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NPI 1841791464 · Roseburg, OR · Land Ambulance
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Umpqua Valley Ambulance Service Inc. is a land ambulance provider located in Roseburg, Oregon. This profile covers 6 Medicare and 9 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 | Umpqua Valley Ambulance Service Inc. |
| Address | 1290 Ne Cedar St |
| City | Roseburg |
| State | OR |
| ZIP | 97470 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 28, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.4M |
| Medicare | $1.7M |
Payer mix and scale: UMPQUA VALLEY AMBULANCE SERVICE INC. reports $1.7M in total Medicare revenue and $5.4M in total Medicaid revenue, indicating the business is materially Medicaid‑weighted by revenue. The NPI was enumerated 2018-02-28 (~8 years ago), so this profile reflects roughly eight years of claims experience under the current identifier.
Core service line and operational profile: The provider bills classic ambulance transport services — advanced life support emergency transports (A0427), ground mileage (A0425), and basic life support emergency transports (A0429) dominate the code mix. On Medicare A0427 accounts for $1.1M revenue with 2.4K claims and $475 avg paid/claim, and on Medicaid A0427 accounts for $3.9M revenue with 18.8K claims and $205 avg paid/claim, signaling an operation focused on emergency ALS transports and mileage-driven billing.
Medicare revenue concentration: The top three Medicare codes account for 93.5% of the provider’s Medicare revenue, driven by A0427 (65.2%), A0425 (21.4%), and A0429 (6.9%). This concentration indicates Medicare receipts are overwhelmingly tied to emergency ambulance transports and associated mileage rather than a broad mix of ancillary services.
Medicaid revenue concentration and service nuance: The top three Medicaid codes account for 93.1% of Medicaid revenue, with A0427 at 72.0%, A0998 (ambulance response and treatment, no transport) at 13.4%, and A0425 at 7.7%. The sizable A0998 share suggests a notable portion of Medicaid activity is billed for response-and-treat events that do not result in transport, which materially differentiates the Medicaid claim mix from Medicare.
National competitive standing for Medicare codes: For Medicare A0427 the provider ranks #290 of 6841 (96th percentile; typical, unremarkable volume for this code) and for A0425 ranks #509 of 8934 (94th percentile; typical, unremarkable volume for this code). These placements indicate the provider is well above median volume nationally for core ambulance codes but still characterized in the source data as “typical, unremarkable volume” for each listed code.
State competitive standing for Medicaid codes: For Medicaid A0427 the provider ranks #9 of 88 (91th percentile; typical, unremarkable volume for this code) and A0998 ranks #5 of 21 (80th percentile; typical, unremarkable volume for this code), signaling a strong in‑state presence for ALS emergency response and a leading position for no‑transport response-and-treat activity among Oregon peers.
Mileage and geographic implications: Ground mileage counts are substantial across payers — Medicare A0425 shows 40.9K claims and Medicaid A0425 shows 21.6K claims — which, together with high A0427 volumes, imply either long average transport distances or a high frequency of trips that generate mileage billing. The mix of high mileage claims and ALS emergency transports is consistent with an ambulance provider serving larger catchment areas or dispersed communities.
Reported claims with zero reimbursement on Medicaid: Several non‑emergency transport codes appear with claims but $0 avg paid/claim and $0 revenue (A0130, A0100, T2005, T2049), indicating submitted non‑emergency NEMT or stretcher-van claims that did not generate paid Medicaid revenue. This pattern suggests the provider submits a broader set of transport codes than those that ultimately drive Medicaid revenue, and those zero‑paid lines should be reviewed when reconciling billed versus realized Medicaid payments.
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) | 2,360 | $480 | $1.1M |
| A0425 | Ground mileage, per statute mile | 40,850 | $10 | $367.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 300 | $400 | $119.2K |
| A0434 | Specialty care transport (sct) | 50 | $830 | $38.8K |
| A0433 | Advanced life support, level 2 (als 2) | 60 | $690 | $37.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 140 | $250 | $34.9K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 18,790 | $210 | $3.9M |
| A0998 | Ambulance response and treatment, no transport | 2,140 | $340 | $718K |
| A0425 | Ground mileage, per statute mile | 21,600 | $20 | $410.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,180 | $150 | $334K |
| A0434 | Specialty care transport (sct) | 20 | $2,360 | $37.8K |
| A0100 | Non-emergency transportation; taxi | 940 | $0 | $0 |
| A0130 | Non-emergency transportation: wheelchair van | 2,740 | $0 | $0 |
| T2005 | Non-emergency transportation; stretcher van | 90 | $0 | $0 |
| T2049 | Non-emergency transportation; stretcher van, mileage; per mile | 90 | $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
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0100 | Non-emergency transportation; taxi | 15 | 20 | 355,210 | $10 | $5.4M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9 | 90 | 2,490 | $240 | $2M |
| A0130 | Non-emergency transportation: wheelchair van | 14 | 20 | 32,690 | $20 | $1.7M |
| A0434 | Specialty care transport (sct) | 21 | 20 | 530 | $670 | $850.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 28 | 70 | 1,600 | $170 | $661.9K |
| T2005 | Non-emergency transportation; stretcher van | 13 | 10 | 3,110 | $50 | $221K |
| A0998 | Ambulance response and treatment, no transport | 5 | 20 | 230 | $200 | $212.5K |
| A0425 | Ground mileage, per statute mile | 11 | 110 | 2,790 | $10 | $134.1K |
| T2049 | Non-emergency transportation; stretcher van, mileage; per mile | 3 | 10 | 2,880 | $0 | $0 |
Other providers in the same ZIP code as Umpqua Valley Ambulance Service Inc., ranked by combined Medicare and Medicaid revenue.
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