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NPI 1811028269 · Columbus, OH · Ambulance
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City Of Columbus is a ambulance provider located in Columbus, Ohio. This profile covers 4 Medicare and 4 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 Columbus |
| Address | 3639 Parsons Ave |
| City | Columbus |
| State | OH |
| ZIP | 43207 |
| Taxonomy | Ambulance |
| NPI Enumerated | March 8, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $31.7M |
| Medicare | $3M |
CITY OF COLUMBUS bills as an ambulance operator with emergency ALS and BLS transports forming its core service line; the provider’s top Medicare and Medicaid revenue codes are A0427 and A0429, reflecting advanced life support and basic life support emergency transports respectively, with A0425 (ground mileage) and A0433 (ALS2) as supporting items. Medicare records show A0427 (5.5K claims, $375 avg paid/claim) and A0429 (2K claims, $315 avg paid/claim) as the primary paid items, while Medicaid volumes are much larger for the same codes (A0427: 163.4K claims, $126 avg paid/claim; A0429: 97.7K claims, $93 avg paid/claim), indicating front-line emergency transport operations at scale.
Revenue concentration is extremely high for both payers: the top three Medicare codes account for 98.6% of this provider’s total Medicare revenue and the top three Medicaid codes account for 98.9% of its total Medicaid revenue. This indicates that a very small set of ambulance-related HCPCS codes drive nearly all billed revenue and that reimbursement changes to those codes would have outsized budget impact.
The provider’s payer mix is heavily weighted toward Medicaid in absolute scale: total Medicare revenue is $3M versus total Medicaid revenue of $31.7M, making Medicaid the dominant revenue source by an order of magnitude. That imbalance implies operational and financial sensitivity to state Medicaid policy and rate changes for ambulance services.
Competitively, CITY OF COLUMBUS is an outlier on its top ambulance codes. For Medicare, A0427 ranks #111 of 6841 providers nationally (98th percentile; extreme outlier) and A0429 ranks #195 of 7808 providers nationally (98th percentile; notably above typical national volume), marking it well above typical national peers for emergency transport volume.
Within Ohio Medicaid, the provider is effectively dominant for core transport codes: A0427 ranks #1 of 505 providers in-state (100th percentile; extreme outlier) and A0429 ranks #2 of 475 providers in-state (100th percentile; extreme outlier), while A0425 (ground mileage) ranks #2 of 675 providers in-state (100th percentile; extreme outlier). These state-level ranks indicate City of Columbus is a major statewide provider of ground ambulance Medicaid transports.
Volume and unit-economics patterns differ by payer: Medicare shows higher avg paid/claim for top transports (A0427 $375; A0429 $315) on far smaller counts (5.5K and 2K claims respectively), whereas Medicaid exhibits substantially larger claim counts with lower avg paid/claim (A0427 163.4K claims at $126 avg; A0429 97.7K claims at $93 avg). This suggests revenue for Medicaid is driven by high utilization, while Medicare contributes higher per-claim payments but far lower total volume.
The presence of A0425 (ground mileage) as a consistent top-revenue code on both payers (Medicare: 34.8K claims, $7 avg paid/claim; Medicaid: 263.2K claims, $6 avg paid/claim) indicates mileage billing is a meaningful line-item and that operational metrics like average trip length and call volume materially affect reimbursement. High mileage claim counts on Medicaid amplify the provider’s exposure to any changes in per-mile rates or eligibility rules.
CITY OF COLUMBUS has an established billing history with its NPI enumerated on 2007-03-08 (~19 years ago), suggesting long-tenured participation in both Medicare and Medicaid programs and consistent claims patterns over time. That tenure, combined with the concentrated code mix and dominant in-state ranks, signals an entrenched municipal ambulance service with concentrated reimbursement risk tied to a few high-volume transport 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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5,490 | $380 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,960 | $320 | $618K |
| A0425 | Ground mileage, per statute mile | 34,790 | $10 | $243.5K |
| A0433 | Advanced life support, level 2 (als 2) | 80 | $540 | $41.4K |
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 163,430 | $130 | $20.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 97,690 | $90 | $9.1M |
| A0425 | Ground mileage, per statute mile | 263,200 | $10 | $1.6M |
| A0433 | Advanced life support, level 2 (als 2) | 2,700 | $130 | $340.3K |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
4 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) | 1 | 510 | 1,080 | $120 | $365.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 480 | 880 | $90 | $260K |
| A0425 | Ground mileage, per statute mile | 2 | 680 | 2,020 | $10 | $98.4K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 110 | $130 | $64.3K |
Other providers in the same ZIP code as City Of Columbus, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Maryhaven Inc. | OH | Substance Abuse Rehabilitation Facility | $0 | $90.9M |
| Drug Store Pharmacy Inc | OH | Pharmacy | $0 | $15.4M |
| Buckeye Health And Research LLC | OH | Family Medicine Physician | $0 | $10.3M |
| Maryhaven Inc. | OH | Community/Behavioral Health Agency | $0 | $7.3M |
| Hope 4 2morrow Counseling & Treatment Center LLC | OH | Substance Abuse Rehabilitation Facility | $0 | $6.9M |
| Columbus Neighborhood Health Center Inc | OH | Federally Qualified Health Center (FQHC) | $0 | $6.7M |
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