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NPI 1851370134 · Iowa City, IA · Land Ambulance
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County Of Johnson is a land ambulance provider located in Iowa City, Iowa. This profile covers 6 Medicare and 5 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 | County Of Johnson |
| Address | 808 S Dubuque St |
| City | Iowa City |
| State | IA |
| ZIP | 52240 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | January 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.8M |
| Medicare | $1.1M |
COUNTY OF JOHNSON operates as a land ambulance provider with Medicare billing concentrated in emergency transport and mileage codes; on Medicare A0427 generated $627.3K revenue and A0429 generated $369.1K revenue, reflecting a service mix centered on ALS and BLS emergency transports. On Medicaid the single largest line is A0999 (Unlisted ambulance service) with $8.7M revenue, indicating substantial use of unlisted ambulance billing in that program.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 98.0% of the provider's total Medicare revenue, with A0427 at 56.3%, A0429 at 33.1%, and A0425 at 8.6%. This concentration indicates the provider’s Medicare receipts depend largely on a narrow set of ambulance transport and mileage services rather than a broad mix of ancillary codes.
Medicaid revenue is even more concentrated: the precomputed top 3 Medicaid codes account for 98.5% of the provider's total Medicaid revenue, led by A0999 at 80.8%, A0429 at 10.1%, and A0427 at 7.5%. In practice this means Medicaid receipts are overwhelmingly tied to unlisted ambulance services plus basic and advanced emergency transport activity.
Payer mix is heavily skewed toward Medicaid: total Medicare revenue is $1.1M while total Medicaid revenue is $10.8M, so Medicaid dominates the provider's public-payer revenue footprint. Practically, this means the provider’s financial exposure and operational scale are driven primarily by state Medicaid reimbursement and utilization patterns rather than Medicare.
On Medicare the provider posts relatively high national percentiles for its core transport codes — A0427 ranks #422 of 6841 (94th percentile) and A0429 ranks #415 of 7808 (95th percentile) — but those volumes are characterized in the source as "typical, unremarkable" for the codes. Taken together, the provider is a solid national participant in ambulance transports for Medicare but not described as a national outlier or dominant leader.
By contrast, the provider is a major in-state competitor on Medicaid: A0999 ranks #3 of 57 (96th percentile, "notably above typical"), A0429 ranks #4 of 94 (97th percentile, "notably above typical"), A0427 ranks #4 of 92 (97th percentile, "notably above typical"), and A0425 ranks #4 of 157 (98th percentile, labeled an "extreme outlier"). These ranks position the county as a dominant Medicaid ambulance biller in Iowa, particularly for unlisted services and mileage.
Claims and unit-payment patterns diverge sharply across payers: Medicaid shows very high claim counts for key lines (A0999 14K claims at $622 avg paid/claim, A0429 15.6K claims at $70 avg paid/claim, A0427 11.1K claims at $73 avg paid/claim), whereas Medicare shows lower claim counts but higher average paid per claim for similar codes (A0427 1.7K claims at $377 avg paid/claim, A0429 1.2K claims at $316 avg paid/claim). This pattern suggests different utilization and unit-payment dynamics across payers and points to state-level billing practices or fee schedules driving Medicaid volume.
The provider’s NPI was enumerated 2006-01-13 (~20 years ago), indicating long-standing operational presence. Coupled with a $10.8M Medicaid revenue base, this tenure and scale suggest an entrenched county-run ambulance operation with sustained Medicaid activity and market position.
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) | 1,660 | $380 | $627.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,170 | $320 | $369.1K |
| A0425 | Ground mileage, per statute mile | 13,770 | $10 | $96.4K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $550 | $9.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $240 | $7.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | $200 | $4.6K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 14,030 | $620 | $8.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 15,590 | $70 | $1.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 11,150 | $70 | $813.8K |
| A0425 | Ground mileage, per statute mile | 27,520 | $10 | $165.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 30 | $70 | $1.9K |
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0999 | Unlisted ambulance service | 3 | 60 | 600 | $990 | $2.5M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 4 | 90 | 570 | $80 | $180.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4 | 90 | 170 | $70 | $134.3K |
| A0425 | Ground mileage, per statute mile | 4 | 160 | 730 | $20 | $60.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 25 | 30 | 350 | $50 | $49.6K |
Other providers in the same ZIP code as County Of Johnson, ranked by combined Medicare and Medicaid revenue.
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