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NPI 1790005858 · Seattle, WA · Air Ambulance
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University Of Washington is a air ambulance provider located in Seattle, Washington. This profile covers 4 Medicare and 5 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 | University Of Washington |
| Address | 6987 Perimeter Rd S |
| City | Seattle |
| State | WA |
| ZIP | 98108 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | June 10, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $21.3M |
| Medicare | $7.3M |
University of Washington is registered under the Air Ambulance taxonomy and its billing mix is dominated by air-transport services: Medicare top revenue codes include A0431, A0430, and A0435 and Medicaid top revenue codes include A0430, A0435, and A0431. The presence of both fixed wing (A0430, A0435) and rotary wing (A0431, A0436) codes indicates an operation that provides both long-distance fixed-wing transports and rotary-wing missions rather than a single-mode service line. This code mix is consistent with a full-spectrum air ambulance operator rather than a ground-only EMS vendor.
Revenue concentration is high for both payers: the top 3 Medicare codes account for 84.8% of this provider's total Medicare revenue and the top 3 Medicaid codes account for 80.4% of this provider's total Medicaid revenue. For Medicare the largest single contributor is A0431 with $3.2M revenue (43.6% of Medicare revenue), while for Medicaid the revenue is split across A0430 ($5.8M, 27.3%), A0435 ($5.7M, 26.6%), and A0431 ($5.7M, 26.5%).
The provider’s payer mix is heavily weighted toward Medicaid by scale: total Medicaid revenue is $21.3M versus total Medicare revenue of $7.3M, making Medicaid roughly three times larger in absolute reported revenue. This indicates that Medicaid payment policies and state contracts likely have an outsized influence on the provider’s overall cash flow and utilization patterns.
Competitive standing on Medicare is generally high-percentile for air-ambulance codes: A0431 ranks #16 of 348 providers nationally (96th percentile; typical, unremarkable volume for this code), A0430 ranks #8 of 92 providers nationally (92th percentile; typical, unremarkable volume for this code), and A0435 ranks #5 of 92 providers nationally (96th percentile; notably above typical national volume for this code). The 96th-percentile placement for A0435 suggests this provider is a notable national-volume operator specifically for fixed-wing mileage billing, while other Medicare code ranks show it is an established but not uniquely dominant national participant.
Within Washington Medicaid, the provider appears to be the primary in-state billing entity for major air-ambulance codes: A0430 and A0435 both rank #1 of 2 in-state (100th percentile; typical, unremarkable volume for these codes), while A0431 and A0436 each rank #1 of 1 in-state (0th percentile; no state peer volume comparison available). This positioning implies the provider is effectively the leading in-state source of Medicaid billings for fixed- and rotary-wing air transport, giving it a strong local footprint and limited in-state competition for those code lines.
Payer-specific billing patterns show substantial differences in claim counts and per-claim payments: for Medicare A0435 shows 134.1K claims at $11 avg paid/claim producing $1.5M revenue, whereas for Medicaid A0435 there are 4.7K claims at $1193 avg paid/claim producing $5.7M revenue. Likewise, Medicare A0431 has 686 claims at $4612 avg paid/claim ($3.2M) while Medicaid A0431 has 5.6K claims at $1014 avg paid/claim ($5.7M). These contrasts point to materially different rate structures and/or billing patterns between Medicare and Medicaid for mileage and base transport codes and suggest analysts should treat per-claim economics as payer-specific.
The provider has a sustained operational history: NPI enumerated on 2010-06-10 (~16 years ago), indicating long-tenured participation in public-payer programs. That tenure combined with the high concentration in a few air-ambulance codes suggests established referral and transport pipelines rather than a newly emerging service line.
There are minor, notable items in Medicaid detail that warrant attention: A0225 (neonatal transport base rate) is reported with 13 claims but shows $0 avg paid/claim and $0 revenue, indicating recorded activity without corresponding paid amounts in the dataset. Analysts evaluating neonatal transport capacity or reimbursement should verify whether those zero-dollar entries reflect denials, carve-outs, or coding/reporting anomalies rather than delivered uncompensated 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 |
|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 690 | $4,610 | $3.2M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 390 | $3,870 | $1.5M |
| A0435 | Fixed wing air mileage, per statute mile | 134,150 | $10 | $1.5M |
| A0436 | Rotary wing air mileage, per statute mile | 36,780 | $30 | $1.1M |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 4,700 | $1,240 | $5.8M |
| A0435 | Fixed wing air mileage, per statute mile | 4,750 | $1,190 | $5.7M |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 5,570 | $1,010 | $5.7M |
| A0436 | Rotary wing air mileage, per statute mile | 5,530 | $760 | $4.2M |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 10 | $0 | $0 |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 1 | 10 | 5,570 | $1,010 | $5.7M |
| A0436 | Rotary wing air mileage, per statute mile | 1 | 10 | 5,530 | $760 | $4.2M |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 1 | 10 | 2,390 | $1,240 | $3M |
| A0435 | Fixed wing air mileage, per statute mile | 1 | 10 | 2,420 | $1,180 | $2.8M |
| A0225 | Ambulance service, neonatal transport, base rate, emergency transport, one way | 2 | 10 | 60 | $0 | $0 |
Other providers in the same ZIP code as University Of Washington, ranked by combined Medicare and Medicaid revenue.
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