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NPI 1881647311 · Eau Claire, WI · Land Ambulance
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City Of Eau Claire is a land ambulance provider located in Eau Claire, Wisconsin. 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 | City Of Eau Claire |
| Address | 216 S Dewey St |
| City | Eau Claire |
| State | WI |
| ZIP | 54701 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2M |
| Medicare | $976.6K |
CITY OF EAU CLAIRE’s billed services are concentrated in emergency ambulance transport: the two highest-revenue codes for both payers are A0427 (advanced life support, emergency transport) and A0429 (basic life support, emergency transport), with A0427 alone accounting for 70.3% of Medicare revenue and 69.6% of Medicaid revenue. This mix indicates the operation functions primarily as an emergency response ambulance service with a heavier revenue weight toward ALS-level care rather than non-emergency transports or ancillary supplies.
Revenue is highly concentrated in a very small set of codes for each payer: the top three Medicare codes account for 97.9% of the provider’s total Medicare revenue and the top three Medicaid codes account for 97.4% of the provider’s total Medicaid revenue. That level of concentration means changes to reimbursement or utilization patterns for A0427, A0429, or the single mileage code in each payer could materially shift overall revenue.
The payer mix shows Medicaid is larger in scale for this provider: reported Medicaid revenue is $2M versus Medicare revenue of $976.6K, so Medicaid is the larger single payer on file. Despite the difference in scale, the same code pattern drives revenue in both programs (A0427 and A0429 dominate), suggesting the provider’s operational focus and billing practices are similar across Medicare and Medicaid.
On national Medicare measures the provider posts above-average standing for its top ambulance codes: A0427 ranks #393 of 6841 providers nationally (94th percentile) and is labeled in the data as "typical, unremarkable volume" for this code, while A0429 ranks #929 of 7808 (88th percentile) and A0425 ranks #1925 of 8934 (78th percentile), each described as "typical, unremarkable volume." In plain-terms, CITY OF EAU CLAIRE is a strong national participant on ALS emergency transports but within a peer cluster characterized as typical rather than extreme outlier volume.
Within Wisconsin Medicaid the provider is a leading in-state participant on ALS emergency transports: A0427 ranks #9 of 166 providers in-state (95th percentile) and is described as "typical, unremarkable volume" in the data, while A0429 ranks #22 of 153 (86th percentile) and A0390 (ALS mileage) ranks #11 of 135 (93th percentile). Those state-level ranks place the provider in the top decile for its primary emergency transport code and generally in the upper tier for mileage and BLS emergency services, identifying it as a major local Medicaid ambulance supplier.
Operational metrics show heavy transport volume in the underlying claims: Medicare lists 1.8K claims for A0427 and 10.7K claims for A0425 (ground mileage), while Medicaid lists 10.6K claims for A0427 and 6.3K claims for A0390 (ALS mileage). The combination of large claim counts on both ALS transport and mileage codes supports a picture of frequent emergency responses and substantial billed transport distance within the community.
Lower-ranking non-emergency and ALS non-emergency codes appear to be a much smaller part of the business: Medicare non-emergency and ALS non-emergency codes such as A0428 and A0426 show low claim counts and low national percentiles (11th and 15th percentiles respectively) and are described as "typical, unremarkable volume." Similarly, several Medicaid supply and non-emergency codes (A0394, A0398, A0426) are small revenue contributors and sit in mid-to-low state percentiles, indicating the provider does not rely on non-emergency transports or ancillary disposable supplies as a major revenue stream.
The provider has an established presence, with its NPI enumerated on 2006-05-18 (~20 years ago), which aligns with the sustained high-volume emergency transport activity observed in both Medicare and Medicaid billing. That tenure, combined with the in-state top-decile rankings for A0427, suggests a stable municipal ambulance operation with long-term engagement in the local payer mix.
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) | 1,780 | $390 | $686.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 600 | $320 | $194.8K |
| A0425 | Ground mileage, per statute mile | 10,690 | $10 | $74.8K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $560 | $10.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 20 | $210 | $4.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 20 | $240 | $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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 10,600 | $130 | $1.4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 4,000 | $110 | $432.4K |
| A0390 | Als mileage (per mile) | 6,250 | $20 | $118.8K |
| A0380 | Bls mileage (per mile) | 2,370 | $20 | $35.5K |
| A0425 | Ground mileage, per statute mile | 6,350 | $1 | $6.4K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 310 | $20 | $4.6K |
| A0398 | Als routine disposable supplies | 490 | $10 | $3K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $40 | $1.1K |
| A0382 | Bls routine disposable supplies | 100 | $1 | $400 |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 22 | 150 | 450 | $150 | $480.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9 | 170 | 690 | $150 | $372.4K |
| A0380 | Bls mileage (per mile) | 25 | 110 | 290 | $30 | $113.7K |
| A0390 | Als mileage (per mile) | 11 | 140 | 440 | $50 | $103.4K |
| A0398 | Als routine disposable supplies | 25 | 40 | 740 | $10 | $35.6K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 22 | 40 | 340 | $20 | $30.4K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 24 | 30 | 120 | $60 | $21.9K |
| A0425 | Ground mileage, per statute mile | 18 | 160 | 770 | $10 | $20.6K |
| A0382 | Bls routine disposable supplies | 29 | 40 | 580 | $10 | $15.4K |
Other providers in the same ZIP code as City Of Eau Claire, ranked by combined Medicare and Medicaid revenue.
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