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NPI 1801968243 · Ogden, UT · Ambulance
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Ogden City Corporation is a ambulance provider located in Ogden, Utah. This profile covers 6 Medicare and 8 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 | Ogden City Corporation |
| Address | 2186 Lincoln Ave |
| City | Ogden |
| State | UT |
| ZIP | 84401 |
| Taxonomy | Ambulance |
| NPI Enumerated | November 14, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $17M |
| Medicare | $689.2K |
Service-line profile: OGDEN CITY CORPORATION is an ambulance operator focused on basic and advanced life support transports, with its Medicare and Medicaid billing dominated by ambulance transport codes such as A0429, A0427 and A0428. The Medicare top codes (A0429, A0427, A0428) and the Medicaid top codes (A0429, A0425, A0428) reflect a mix of emergency BLS and ALS emergency and non‑emergency transports plus ground mileage, consistent with a municipal or third‑party ambulance provider rather than a specialty clinic or hospital service line.
Medicaid revenue concentration: Medicaid revenue is highly concentrated in A0429, which alone accounts for $16.6M and 97.4% of this provider’s total Medicaid revenue, and the precomputed top‑3 Medicaid codes together account for 99.5% of Medicaid revenue. This extreme concentration indicates that Medicaid reimbursements are almost entirely driven by basic life support emergency transports in this provider’s mix.
Medicare revenue concentration: On Medicare the provider’s top three codes account for 83.2% of its total Medicare revenue, with A0429 generating $301.5K (43.6% of Medicare revenue), A0427 $141.4K (20.5%), and A0428 $131.9K (19.1%). This shows Medicare income is also concentrated in transport services, particularly emergency BLS (A0429) and ALS emergency (A0427), but the absolute Medicare pool ($689.2K) is small relative to Medicaid.
Payer mix and scale: The provider is effectively Medicaid‑dominant by revenue scale, reporting $17M in Medicaid revenue versus $689.2K in Medicare revenue, indicating that Medicaid contracts or caseloads underlie the bulk of its business. Analysts should treat this entity as primarily a Medicaid-reimbursed ambulance operator for competitive and utilization benchmarking.
Competitive standing — Medicaid: For its core Medicaid code A0429 the provider ranks #2 of 56 in-state (98th percentile), signifying a near‑top statewide position for BLS emergency transports; A0425 (ground mileage) ranks #3 of 62 in-state (97th percentile) which also signals a leading in‑state mileage volume. These rankings mark the provider as a major in-state participant for Medicaid ambulance services rather than a marginal supplier.
Competitive standing — Medicare: Nationally, the provider’s A0429 activity ranks #555 of 7808 (93th percentile), indicating above‑average national volume for that BLS emergency code, while A0427 and A0428 rank in the 71th percentile range and lower for some ALS codes. Taken together, the provider shows pockets of above‑average national presence on key Medicare transport codes but is not a nationwide dominant ambulance provider based on overall Medicare revenue.
Claims/payment anomalies for supplies: Several disposable/supply codes in the Medicaid file show substantial claim counts with $0 average paid per claim and $0 revenue reported (for example A0394 has 2.3K claims and is flagged as "notably above typical state volume" while showing $0 revenue). This pattern—high claim volume but no recorded Medicaid payments for specific supply codes—warrants attention when reconciling claims detail against paid amounts or contract terms.
Tenure and operational stability: The provider’s NPI has been enumerated since 2006-11-14 (~20 years ago), indicating long tenure and an established presence in the local ambulance market; the sustained, large Medicaid volumes (e.g., 25.3K A0429 claims) support a picture of ongoing operational scale rather than a short‑term or new entrant supplier.
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 |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 950 | $320 | $301.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 370 | $380 | $141.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 660 | $200 | $131.9K |
| A0425 | Ground mileage, per statute mile | 14,040 | $10 | $98.3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 40 | $240 | $9.3K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $550 | $8.8K |
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 25,310 | $660 | $16.6M |
| A0425 | Ground mileage, per statute mile | 28,550 | $10 | $228.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,060 | $60 | $121.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 670 | $90 | $57K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 5,180 | $1 | $20.7K |
| A0382 | Bls routine disposable supplies | 10,280 | $1 | $10.3K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 2,350 | $0 | $0 |
| A0398 | Als routine disposable supplies | 2,240 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Utah median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 60 | 1,370 | $720 | $3.6M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 10 | 80 | $20 | $1.1M |
| A0425 | Ground mileage, per statute mile | 3 | 60 | 1,510 | $20 | $628.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9 | 30 | 370 | $100 | $135.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 4 | 30 | 170 | $10 | $11.8K |
| A0382 | Bls routine disposable supplies | 2 | 30 | 1,320 | $1 | $4.1K |
| A0398 | Als routine disposable supplies | 10 | 30 | 850 | $1 | $1.3K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 1 | 10 | 340 | $1 | $70 |
Other providers in the same ZIP code as Ogden City Corporation, ranked by combined Medicare and Medicaid revenue.
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