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NPI 1831263391 · Santa Fe, NM · Land Ambulance
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City Of Santa Fe Payroll is a land ambulance provider located in Santa Fe, New Mexico. 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 | City Of Santa Fe Payroll |
| Address | 200 Murales Rd |
| City | Santa Fe |
| State | NM |
| ZIP | 87501 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | November 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.3M |
| Medicare | $773.5K |
Business/service-line profile: CITY OF SANTA FE PAYROLL is a Land Ambulance provider whose Medicare and Medicaid activity is dominated by emergency and non-emergency transport codes (A0427, A0429, A0426, A0428). Medicare claim counts for core emergency codes include 953 claims for A0427 and 498 claims for A0429, while Medicaid volumes are much larger with 9K claims for A0429 and 5.6K claims for A0427, indicating the operation provides frequent billed transports across both emergency and routine settings. The presence of large ground mileage billing (A0425) on both payers further confirms a road-based ambulance fleet model rather than air or single-event services.
Revenue concentration: revenue is heavily concentrated in a very small set of transport codes for both payers — the top 3 Medicare codes account for 78.5% of this provider's total Medicare revenue, and the top 3 Medicaid codes account for 93.9% of total Medicaid revenue. This concentration means changes in utilization, reimbursement, or coding for A0427/A0429/A0426 (Medicare) and A0429/A0427/A0428 (Medicaid) would materially affect overall revenue. Such dependence on a few transport services is typical for single-specialty ambulance operations but elevates financial sensitivity to payer-level policy shifts for those codes.
Payer mix and scale: Medicaid ($4.3M) is the dominant payer for this provider compared with Medicare ($773.5K), making Medicaid the primary revenue stream by a wide margin. While the provider bills both payers, its Medicaid footprint is the larger operational and financial driver, so state-level reimbursement and contracting will have outsized impact on business performance.
Medicare competitive standing: on Medicare the provider shows above-typical national activity for several core codes — A0427 (44.9% of Medicare revenue) ranks #797 of 6841 providers (88th percentile), A0429 (19.6%) ranks #1127 of 7808 (86th percentile), and A0426 (14.0%) ranks #89 of 1568 (94th percentile). These percentiles indicate a stronger-than-average presence nationally for advanced life support and basic life support emergency transports, though the provider is not positioned as a top national leader across all ambulance codes (several codes are in more typical percentile ranges).
Medicaid (state) competitive standing: within New Mexico the provider is among higher-volume in-state operators for core Medicaid transport services — A0429 (51.9% of Medicaid revenue) ranks #8 of 56 providers (87th percentile) and A0427 (30.8%) ranks #10 of 53 providers (83th percentile). Ground-mileage billing on Medicaid (A0425: 18K claims, $8 avg paid/claim, $143.8K revenue) ranks #6 of 65 providers (92th percentile), suggesting notably high mileage reporting versus peers and a substantial operational footprint across the state.
Specific revenue drivers: on Medicare the largest single code is A0427 with $347.8K in revenue (44.9% of Medicare revenue), followed by A0429 with $151.9K (19.6%) and A0426 with $108.5K (14.0%). On Medicaid the top contributors are A0429 with $2.2M (51.9% of Medicaid revenue), A0427 with $1.3M (30.8%), and A0428 with $482K (11.2%). These figures show slightly different mixes by payer: Medicaid revenue is more heavily weighted to BLS emergency transport (A0429) while Medicare revenue has a larger single-code share from ALS emergency (A0427).
Operational intensity indicators: high Medicaid claim volumes (e.g., 9K claims for A0429 and 5.6K claims for A0427) combined with 18K A0425 mileage claims point to frequent short- or long-distance transports billed to Medicaid and a busy call/response cycle. Average paid-per-claim values (for example Medicare A0427 $365 avg paid/claim and Medicaid A0429 $249 avg paid/claim) suggest the provider consistently bills standard ambulance service rates rather than an outlier pricing pattern. These operational metrics underline that the provider’s day-to-day capacity and utilization are geared toward high-volume transport services.
Tenure and low-volume codes: the NPI has been enumerated since 2006-11-17 (~20 years ago), indicating long-standing operation in the market. Despite long tenure, some codes remain minimal contributors or low-percentile outliers on Medicare (A0433 at $6.8K, 13th percentile) and Medicaid (A0998 with $86 revenue, 0.0% of Medicaid revenue, 15th percentile), which suggests the provider focuses its resources on core transport services rather than ancillary response-and-treatment-only encounters.
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) | 950 | $370 | $347.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 500 | $310 | $151.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 470 | $230 | $108.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 540 | $190 | $104.8K |
| A0425 | Ground mileage, per statute mile | 7,810 | $10 | $54.7K |
| A0433 | Advanced life support, level 2 (als 2) | 10 | $530 | $6.8K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 9,000 | $250 | $2.2M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5,600 | $240 | $1.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,320 | $150 | $482K |
| A0425 | Ground mileage, per statute mile | 17,970 | $10 | $143.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 850 | $140 | $120.7K |
| A0998 | Ambulance response and treatment, no transport | 40 | $1 | $90 |
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
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) | 10 | 50 | 1,320 | $270 | $2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8 | 60 | 1,850 | $260 | $1.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8 | 30 | 1,050 | $120 | $515.6K |
| A0425 | Ground mileage, per statute mile | 6 | 70 | 2,010 | $50 | $332.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 6 | 10 | 560 | $120 | $225.1K |
| A0998 | Ambulance response and treatment, no transport | 23 | 30 | 470 | $40 | $77.6K |
Other providers in the same ZIP code as City Of Santa Fe Payroll, ranked by combined Medicare and Medicaid revenue.
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