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NPI 1851781314 · Mesa, AZ · Ambulance
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American Medical Response Of Maricopa, LLC is a ambulance provider located in Mesa, Arizona. This profile covers 7 Medicare and 11 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 | American Medical Response Of Maricopa, LLC |
| Address | 617 W Main St |
| City | Mesa |
| State | AZ |
| ZIP | 85201 |
| Taxonomy | Ambulance |
| NPI Enumerated | February 4, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $171.3M |
| Medicare | $4.9M |
Payer mix is heavily skewed toward Medicaid: the provider reports $171.3M in lifetime Medicaid revenue versus $4.9M in Medicare revenue, indicating this entity functions primarily as a Medicaid-focused ambulance operator. The precomputed share of revenue concentrated in the top three codes reinforces that Medicaid work drives the bulk of revenue (top 3 Medicaid codes = 71.9%), while Medicare is a much smaller revenue stream (top 3 Medicare codes = 81.3% of the modest Medicare total).
The code mix identifies a ground ambulance operator that handles both emergency ALS and BLS transports plus non-emergency and specialty care work. High-revenue codes include A0427 (advanced life support, emergency), A0429 (basic life support, emergency), A0428 (basic life support, non-emergency) and A0434 (specialty care transport), showing the business performs a mix of emergency responses, scheduled non-emergency transfers, and higher-acuity specialty transports.
Medicare revenue is highly concentrated in a small set of transport and mileage codes: A0427 accounts for $2.2M (45.4% of this provider's Medicare revenue), A0429 for $901.9K (18.4%), and A0425 for $853.9K (17.4%), with the provider’s top three Medicare codes together making up 81.3% of Medicare revenue. National ranks show unusually high Medicare volume on these codes — A0427 ranks #109 of 6841 (98th percentile; extreme outlier), A0429 ranks #127 of 7808 (98th percentile; notably above typical), and A0425 ranks #102 of 8934 (99th percentile; extreme outlier) — signaling the provider is a high-volume national-level reporter for core ambulance services.
Medicaid billing is also concentrated in a few transport and mileage codes: A0427 generated $56.2M (32.8% of Medicaid revenue), A0428 $34.4M (20.1%), and A0425 $32.6M (19.0%), with the top three Medicaid codes totaling 71.9% of Medicaid revenue. In-state ranks underscore dominance on key Medicaid lines: A0428 ranks #1 of 33 (100th percentile; extreme outlier), A0427 ranks #2 of 102 (99th percentile; extreme outlier), and A0425 ranks #2 of 107 (99th percentile; described here as typical, unremarkable volume for this code), indicating the provider is a leading state-level supplier for both emergency and non-emergency ambulance services.
Several codes are flagged as statistical outliers in the supplied benchmarks, which highlights competitive standing rather than irregularity: on Medicare, A0427 and A0425 are labeled extreme outliers and A0429 is notably above typical national volume; on Medicaid, A0428 and A0427 are extreme outliers and multiple supply codes (A0398, A0382) and A0426 rank #1 in-state (100th percentile; extreme outlier). These rank-based labels imply the provider operates at a scale well above most peers for multiple core ambulance services and related supply lines.
Operationally, mileage and high claim counts indicate large transport volume and geographic coverage: A0425 appears with 122K claims and $853.9K revenue on Medicare and 301.9K claims and $32.6M revenue on Medicaid, and the average paid per claim differs by payer (A0425 Medicare $7 avg paid/claim; Medicaid $108 avg paid/claim). Such large mileage claim counts alongside heavy ALS and BLS counts suggest an operation managing many trips across distances and a mix of emergency and scheduled transfers, which has implications for fleet, staffing, and reimbursement sensitivity.
Revenue concentration creates exposure and opportunity: with the top 3 Medicare codes accounting for 81.3% of Medicare revenue and the top 3 Medicaid codes accounting for 71.9% of Medicaid revenue, changes to payment policy, utilization review, or contract rates for those handful of codes could materially affect the provider’s topline. This concentration also focuses negotiation leverage and operational priorities around maintaining capacity for ALS/BLS emergency transports, non-emergency BLS transfers, and mileage billing practices.
The provider has established tenure in the Medicare/Medicaid landscape, with its NPI enumerated on 2015-02-04 (~11 years ago), supporting the interpretation that the large claim volumes and high ranks reflect sustained activity rather than a short-term spike. That duration, combined with the high state and national ranks on core codes, positions the entity as an entrenched ambulance operator in its market footprint.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5,680 | $390 | $2.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,730 | $330 | $901.9K |
| A0425 | Ground mileage, per statute mile | 121,990 | $10 | $853.9K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,240 | $210 | $460.6K |
| A0434 | Specialty care transport (sct) | 320 | $670 | $215K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 810 | $250 | $200.4K |
| A0433 | Advanced life support, level 2 (als 2) | 70 | $560 | $41.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 118,870 | $470 | $56.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 86,410 | $400 | $34.4M |
| A0425 | Ground mileage, per statute mile | 301,940 | $110 | $32.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 60,060 | $460 | $27.7M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 31,150 | $450 | $13.9M |
| A0398 | Als routine disposable supplies | 152,450 | $20 | $2.9M |
| A0434 | Specialty care transport (sct) | 2,070 | $540 | $1.1M |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 7,610 | $120 | $890.4K |
| A0382 | Bls routine disposable supplies | 142,570 | $10 | $855.4K |
| A0433 | Advanced life support, level 2 (als 2) | 1,090 | $480 | $516.9K |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona median
11 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) | 2 | 100 | 3,400 | $580 | $5.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 80 | 2,320 | $570 | $4.7M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1 | 30 | 1,370 | $460 | $4.4M |
| A0425 | Ground mileage, per statute mile | 2 | 110 | 4,860 | $50 | $3.1M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 30 | 690 | $500 | $1.6M |
| A0382 | Bls routine disposable supplies | 1 | 30 | 9,790 | $10 | $428.6K |
| A0398 | Als routine disposable supplies | 1 | 40 | 4,730 | $20 | $362.8K |
| A0434 | Specialty care transport (sct) | 1 | 10 | 250 | $550 | $315.7K |
| A0433 | Advanced life support, level 2 (als 2) | 2 | 10 | 90 | $530 | $315.4K |
| A0420 | Ambulance waiting time (als or bls), one half (1/2) hour increments | 1 | 10 | 450 | $120 | $167.7K |
Showing 1–10 of 11
Other providers in the same ZIP code as American Medical Response Of Maricopa, LLC, ranked by combined Medicare and Medicaid revenue.
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