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NPI 1922073519 · Joplin, MO · Land Ambulance
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Greater Joplin Area Emergency Medical Services System Inc is a land ambulance provider located in Joplin, Missouri. This profile covers 6 Medicare and 6 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 | Greater Joplin Area Emergency Medical Services System Inc |
| Address | 625 S Virginia Ave |
| City | Joplin |
| State | MO |
| ZIP | 64801 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | February 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.1M |
| Medicare | $1.3M |
This provider’s code mix is focused on ground ambulance transports and mileage: the top revenue drivers are A0427 (advanced life support, emergency transport), A0429 (basic life support, emergency transport), and A0425 (ground mileage). Those codes and their descriptions indicate an operation centered on emergency ground EMS services rather than non-transport or ancillary medical billing. The presence of both ALS and BLS emergency transport codes as top payers suggests the service responds to a range of acuity levels in the field.
Medicaid is the dominant payer by scale for this provider: total Medicaid revenue is $9.1M compared with total Medicare revenue of $1.3M. The raw dollars show Medicaid accounting for the majority of lifetime public-payer receipts on file, so payer-specific policy or contract changes at the state Medicaid level would have larger revenue impact than comparable Medicare adjustments.
Revenue is highly concentrated into a few ambulance codes for both payers: the top 3 Medicare codes account for 83.0% of this provider’s total Medicare revenue, while the top 3 Medicaid codes account for 96.7% of this provider’s total Medicaid revenue. That concentration is driven almost entirely by A0427, A0425, and A0429 on both payers, indicating limited diversification of billed services.
Against national Medicare peers this provider shows relatively high percentile placement on its top ambulance codes while still being characterized as typical volume: A0427 ($526.3K, 40.7% of Medicare revenue) ranks #499 of 6841 (93th percentile; typical, unremarkable volume for this code), A0425 ($289.2K, 22.4%) ranks #499 of 8934 (94th percentile; typical, unremarkable volume for this code), and A0429 ($256.7K, 19.9%) ranks #641 of 7808 (92th percentile; typical, unremarkable volume for this code). These positions indicate the provider operates above the median national footprint for these ambulance services but without an outlier billing profile.
Within Missouri Medicaid peers the provider is a major in-state participant for the same core ambulance services: A0427 ($3.9M, 43.0% of Medicaid revenue) ranks #10 of 171 in-state (95th percentile; typical, unremarkable volume for this code), A0425 ($2.7M, 29.6%) ranks #12 of 203 in-state (95th percentile; typical, unremarkable volume for this code), and A0429 ($2.2M, 24.1%) ranks #8 of 135 in-state (95th percentile; typical, unremarkable volume for this code). Those rankings position the provider among the leading Medicaid ambulance billers in Missouri for emergency transport and mileage.
Mileage billing is a substantial component of the revenue mix: A0425 appears with 41.3K Medicare claims ($289.2K revenue) and 33K Medicaid claims ($2.7M revenue), highlighting that per-mile reimbursement is a material and recurring revenue stream for both payers. High mileage volumes reinforce that the operation is ground-transport heavy and that changes to distance-based reimbursement policies or verification requirements could materially affect receipts.
There are pockets of very low-volume or rare code reporting on the Medicaid side that contrast with the dominant top codes: A0998 (ambulance response and treatment, no transport) shows only 65 Medicaid claims and ranks #20 of 25 in-state (21th percentile; typical, unremarkable volume for this code), and A0380 (BLS mileage) reports 14 Medicaid claims and ranks #2 of 2 in-state (0th percentile; typical, unremarkable volume for this code). These low-ranking items suggest the provider’s billing profile is concentrated on transported emergency services rather than no-transport responses or alternative mileage code usage.
The provider has long tenure under its NPI, enumerated 2006-02-17 (~20 years ago), which indicates an established operating history in the market. That longevity, combined with concentrated Medicaid volumes and top-state rankings, supports the view of a stable, transport-focused EMS provider whose financial performance is closely tied to state Medicaid reimbursement for emergency ground ambulance 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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,470 | $360 | $526.3K |
| A0425 | Ground mileage, per statute mile | 41,320 | $10 | $289.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 850 | $300 | $256.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,010 | $190 | $190.3K |
| A0433 | Advanced life support, level 2 (als 2) | 40 | $530 | $19.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 50 | $230 | $10.3K |
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 16,600 | $240 | $3.9M |
| A0425 | Ground mileage, per statute mile | 33,030 | $80 | $2.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 11,270 | $200 | $2.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 5,700 | $50 | $296.4K |
| A0998 | Ambulance response and treatment, no transport | 70 | $60 | $4.1K |
| A0380 | Bls mileage (per mile) | 10 | $80 | $1.1K |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
6 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) | 10 | 170 | 1,670 | $230 | $1.1M |
| A0425 | Ground mileage, per statute mile | 12 | 200 | 3,230 | $90 | $827.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 8 | 140 | 1,010 | $200 | $803.7K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 11 | 60 | 880 | $160 | $725.7K |
| A0998 | Ambulance response and treatment, no transport | 20 | 30 | 300 | $120 | $129.4K |
| A0380 | Bls mileage (per mile) | 2 | 10 | 830 | $20 | $20.1K |
Other providers in the same ZIP code as Greater Joplin Area Emergency Medical Services System Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Matt Ferguson | MO | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | $0 | $17.9M |
| Michael Joseph | MO | Rheumatology Physician | $5.1M | $0 |
| Charlottes Angels, LLC | MO | In Home Supportive Care Agency | $0 | $4.4M |
| Ozark Tri-county Health Care Consortium | MO | Federally Qualified Health Center (FQHC) | $0 | $4M |
| Bokker, Inc. | MO | In Home Supportive Care Agency | $0 | $3.7M |
| Avril Prabakaran | MO | Physical Therapist | $307.3K | $0 |
| Roger Schoenfeld | MO | Urology Physician | $114.2K | $0 |
| Michael Knapp | MO | Family Medicine Physician | $96.8K | $770 |
| Vanessa Jarrett | MO | Nurse Practitioner | $2.8K | $0 |
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