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NPI 1932742798 · Owensboro, KY · Ambulance
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Mercy Ambulance Of Evansville Inc is a ambulance provider located in Owensboro, Kentucky. 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 | Mercy Ambulance Of Evansville Inc |
| Address | 1730 E 18th St |
| City | Owensboro |
| State | KY |
| ZIP | 42303 |
| Taxonomy | Ambulance |
| NPI Enumerated | October 24, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.8M |
| Medicare | $1.4M |
MER CY AMBULANCE OF EVANSVILLE INC’s code mix is consistent with a road-based emergency ambulance operator: the provider’s Medicare and Medicaid top revenue drivers are ambulance transport and associated mileage/supply codes, with a strong presence in advanced life support emergency transports (A0427) and routine disposable supplies (A0382) on the Medicaid side. This pattern indicates operations focused on point-to-point patient transport with both emergency ALS and BLS service lines represented in the billing mix.
Medicare revenue is heavily concentrated in a few codes: Total Medicare revenue is $1.4M and the precomputed top 3 Medicare codes by revenue account for 89.5% of that total. The leading Medicare contributors are A0427 (60.2% of Medicare revenue), A0425 (17.6%), and A0428 (11.8%), showing that ALS emergency transports, mileage, and BLS non-emergency work collectively drive nearly all Medicare receipts.
Medicaid revenue shows even tighter concentration: Total Medicaid revenue is $2.8M and the precomputed top 3 Medicaid codes by revenue account for 91.7% of that total. The Medicaid mix is dominated by A0427 (42.3% of Medicaid revenue) and A0382 (39.9%), with A0425 contributing 9.6%, indicating that ALS emergency transports and billed disposable supplies together make up the bulk of Medicaid billing.
The provider’s payer mix is notably skewed toward Medicaid in scale: reported lifetime Medicaid revenue is $2.8M versus $1.4M in Medicare, so Medicaid accounts for the larger share of reported public-payer receipts. This implies the organization’s operations and reimbursement exposure are more dependent on state Medicaid policies and rates than on Medicare.
National competitive standing on Medicare is mixed but indicates above-average activity for key services: A0427 ranks #293 of 6841 providers nationally (96th percentile; typical, unremarkable volume for this code), A0425 ranks #591 of 8934 (93th percentile; typical, unremarkable volume), and A0428 ranks #694 of 2772 (75th percentile; typical, unremarkable volume). These percentiles place the provider well above median national activity for ALS emergency and mileage billing, suggesting solid regional scale in Medicare ambulance services even if not an industry leader on every code.
In-state competitive positioning on Medicaid is strong for a subset of codes and extreme for supplies: A0382 ranks #1 of 50 providers in-state (100th percentile; extreme outlier), and A0427 ranks #10 of 176 (95th percentile; notably above typical state volume). Those standings indicate the provider is a dominant biller for disposable supplies in Kentucky Medicaid and a major in-state ALS emergency transporter, which materially shapes its Medicaid revenue profile.
Operational metrics show very high mileage and transport volumes reported to both payers, underscoring a transport-centric business model: Medicare shows A0425 with 35.7K claims ($7 avg paid/claim, $250.2K revenue) while Medicaid shows A0425 with 24.6K claims ($11 avg paid/claim, $270.4K revenue). The combination of high claim counts for mileage and high-dollar ALS claims (A0427) across both payers suggests frequent, long-distance or numerous short transports are central to revenue generation.
The provider has a relatively recent enrollment date (NPI enumerated 2019-10-24 (~7 years ago)), and the combination of concentrated revenue (top 3 Medicare codes = 89.5% and top 3 Medicaid codes = 91.7%) plus an in-state extreme outlier code (A0382) are operational signals warranting focused payer oversight of reimbursement practices and supply-billing patterns. These factual patterns support targeted peer benchmarking and policy review rather than broad conclusions about business intent.
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) | 2,340 | $370 | $856.8K |
| A0425 | Ground mileage, per statute mile | 35,750 | $10 | $250.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 870 | $190 | $167.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 410 | $310 | $125.6K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $530 | $16.5K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 30 | $230 | $7K |
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) | 17,340 | $70 | $1.2M |
| A0382 | Bls routine disposable supplies | 10,360 | $110 | $1.1M |
| A0425 | Ground mileage, per statute mile | 24,580 | $10 | $270.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,800 | $50 | $186.2K |
| T2005 | Non-emergency transportation; stretcher van | 1,280 | $30 | $43.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,880 | $1 | $5.7K |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky 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 | 180 | 3,250 | $60 | $321.8K |
| A0425 | Ground mileage, per statute mile | 15 | 190 | 5,590 | $20 | $225.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 37 | 170 | 1,580 | $50 | $186K |
| A0382 | Bls routine disposable supplies | 1 | 50 | 310 | $70 | $81.7K |
| T2005 | Non-emergency transportation; stretcher van | 18 | 60 | 340 | $40 | $52.5K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 27 | 100 | 660 | $10 | $15.6K |
Other providers in the same ZIP code as Mercy Ambulance Of Evansville Inc, ranked by combined Medicare and Medicaid revenue.
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