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NPI 1841257391 · Reno, NV · Ambulance
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Regional Emergency Medical Services Authority is a ambulance provider located in Reno, Nevada. This profile covers 9 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 | Regional Emergency Medical Services Authority |
| Address | 450 Edison Way |
| City | Reno |
| State | NV |
| ZIP | 89502 |
| Taxonomy | Ambulance |
| NPI Enumerated | April 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $26.1M |
| Medicare | $8.2M |
This provider’s billing profile is concentrated in emergency and advanced transport services: its Medicare top revenue codes include A0427 (6.2K claims, $2.5M revenue), A0431 (434 claims, $2.1M revenue) and A0429 (3.8K claims, $1.3M revenue), and Medicaid top codes mirror that mix with A0427 (72.7K claims, $12.4M revenue), A0429 (43.4K claims, $5.9M revenue), and A0431 (2.2K claims, $3M revenue). The code mix—ALS emergency, BLS emergency, and rotary wing air transport—indicates an operational focus on both high-acuity ground ALS responses and significant air-medical capability across payers.
Revenue concentration is high for both payers: the top three Medicare codes account for 71.8% of Medicare revenue and the top three Medicaid codes account for 81.2% of Medicaid revenue. This level of concentration suggests the enterprise’s financial performance is heavily dependent on a small set of emergency transport services rather than a broad ancillary portfolio.
On payer scale, Medicaid dominates this provider’s payer mix by absolute dollars: reported Medicaid revenue is $26.1M versus Medicare revenue of $8.2M. That disparity implies the organization operates with a Medicaid-heavy revenue base and will be more sensitive to Medicaid payment rates and state-level contracting dynamics than to Medicare alone.
Nationally for Medicare, this provider is a clear high-volume outlier on several core codes: A0427 ranks #99 of 6841 (99th percentile, extreme outlier) and A0429 ranks #80 of 7808 (99th percentile, extreme outlier), while A0431 ranks #23 of 348 (94th percentile, typical, unremarkable volume). These rankings indicate the provider handles far higher-than-typical Medicare volumes for primary emergency ground transports and is also among the larger national billers of air transport.
Within Nevada Medicaid, the provider holds top-tier positions on several key codes: A0427 ranks #4 of 30 (90th percentile, typical, unremarkable volume), A0429 ranks #4 of 27 (88th percentile, typical, unremarkable volume), and A0431 ranks #2 of 5 (75th percentile, typical, unremarkable volume); additionally A0433 is #1 of 7 (100th percentile, notably above typical). These in-state ranks, together with a notably above-typical position on ground mileage A0425 (#3 of 37, 94th percentile), portray it as a major regional supplier of both emergency ALS and mileage-driven transport services.
Operationally the provider reports substantial rotary-wing activity across payers: Medicare shows A0431 (434 claims, $2.1M revenue) and A0436 rotary wing mileage (28.3K claims, $877.2K revenue), while Medicaid shows A0431 (2.2K claims, $3M revenue) and A0436 (2.2K claims, $1.8M revenue). The presence of high-paid-per-claim air transports on Medicare (A0431 avg paid/claim $4902) versus lower average payments on Medicaid (A0431 avg paid/claim $1328) also highlights significant payer-rate differences for the same service lines.
Several codes are flagged as statistical outliers or notably above typical volumes and should be noted for capacity and role implications: Medicare A0427 and A0429 are described as "extreme outlier" volumes, Medicare A0425 is "notably above typical," and Medicaid A0433 is at the 100th percentile ("notably above typical"). Such labels are consistent with this provider functioning as a primary emergency transport vendor in its region rather than a marginal participant.
The provider has an established tenure with NPI enumeration on 2006-04-27 (~20 years ago), indicating long-standing presence in the market. Combined with sustained high volumes and elite percentile ranks on multiple core transport codes, this longevity supports the interpretation of a stable, mission-critical EMS operator in its service area.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6,230 | $400 | $2.5M |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 430 | $4,900 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,800 | $340 | $1.3M |
| A0436 | Rotary wing air mileage, per statute mile | 28,300 | $30 | $877.2K |
| A0425 | Ground mileage, per statute mile | 92,030 | $10 | $644.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,620 | $210 | $554.8K |
| A0433 | Advanced life support, level 2 (als 2) | 230 | $580 | $133.6K |
| A0434 | Specialty care transport (sct) | 100 | $700 | $68.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 180 | $250 | $46.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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 |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 72,740 | $170 | $12.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 43,430 | $140 | $5.9M |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 2,230 | $1,330 | $3M |
| A0436 | Rotary wing air mileage, per statute mile | 2,210 | $820 | $1.8M |
| A0425 | Ground mileage, per statute mile | 128,280 | $10 | $1.8M |
| A0433 | Advanced life support, level 2 (als 2) | 3,200 | $210 | $658.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 8,420 | $80 | $648.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 120 | $130 | $15.6K |
How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nevada median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 2 | 10 | 180 | $1,570 | $6.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4 | 30 | 1,560 | $300 | $5.7M |
| A0436 | Rotary wing air mileage, per statute mile | 2 | 10 | 180 | $1,020 | $4.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 30 | 660 | $210 | $2.3M |
| A0425 | Ground mileage, per statute mile | 3 | 40 | 1,900 | $20 | $406.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 10 | 1,570 | $100 | $383.4K |
| A0433 | Advanced life support, level 2 (als 2) | 1 | 10 | 1,400 | $260 | $374.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 6 | 10 | 970 | $130 | $238.5K |
Other providers in the same ZIP code as Regional Emergency Medical Services Authority, ranked by combined Medicare and Medicaid revenue.
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