |
| A0425 | Ground mileage, per statute mile | 1 | 20 | 2,080 | $100 | $703K |
| A0998 | Ambulance response and treatment, no transport | 1 | 10 | 1,740 | $220 | $338.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 10 | 190 | $210 | $269.1K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 340 | $570 | $194K |
Other providers in the same ZIP code as Fm Ambulance Service, Inc, ranked by combined Medicare and Medicaid revenue.
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