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NPI 1891729869 · Waukegan, IL · Land Ambulance
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City Of Waukegan Illinois is a land ambulance provider located in Waukegan, Illinois. This profile covers 4 Medicare and 3 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 Waukegan Illinois |
| Address | 1101 Belvidere St |
| City | Waukegan |
| State | IL |
| ZIP | 60085 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | July 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $20.4M |
| Medicare | $394.8K |
The provider is classified under the Land Ambulance taxonomy and its billed services are concentrated in emergency ground transport codes, specifically A0427, A0429 and A0425, which correspond to advanced life support (ALS 1), basic life support (BLS-emergency) and ground mileage respectively. This code mix indicates an operational focus on point-to-point emergency ambulance transport rather than non-emergency or community paramedicine services.
Medicare revenue is highly concentrated: the top 3 Medicare codes account for 96.9% of the provider's total Medicare revenue, with A0427 representing 64.9%, A0429 representing 27.0%, and A0425 representing 5.0% of Medicare revenue. That concentration shows Medicare receipts are driven almost entirely by ALS and BLS emergency transports and associated mileage.
Medicaid billing is even more concentrated: the top 3 Medicaid codes account for 100.0% of this provider's Medicaid revenue, led by A0429 at 52.5% and A0427 at 46.2%, while A0425 contributes 1.3% of Medicaid revenue. This indicates Medicaid volumes and payments are focused almost exclusively on emergency BLS and ALS transports in-state.
Payer mix is strongly tilted toward Medicaid: total Medicaid revenue is $20.4M versus total Medicare revenue of $394.8K, so the provider is effectively Medicaid-dominant in scale of billed revenue. Analysts should treat this entity as primarily serving Medicaid-covered emergency transport activity rather than a Medicare-focused ambulance operator.
Nationally, the provider’s Medicare footprint is modest: A0427 ranks #1251 of 6841 (82th percentile) and A0429 ranks #1783 of 7808 (77th percentile), with the dataset characterizing these volumes as "typical, unremarkable volume for this code." These percentiles place the provider above median national volume for its core Medicare codes but not at the level of a dominant national supplier.
Within Illinois Medicaid, the provider is a leading in-state participant for emergency transport: A0429 ranks #21 of 339 in-state (94th percentile) and A0427 ranks #27 of 362 in-state (93th percentile), though the dataset still labels the volumes as "typical, unremarkable volume for this code." Those state-level ranks mark the provider as a major local supplier of both BLS and ALS emergency transport.
Claims and payment contrasts between payers are notable: Medicaid claim counts for core codes are large (A0429 10.2K claims and A0427 8.9K claims) compared with Medicare claim counts (A0429 306 claims and A0427 613 claims), and Medicaid average paid/claim amounts for A0429 and A0427 ($1053 and $1062) are materially higher than the Medicare averages reported for the same codes ($349 and $418). This combination of higher Medicaid volume and higher per-claim payments drives the large Medicaid revenue base relative to Medicare.
The provider’s NPI was enumerated on 2006-07-10 (~20 years ago), indicating long tenure in the market; combined with concentrated code mix and large in-state Medicaid ranks, this suggests an established ambulance operation with sustained focus on emergency BLS/ALS transport services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 610 | $420 | $256.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 310 | $350 | $106.8K |
| A0425 | Ground mileage, per statute mile | 2,810 | $10 | $19.7K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $600 | $12.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10,160 | $1,050 | $10.7M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 8,870 | $1,060 | $9.4M |
| A0425 | Ground mileage, per statute mile | 19,560 | $10 | $273.8K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
3 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) | 27 | 360 | 1,340 | $910 | $4M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 21 | 340 | 1,050 | $770 | $2.8M |
| A0425 | Ground mileage, per statute mile | 33 | 450 | 2,450 | $40 | $602.5K |
Other providers in the same ZIP code as City Of Waukegan Illinois, ranked by combined Medicare and Medicaid revenue.
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