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NPI 1841535721 · Salem, OR · Land Ambulance
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Falck Northwest Corp is a land ambulance provider located in Salem, Oregon. This profile covers 6 Medicare and 7 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 | Falck Northwest Corp |
| Address | 1790 Front St Ne |
| City | Salem |
| State | OR |
| ZIP | 97301 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | December 4, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $20.8M |
| Medicare | $1.1M |
FALCK NORTHWEST CORP operates as a land ambulance provider with a heavy emphasis on emergency transport: the provider’s Medicare and Medicaid top revenue codes are dominated by ambulance transport services (A0427 and A0429), indicating core operations consist of ALS and BLS emergency response and transport rather than other ancillary services. The Medicaid top codes also include large ground-mileage and non-emergency BLS codes, pointing to a mixed emergency and non-emergency transport capability across payers.
The provider is effectively Medicaid-dominant on scale: total Medicare revenue is $1.1M while total Medicaid revenue is $20.8M, meaning the bulk of its billed revenue comes from Medicaid. This payer mix implies the organization’s operational footprint and revenue depend far more on Medicaid engagements than on Medicare.
Revenue concentration is acute on Medicare: the top 3 Medicare codes by revenue account for 98.2% of this provider's total Medicare revenue, with A0427 contributing $747.6K (64.9%), A0429 $300.7K (26.1%), and A0425 $83.5K (7.2%). This concentration shows Medicare receipts are almost entirely driven by a narrow set of ambulance transport and mileage services, leaving little Medicare revenue diversification.
Medicaid revenue is also concentrated but slightly more distributed: the top 3 Medicaid codes by revenue account for 84.2% of this provider's total Medicaid revenue, led by A0427 at $9.8M (47.1%), A0429 at $4.7M (22.6%), and A0425 at $3.0M (14.5%). Those three codes together drive the majority of Medicaid receipts and confirm that emergency transports plus mileage are the primary Medicaid service lines.
National competitive standing on key Medicare codes is high-percentile yet characterized as typical for the sector: A0427 ranks #353 of 6841 providers nationally (95th percentile) and A0429 ranks #571 of 7808 (93th percentile), both described as typical, unremarkable volume for these codes. Despite strong national ranks on those codes, Medicare revenue remains modest in absolute terms ($1.1M), so the provider is a high-percentile performer on specific ambulance codes but not a large national Medicare revenue generator.
Within Oregon Medicaid the provider is a dominant in-state player on multiple ambulance measures: A0427 ranks #5 of 88 providers in-state (95th percentile), A0429 ranks #2 of 68 providers in-state (99th percentile; labeled an "extreme outlier"), and A0425 ranks #2 of 105 providers in-state (99th percentile; labeled an "extreme outlier"). Additional Medicaid measures such as A0428 (rank #1 of 32 in-state, 100th percentile, labeled an "extreme outlier") further indicate the provider occupies a leading statewide position for both emergency and non-emergency ambulance volume and mileage.
Utilization patterns diverge materially between payers: Medicaid claim counts are large in absolute terms (e.g., A0427 37.7K claims, A0429 26.2K claims, A0425 94.6K claims) versus much smaller Medicare counts (A0427 1.9K claims, A0429 931 claims, A0425 11.9K claims). This suggests the provider’s operational tempo and resource deployment are concentrated on Medicaid populations and that Medicaid activity drives fleet utilization and mileage.
The provider’s NPI tenure (enumerated 2012-12-04, ~14 years ago) indicates an established operation; coupled with the high Medicaid volumes and repeated top-state rankings, the data imply sustained presence and scale in the Oregon ambulance market. Observed low Medicare volumes for some non-emergency Medicare codes (for example A0428 ranks #2660 of 2772 providers nationally, a low national rank) show that the provider’s dominant market strength is more pronounced in Medicaid than in Medicare.
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) | 1,950 | $380 | $747.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 930 | $320 | $300.7K |
| A0425 | Ground mileage, per statute mile | 11,930 | $10 | $83.5K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $550 | $11.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $240 | $6.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | $200 | $2.9K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 37,720 | $260 | $9.8M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 26,230 | $180 | $4.7M |
| A0425 | Ground mileage, per statute mile | 94,620 | $30 | $3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 28,210 | $90 | $2.4M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 4,020 | $120 | $482.6K |
| A0434 | Specialty care transport (sct) | 1,930 | $210 | $409.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 920 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
7 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) | 5 | 90 | 2,490 | $240 | $2M |
| A0434 | Specialty care transport (sct) | 6 | 20 | 530 | $670 | $850.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 70 | 1,600 | $170 | $661.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 30 | 340 | $70 | $141.2K |
| A0425 | Ground mileage, per statute mile | 2 | 110 | 2,790 | $10 | $134.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 20 | 270 | $100 | $56.5K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 1 | 10 | 590 | $1 | $50 |
Other providers in the same ZIP code as Falck Northwest Corp, ranked by combined Medicare and Medicaid revenue.
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