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NPI 1790763522 · Clovis, NM · Ambulance
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City Of Clovis is a ambulance provider located in Clovis, New Mexico. This profile covers 5 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 | City Of Clovis |
| Address | 320 Mitchell St |
| City | Clovis |
| State | NM |
| ZIP | 88101 |
| Taxonomy | Ambulance |
| NPI Enumerated | January 3, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.4M |
| Medicare | $652.1K |
City of Clovis is an ambulance-focused operator (Taxonomy: Ambulance) whose Medicare and Medicaid billing is dominated by emergency transport codes and ground mileage, indicating a front-line EMS/transport service. The presence of high-revenue codes A0427 (advanced life support, emergency) and A0429 (basic life support, emergency) alongside large A0425 (ground mileage) volumes shows the operation centers on emergency response transports rather than primarily non-emergency transfers, with non-emergency codes like A0428 and A0426 representing much smaller shares of reported revenue.
The provider’s payer mix is heavily skewed toward Medicaid by scale: total Medicare revenue is $652.1K while total Medicaid revenue is $4.4M, so Medicaid comprises the clear majority of recorded lifetime public-payer revenue. This makes the entity effectively Medicaid-dominant in absolute dollars on this dataset rather than balanced or Medicare-dominant.
Revenue concentration is very high on both payers: the top 3 Medicare codes account for 91.9% of this provider’s Medicare revenue, driven by A0427 (46.9%), A0425 (23.0%), and A0429 (22.0%). The Medicaid book is even more concentrated with the top 3 codes accounting for 96.9% of Medicaid revenue, led by A0427 (47.3%), A0429 (37.9%), and A0425 (11.7%), indicating a narrow set of service lines produce nearly all reimbursed revenue.
Claim-volume patterns reinforce the emergency-transport focus and the Medicaid dominance in utilization: Medicare counts for A0427 and A0429 are 815 and 458 claims respectively, while Medicaid counts for A0427 and A0429 are 8.8K and 7.3K claims respectively, showing far higher utilization of emergency transports on Medicaid. Ground mileage is billed heavily to both payers (A0425: 18.7K Medicare claims and 17.7K Medicaid claims), underscoring mileage as a consistent revenue driver across payers.
National competitive standing on Medicare is modest-to-moderately strong for the provider’s top codes: A0427 ranks #942 of 6841 (86th percentile), A0425 ranks #1152 of 8934 (87th percentile), and A0429 ranks #1225 of 7808 (84th percentile) and are all labelled as "typical, unremarkable volume," suggesting this provider performs above the median nationally but is not an outsized or dominant national operator for these services.
In-state competitive standing on Medicaid shows a more prominent role: the provider ranks #7 of 53 for A0427 (88th percentile), #10 of 56 for A0429 (84th percentile), and #7 of 65 for A0425 (91th percentile), with labels indicating typical volume but placing the provider among the higher-volume in-state suppliers for emergency ALS, BLS emergency, and mileage billing. This pattern signals relative local importance for Medicaid emergency transport capacity.
The provider has a long tenure in the NPI registry (enumerated 2006-01-03 (~20 years ago)), consistent with an established municipal or community ambulance service rather than a recently created entrant; that longevity aligns with the sustained, concentrated billing patterns seen across both payers.
There are no extreme statistical outliers in the supplied code-level metrics; most top codes are described as "typical, unremarkable volume" despite high percentile ranks, and lower-percentile entries such as Medicaid A0426 (rank #9 of 12, 18th percentile) reflect limited non-emergency ALS activity rather than anomalous spikes, suggesting the provider’s profile is concentrated and steady rather than erratic.
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) | 820 | $380 | $305.6K |
| A0425 | Ground mileage, per statute mile | 18,700 | $10 | $149.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 460 | $310 | $143.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 190 | $200 | $38.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 60 | $240 | $14.4K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8,820 | $240 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7,300 | $230 | $1.7M |
| A0425 | Ground mileage, per statute mile | 17,690 | $30 | $512.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,050 | $120 | $127.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 70 | $110 | $7.8K |
How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Mexico median
5 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) | 7 | 50 | 1,320 | $270 | $2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10 | 60 | 1,850 | $260 | $1.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 14 | 30 | 1,050 | $120 | $515.6K |
| A0425 | Ground mileage, per statute mile | 7 | 70 | 2,010 | $50 | $332.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 9 | 10 | 560 | $120 | $225.1K |
Other providers in the same ZIP code as City Of Clovis, ranked by combined Medicare and Medicaid revenue.
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