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NPI 1932151321 · Sandpoint, ID · Ambulance
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Bonner County Ems is a ambulance provider located in Sandpoint, Idaho. This profile covers 6 Medicare and 5 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 | Bonner County Ems |
| Address | 521 S Division Ave Ste 131 |
| City | Sandpoint |
| State | ID |
| ZIP | 83864 |
| Taxonomy | Ambulance |
| NPI Enumerated | May 16, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $721.9K |
| Medicare | $440.9K |
BONNER COUNTY EMS is an Ambulance-taxonomy provider with lifetime Medicare revenue of $440.9K and lifetime Medicaid revenue of $721.9K, indicating a larger overall billing footprint to Medicaid than to Medicare. The provider’s NPI was enumerated on 2006-05-16 (~20 years ago), showing long-term participation in public programs that supports an established local EMS operation.
Revenue is highly concentrated by code for both payers: the precomputed top-3 Medicare codes account for 89.0% of the provider's Medicare revenue, and the precomputed top-3 Medicaid codes account for 100.0% of its Medicaid revenue. For Medicare the top three are A0427 ($232.1K, 52.5% of Medicare revenue), A0425 ($92.9K, 21.0%), and A0429 ($68K, 15.4%); for Medicaid the top three are A0427 ($380.7K, 52.7% of Medicaid revenue), A0429 ($179.2K, 24.8%), and A0425 ($162.8K, 22.5%).
The code mix (A0427, A0429, A0425) indicates the operation is primarily emergency transport-focused with both advanced life support (A0427) and basic life support emergency transports (A0429) represented alongside substantial ground-mileage billing (A0425). This combination is consistent with an EMS provider that responds to emergent calls and bills both transport level and mileage rather than a non-emergency or interfacility-only service line.
Payment levels for identical codes differ materially between payers in this file: A0427 averages $449 paid/claim on Medicare (517 claims) versus $179 paid/claim on Medicaid (2.1K claims), and A0429 averages $380 paid/claim on Medicare (179 claims) versus $148 paid/claim on Medicaid (1.2K claims). These differences reflect payer-specific reimbursement levels and are important when modeling margins by payer for high-revenue codes.
Volume and utilization patterns show heavier mileage billing to Medicare by claim count (A0425: 10.3K claims, $9 avg paid/claim) while Medicaid also records meaningful mileage (A0425: 4.2K claims, $39 avg paid/claim). The provider therefore generates significant revenue from distance-based billing across both payers, with a notably higher claim count for mileage on Medicare and higher average mileage payment on Medicaid in the reported data.
Competitive standing is consistently described as typical or unremarkable across both payers: nationally for Medicare A0427 ranks #1466 of 6841 (79th percentile) and A0425 ranks #1982 of 8934 (78th percentile), while in-state for Medicaid A0427 ranks #9 of 31 (73rd percentile) and A0425 ranks #9 of 48 (83rd percentile). These ranks indicate BONNER COUNTY EMS is a steady, mid-to-upper peer participant on its key codes rather than a dominant outlier.
There are reporting quirks in the Medicaid supplies lines: A0382 shows 255 claims with $0 avg paid/claim and $0 revenue (0.0% of Medicaid revenue) and A0398 shows 405 claims with $0 avg paid/claim and $0 revenue (0.0% of Medicaid revenue). The presence of claim counts but zero average paid and zero revenue suggests non-reimbursed supply line items or adjudication practices that result in no paid amount for those HCPCS supply codes in the Medicaid dataset.
Overall, BONNER COUNTY EMS’s business profile is that of an established ambulance service concentrated on emergency ALS/BLS transports and mileage billing, with Medicaid representing the larger revenue source ($721.9K vs $440.9K). Analysts modeling network value or contracting should focus on A0427, A0429, and A0425 given they drive the vast majority of billed revenue for each payer (top-3 shares of 89.0% for Medicare and 100.0% for Medicaid).
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) | 520 | $450 | $232.1K |
| A0425 | Ground mileage, per statute mile | 10,320 | $10 | $92.9K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 180 | $380 | $68K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 60 | $290 | $16.8K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 70 | $240 | $16.7K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $640 | $15.3K |
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,130 | $180 | $380.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,210 | $150 | $179.2K |
| A0425 | Ground mileage, per statute mile | 4,170 | $40 | $162.8K |
| A0382 | Bls routine disposable supplies | 260 | $0 | $0 |
| A0398 | Als routine disposable supplies | 410 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho median
5 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) | 9 | 30 | 480 | $220 | $663.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10 | 30 | 570 | $180 | $428.6K |
| A0425 | Ground mileage, per statute mile | 9 | 50 | 960 | $40 | $166.8K |
| A0398 | Als routine disposable supplies | 2 | 10 | 550 | $1 | $210 |
| A0382 | Bls routine disposable supplies | 1 | 10 | 210 | $1 | $90 |
Other providers in the same ZIP code as Bonner County Ems, ranked by combined Medicare and Medicaid revenue.
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