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NPI 1801861950 · Davenport, IA · Land Ambulance
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Medic Ems is a land ambulance provider located in Davenport, Iowa. This profile covers 6 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 | Medic Ems |
| Address | 1204 E High St |
| City | Davenport |
| State | IA |
| ZIP | 52803 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.3M |
| Medicare | $2.5M |
MEDIC EMS’s billed services are concentrated in ground ambulance transport: its highest-revenue CPT/HCPCS codes are A0427 (ALS emergency), A0429 (BLS emergency) and A0425 (ground mileage), with those codes appearing prominently in both Medicare and Medicaid datasets. On Medicare A0427 accounts for $1.1M of billed revenue and on Medicaid A0427 accounts for $2.7M, illustrating that advanced life support emergency transports are a primary service line for this operator. The presence of A0426 and A0428 in both payers’ top codes shows the organization performs both emergency and non-emergency transports.
Revenue concentration is very high for each payer: the top 3 Medicare codes account for 83.6% of this provider’s Medicare revenue and the top 3 Medicaid codes account for 87.1% of its Medicaid revenue. This indicates MEDIC EMS’s financial performance is heavily dependent on a narrow set of ambulance and mileage codes rather than a broad mix of ancillary services.
MEDIC EMS is materially more reliant on Medicaid than Medicare by scale: lifetime Medicaid revenue is $6.3M while lifetime Medicare revenue is $2.5M. Both payers are active contributors to the business, but Medicaid is the larger single source of billed revenue based on the reported lifetime figures.
On Medicare MEDIC EMS shows above-average national presence for certain ambulance codes: A0427 ranks #220 of 6841 providers (97th percentile, described as notably above typical national volume) and contributes $1.1M in revenue. Other Medicare codes A0429 and A0425 also rank in the 97th percentile nationally but are labeled in the dataset as typical or unremarkable for national volumes, suggesting strong absolute volume for ambulance transport but not uniqueness across all peer providers.
In-state competitive standing on Medicaid is dominant for core ambulance services: A0427 (24.6K claims, $2.7M) ranks #2 of 92 providers in-state (99th percentile; extreme outlier), A0429 (18K claims, $1.7M) ranks #3 of 94 (98th percentile; extreme outlier), and A0425 (53.3K claims, $1M) ranks #2 of 157 (99th percentile; extreme outlier). Those rankings indicate MEDIC EMS is a major Medicaid transport provider in Iowa and an outlier in volume compared with most in-state peers.
Mileage billing is a major component of operations across both payers: A0425 appears with very high claim counts in Medicare (59.9K claims, $419.6K) and Medicaid (53.3K claims, $1M). The volume and relative revenue contribution of mileage suggest trips and distance-based billing materially influence overall reimbursement for this provider.
The provider’s service mix shows a clear emphasis on emergency transports but also a meaningful non-emergency business: Medicaid emergency codes (A0427 and A0429) have very large claim volumes (24.6K and 18K respectively) while non-emergency codes A0426 and A0428 appear with nontrivial Medicaid counts (4.4K and 5.7K) and corresponding Medicare presence (A0428 1.4K, A0426 361). This pattern indicates MEDIC EMS operates across both emergency and scheduled/non-emergency ground transport segments.
MEDIC EMS has a long-established billing history consistent with an incumbent EMS operator: NPI enumerated 2006-02-22 (~20 years ago). The combination of multi-year tenure and the reported lifetime revenues on Medicare ($2.5M) and Medicaid ($6.3M) supports that the vendor is a sustained regional player with concentrated ambulance and mileage revenue streams.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 3,050 | $380 | $1.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,560 | $320 | $494.2K |
| A0425 | Ground mileage, per statute mile | 59,940 | $10 | $419.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,400 | $200 | $277.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 360 | $240 | $86.3K |
| A0433 | Advanced life support, level 2 (als 2) | 70 | $540 | $39.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 24,600 | $110 | $2.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 17,990 | $100 | $1.7M |
| A0425 | Ground mileage, per statute mile | 53,280 | $20 | $1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4,370 | $100 | $419.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5,740 | $60 | $361.7K |
| A0433 | Advanced life support, level 2 (als 2) | 160 | $180 | $27.8K |
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa median
6 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) | 2 | 90 | 570 | $80 | $180.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 90 | 170 | $70 | $134.3K |
| A0425 | Ground mileage, per statute mile | 2 | 160 | 730 | $20 | $60.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 30 | 350 | $50 | $49.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 20 | 150 | $80 | $44K |
| A0433 | Advanced life support, level 2 (als 2) | 2 | 10 | 100 | $190 | $20.2K |
Other providers in the same ZIP code as Medic Ems, ranked by combined Medicare and Medicaid revenue.
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