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NPI 1922391226 · San Jose, CA · Land Ambulance
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Rural-metro Of California Inc is a land ambulance provider located in San Jose, California. This profile covers 4 Medicare and 17 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 | Rural-metro Of California Inc |
| Address | 1345 Vander Way |
| City | San Jose |
| State | CA |
| ZIP | 95112 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | May 18, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $30.7M |
| Medicare | $10.7M |
This entity operates clearly as a land-ambulance provider with an advanced-life-support (ALS) focus: its Medicare top codes include A0427 (16.9K claims, $516 avg paid/claim), A0429 (2.3K claims, $435 avg paid/claim) and A0425 (126K claims, $7 avg paid/claim), and its Medicaid top codes mirror that mix with A0427 (170.3K claims, $151 avg paid/claim), A0429 (14.3K claims, $165 avg paid/claim) and A0425 (183.7K claims, $12 avg paid/claim). The predominance of A0427 (ALS 1 emergency transport) alongside high mileage (A0425) and BLS emergency transports (A0429) indicates primary operations are emergency ambulance transports rather than scheduled non-emergency services or outpatient procedures.
Revenue is highly concentrated in a very small set of transport codes for both payers: the top three Medicare codes account for 99.0% of this provider's Medicare revenue, and the top three Medicaid codes account for 98.7% of its Medicaid revenue. Given total lifetime revenue reported as $10.7M from Medicare and $30.7M from Medicaid, most of this provider’s financial performance is driven by a handful of transport and mileage codes rather than a broad procedure mix.
The payer mix is Medicaid-dominant by scale: Medicaid revenue ($30.7M) substantially exceeds Medicare revenue ($10.7M), and the Medicaid side also shows much higher claim volumes for the same transport codes (for example, A0427 is 170.3K Medicaid claims vs 16.9K Medicare claims). At the same time, average payments per claim are considerably higher on Medicare for the flagship ALS code (A0427: $516 Medicare vs $151 Medicaid), which highlights a volume-driven Medicaid business with lower per-claim reimbursement.
On national Medicare metrics this provider is a major volume outlier for specific codes: A0427 ranks #8 of 6841 providers nationally (100th percentile; extreme outlier) and A0425 ranks #98 of 8934 (99th percentile; extreme outlier), while A0429 is also well above typical national volume (rank #156 of 7808, 98th percentile; notably above typical). These rankings position the provider as a top-tier national biller for ALS emergency transport and ground mileage, indicating above-typical capacity or geographic coverage relative to most peers.
Within California Medicaid, the provider is likewise a dominant volume participant for key ALS services: A0427 ranks #5 of 248 in-state (98th percentile; extreme outlier) and A0425 ranks #10 of 580 (98th percentile; described in the data as typical, unremarkable volume for this code). This combination makes the entity a major in-state source of ALS emergency transports and mileage billing, suggesting it is a primary operational player in its local EMS market.
There are reporting patterns on the Medicaid side worth noting: some HCPCS entries show very high claim counts but $0 reported revenue (notably A0398 with 221.2K claims, $0 avg paid/claim, $0 revenue and rank #1 of 29 in-state, 100th percentile; extreme outlier). These entries do not contribute to billed revenue but may reflect large volumes of supply reporting, bundled/non-reimbursed items, or data artifacts, and they materially affect the claims profile without increasing Medicaid receipts.
The provider is an established operation with a longstanding NPI enumeration (2011-05-18, ~15 years ago), which aligns with sustained high-volume billing patterns across both Medicare and Medicaid. Combined tenure and persistent outlier rankings suggest these are stable service lines rather than transient spikes, making the provider a consistent strategic participant in emergency ambulance transport in its market.
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) | 16,850 | $520 | $8.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,330 | $440 | $1M |
| A0425 | Ground mileage, per statute mile | 125,980 | $10 | $881.9K |
| A0433 | Advanced life support, level 2 (als 2) | 150 | $750 | $111.3K |
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.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 170,270 | $150 | $25.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 14,320 | $170 | $2.4M |
| A0425 | Ground mileage, per statute mile | 183,660 | $10 | $2.2M |
| A0433 | Advanced life support, level 2 (als 2) | 1,370 | $160 | $223.6K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 26,710 | $10 | $187K |
| A0999 | Unlisted ambulance service | 1,180 | $1 | $2.4K |
| J7030 | Infusion, normal saline solution , 1000 cc | 250 | $1 | $250 |
| 33206 | The provider inserts a permanent pacemaker generator and implants one or more leads into the right atrium. | 10 | $0 | $0 |
| A0396 | Als specialized service disposable supplies; esophageal intubation | 20 | $0 | $0 |
| A0398 | Als routine disposable supplies | 221,180 | $0 | $0 |
Showing 1–10 of 17
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
17 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) | 5 | 250 | 2,420 | $220 | $3.7M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 43 | 390 | 1,270 | $220 | $1.5M |
| A0425 | Ground mileage, per statute mile | 10 | 580 | 3,120 | $30 | $963.2K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 97 | 760 | 1,930 | $20 | $196K |
| J3490 | Unclassified drugs | 622 | 1,390 | 670 | $20 | $159.5K |
| A0999 | Unlisted ambulance service | 36 | 100 | 600 | $20 | $111.4K |
| A0433 | Advanced life support, level 2 (als 2) | 5 | 40 | 170 | $210 | $101.5K |
| J7030 | Infusion, normal saline solution , 1000 cc | 375 | 460 | 3,330 | $10 | $63.5K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 457 | 510 | 2,910 | $10 | $35.3K |
| J2270 | Injection, morphine sulfate, up to 10 mg | 248 | 360 | 2,450 | $10 | $22.4K |
Showing 1–10 of 17
Other providers in the same ZIP code as Rural-metro Of California Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| County Of Santa Clara | CA | Federally Qualified Health Center (FQHC) | $0 | $106.6M |
| Iq Business Connection | CA | Taxi | $0 | $46.5M |
| Gardner Family Health Network Inc | CA | Federally Qualified Health Center (FQHC) | $0 | $23.7M |
| Hoang Nguyen | CA | Cardiovascular Disease Physician | $665.6K | $0 |
| Ngai Nguyen | CA | Cardiovascular Disease Physician | $383.9K | $170.9K |
| Hoan Van | CA | Foot & Ankle Surgery Podiatrist | $229.9K | $24.8K |
| Lisa Chan | CA | Occupational Therapist | $46.6K | $0 |
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