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NPI 1922004092 · Bismarck, ND · Land Ambulance
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Metro Area Ambulance Service, Inc is a land ambulance provider located in Bismarck, North Dakota. This profile covers 6 Medicare and 7 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 | Metro Area Ambulance Service, Inc |
| Address | 2940 N 19th St |
| City | Bismarck |
| State | ND |
| ZIP | 58503 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | June 23, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.7M |
| Medicare | $1.5M |
This provider is effectively Medicaid-dominant in scale: lifetime Medicaid revenue is $11.7M versus $1.5M in Medicare, with Medicaid accounting for the bulk of billed activity and dollars. That imbalance indicates the provider’s operational focus and financial exposure are concentrated in state Medicaid programs rather than in Medicare reimbursement streams.
Medicare revenue is highly concentrated in a small set of ambulance service codes: the top three Medicare codes (A0427, A0429, A0425) account for 89.9% of the provider’s total Medicare revenue, led by A0427 at 57.9% of Medicare revenue. Those three codes (A0427, A0429, A0425) dominate Medicare receipts, which implies that any changes to emergency transport or mileage reimbursement policy would materially affect the provider’s Medicare topline.
Medicaid revenue is even more concentrated: the top three Medicaid codes (A0427, A0429, A0425) account for 92.8% of total Medicaid revenue, with A0427 contributing 47.4% and A0429 30.0%. The Medicaid book is therefore highly dependent on emergency ALS/BLS transports and associated mileage, making payer-rate changes or utilization shifts in those specific codes a primary business risk.
The code mix and claim volumes indicate an emergency transport and mileage-intensive operation. High-volume Medicaid counts—A0427 at 12.7K claims, A0429 at 8.2K claims and A0425 at 24.6K claims—plus Medicare counts such as A0425 at 33.8K and A0427 at 2.2K, point to routine ALS and BLS emergency responses coupled with extensive ground mileage billing across both payers. This pattern is consistent with a land ambulance provider that serves a geographically dispersed patient population and bills frequently for mileage in addition to transport-level services.
State-level competitive standing is strong for Medicaid emergency transport: the provider ranks #2 in-state for A0427, A0429, and A0425, and A0427 is described as notably above typical state volume, indicating the provider is a major in-state operator for ALS emergency transports. By contrast, the national Medicare rankings for the same codes sit at high percentiles but are labeled in the source as "typical, unremarkable volume," which suggests the provider is an established but not uniquely dominant national player for these ambulance codes.
There is a pronounced asymmetry in claim counts between mileage and transport codes on Medicare: A0425 shows 33.8K claims while A0427 reports 2.2K claims and A0429 reports 753 claims. That disparity—many more mileage claims than transport-coded claims in Medicare records—warrants attention from analysts assessing billing patterns, operational utilization, or audit focus because mileage drives a material share of unit transactions.
The provider’s tenure is long-standing: NPI was enumerated on 2005-06-23 (~21 years ago), indicating stable enrollment and likely continuous operations in the market. Longevity combined with large Medicaid volumes suggests established referral or contract relationships with state payers and local healthcare stakeholders.
Business concentration risk is meaningful at both payer and service-line levels. With the top three codes accounting for 89.9% of Medicare revenue and 92.8% of Medicaid revenue, and with Medicaid representing the larger share of total revenue ($11.7M vs $1.5M), the provider’s financial performance is tightly tied to a narrow set of ambulance/mileage reimbursements and to state Medicaid policy and utilization trends.
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) | 2,220 | $400 | $890.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 750 | $340 | $254.5K |
| A0425 | Ground mileage, per statute mile | 33,790 | $10 | $236.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 450 | $210 | $95.4K |
| A0433 | Advanced life support, level 2 (als 2) | 70 | $580 | $42.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 70 | $260 | $18.2K |
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 12,700 | $440 | $5.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8,210 | $430 | $3.5M |
| A0425 | Ground mileage, per statute mile | 24,600 | $70 | $1.8M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2,730 | $210 | $573.1K |
| A0998 | Ambulance response and treatment, no transport | 830 | $290 | $242.7K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $730 | $19.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 50 | $250 | $11.1K |
How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Dakota median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2 | 20 | 1,330 | $340 | $1.6M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2 | 20 | 1,740 | $370 | $1.3M |
| A0425 | Ground mileage, per statute mile | 2 | 20 | 2,080 | $100 | $703K |
| A0998 | Ambulance response and treatment, no transport | 3 | 10 | 1,740 | $220 | $338.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 10 | 190 | $210 | $269.1K |
| A0433 | Advanced life support, level 2 (als 2) | 2 | 10 | 340 | $570 | $194K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 1 | 10 | 30 | $190 | $6K |
Other providers in the same ZIP code as Metro Area Ambulance Service, Inc, ranked by combined Medicare and Medicaid revenue.
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